Assessing depression improvement with the remission evaluation and mood inventory tool (REMIT).

Bushey MA, Kroenke K, Baye F, Lourens S. Assessing depression improvement with the remission evaluation and mood inventory tool (REMIT). General hospital psychiatry. 2019 Sep 1; 60:44-49.

Related HSR&D Project(s)

• IIR 12-095 – Comprehensive vs. Assisted Management of Mood and Pain Symptoms (CAMMPS) Trial

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Abstract:

OBJECTIVE: The Remission Evaluation and Mood Inventory Tool (REMIT) was developed as a brief complementary measure to provide a more robust assessment of depression improvement than tracking DSM-V symptom improvement alone. This study provides further validation of the REMIT tool and examines its utility in predicting depression improvement. METHODS: The sample comprised 294 primary care patients enrolled in a telecare trial of pain plus depression and/or anxiety. Assessments collected included: REMIT, PHQ-9 and measures assessing anxiety, pain, sleep, fatigue, somatization, health-related quality of life and disability. Data was analyzed to assess the REMIT's validity, its minimally important difference (MID), and its utility in predicting 6-month depression improvement. RESULTS: Convergent and construct validity of REMIT was supported by moderate correlations with mental health measures and weaker correlation with physical health measures. MID of approximately 2 points for REMIT was estimated by two metrics: 0.5 standard deviation and 1 standard error of measurement. Both baseline and 3-month change in REMIT scores predicted depression improvement at 6?months. Indeed, REMIT was as good or better predictor than the PHQ-9. CONCLUSION: The REMIT measure is a brief 5-item tool that augments core DSM-V symptom-oriented metrics in assessing and predicting recovery from major depression.