biostudies-literatureUnknown20(1)Smith MResearch & Development, NHS Greater Glasgow & ClydeBACKGROUND:Clinical guidelines for depression in adults recommend the use of outcome measures and stepped care models in routine care. Such measures are based on symptom severity, but response to treatment is likely to also be influenced by personal and contextual factors. This observational study of a routine clinical sample sought to examine the extent to which "symptom severity measures" and "complexity measures" assess different aspects of patient experience, and how they might relate to clinical outcomes, including disengagement from treatment. METHODS:Subjects with symptoms of depression (with or without comorbid anxiety) were recruited from people referred to an established Primary Care Mental Health Team using a stepped care model. Each participant completed three baseline symptom BMC psychiatry125https://www.ebi.ac.uk/biostudies/studies/S-EPMC7076946biostudies-literatureClinical judgement, case complexity and symptom scores as predictors of outcome in depression: an exploratory analysis.PMC7076946Morrison JFrancq BSmith MWetherall KMcConnachie APelosi AfalseClinical judgement, case complexity and symptom scores as predictors of outcome in depression: an exploratory analysis.BACKGROUND:Clinical guidelines for depression in adults recommend the use of outcome measures and stepped care models in routine care. Such measures are based on symptom severity, but response to treatment is likely to also be influenced by personal and contextual factors. This observational study of a routine clinical sample sought to examine the extent to which "symptom severity measures" and "complexity measures" assess different aspects of patient experience, and how they might relate to clinical outcomes, including disengagement from treatment. METHODS:Subjects with symptoms of depression (with or without comorbid anxiety) were recruited from people referred to an established Primary Care Mental Health Team using a stepped care model. Each participant completed three baseline symptom 2020-01-01T00:00:00Z2020 Mar2025-05-31T23:03:24.557Z2020-05-22T13:38:12ZS-EPMC70769463218379910.1186/s12888-020-02532-0