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Rezidive werden am besten vermieden, indem
- der psychosoziale Stress so weit wie möglich reduziert wirddas soziale Umfeld in die nachstationäre Phase miteinbezogen wird (v.a. eine stabile partnerschaftliche Situation wirkt heilungsfördernd!)
- die Ausbildung eines Substanzmissbrauchs verhindert wird
Risikofaktoren für Rezidive :
Als besondere Risikofaktoren für ein Rezidiv (erneute depressive Phase) sind zu werten
- Bestehen vorheriger depressiver Phasen (oder manischer oder hypomanischer Episoden) Hohe Anzahl früherer Phasendouble-depression (Dysthymie plus depressive Episode) höheres Lebensalterweibliches GeschlechtKomorbiditätdas Bestehen einer neurotischen Persönlichkeitsstruktur, einer manifesten Persönlichkeitsstörung oder einer Angststörungeine auch unter Therapie verbleibende Restsymptomatik
- eine depressive Erkrankung bei Verwandten 1. Grades
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