{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:04:02Z","timestamp":1787018642762,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,11,1]],"date-time":"2015-11-01T00:00:00Z","timestamp":1446336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The Remission Evaluation and Mood Inventory Tool (REMIT) is a practical 5-item self-report measure of key positive mood states associated with recovering from depression, as distinct from depressive symptoms per se. The study goal was to identify a clinically useful threshold for interpreting REMIT responses in the context of mild to moderate depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a secondary analysis of a cross-sectional dataset initially used to develop and validate the REMIT. Primary care patients being treated for depressive symptoms of either mild or moderate severity ( n\u2009=\u2009247 and 240, respectively) rated their perceived degree of depression remission prior to completing the Patient Health Questionnaire-8 (PHQ-8) and the REMIT. We summed the totals of the latter two measures to form the PHQ\u2009+\u2009REMIT index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Receiver Operating Characteristics analysis indicated that the PHQ\u2009+\u2009REMIT threshold \u226513 was associated with good sensitivity (92%) and acceptable specificity (43%) to the absence of patient-perceived remission. In contrast, the PHQ had only 21% specificity at this sensitivity level. Area under the curve was 0.815 (95% C.I.: 0.765\u20130.865), which was significantly greater than that of the PHQ-8 alone (area under the curve\u2009=\u20090.745, 95% C.I.: 0.691\u20130.805, p(diff)\u2009=\u20090.0002). Threshold performance was unaffected by adjustment for demographic characteristics and variation in remission percentage. Compared with standard symptom-based classification, using the REMIT reclassified 27% of mildly symptomatic patients as remitted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using the REMIT with patients who have mild to moderate depressive symptoms improves the assessment of patient-perceived remission, which is indicated by a summed PHQ\u2009+\u2009REMIT index of less than 13. Longitudinal research is needed to test whether this broadened patient-centered approach to assessing remission improves clinical decision making and long-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0091217415612734","type":"journal-article","created":{"date-parts":[[2015,11,2]],"date-time":"2015-11-02T22:14:05Z","timestamp":1446502445000},"page":"383-397","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Improving the assessment of depression remission with the Remission Evaluation and Mood Inventory Tool"],"prefix":"10.1177","volume":"50","author":[{"given":"James E","family":"Aikens","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S","family":"Klinkman","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananda","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald E","family":"Nease","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Colorado Denver, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,11,2]]},"reference":[{"key":"bibr1-0091217415612734","volume-title":"Practice guideline for the treatment of patients with major depressive disorder","author":"American Psychiatric 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