Journal of International Psychiatry

Objective: To explore the effect of positive case management on relapse of depression. Methods: 100 cases of patients with depression in the Department of psychiatry of Nantong mental health center from November 2017 to November 2019 were retrospectively selected. According to the treatment methods, they were divided into two groups: routine discharge management group (n = 50) and positive case management based on the routine discharge management group (positive case management group, n = 50). The depression degrees, recurrences and quality of life of the two groups were statistically analyzed. Results: Compared with before management, the decrease of scores of SDS and HAMD after management of the positive case management group were significantly higher than the routine discharge management group (P < 0.05). In terms of recurrence rate, the positive case management group was 4.0% (2 / 50), the routine discharge management group was 20.0% (10 / 50), the former was significantly lower than the latter (P < 0.05). The scores of environment, physiology, psychology and society of the positive case management group were significantly higher than the routine discharge management group (P < 0.05). Conclusion: Positive case management can effectively prevent recurrence of depression, so is worthy of promotion and application in the clinical.

Positive case management; Depression; Recurrence