{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T17:51:49Z","timestamp":1781891509830,"version":"3.54.5"},"reference-count":41,"publisher":"Academia.edu Journals","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p xml:lang=\"en\">Introduction: \u201cPositive\u201d outcomes such as flourishing and personal recovery are important predictors of physical health, mental illness, quality of life, and all-cause mortality. However, behavioral health outcome measures often emphasize symptom reduction, while overlooking \u201cpositive\u201d outcomes. The objective of this study is to describe (1) the outcomes most important to individuals with major depressive disorder (MDD) and (2) \u201cpositive\u201d outcomes and psychiatric symptoms in a real-world sample of young adults with MDD.<\/jats:p>\n                  <jats:p xml:lang=\"en\">Materials and methods: Forty-three participants aged 18\u201335 with a diagnosis of MDD receiving outpatient behavioral health treatment in an urban safety-net psychiatry department completed online surveys identifying factors most important to recovery and standardized measures of flourishing, personal recovery, functioning, and symptoms of depression and anxiety.<\/jats:p>\n                  <jats:p xml:lang=\"en\">Results: Most participants (61.9%) had high symptoms of depression (Patient Health Questionnaire-8 (PHQ-8) \u2265 10), 16.7% were flourishing (Flourishing Scale \u2265 48), and 41.9% had high personal recovery (Brief INSPIRE-O \u2265 50). Factors ranked as \u201cmost important\u201d for personal recovery included coping well with stressful events (39.5%), functioning well (34.9%), and having hopes and dreams for the future (30.2%). Notably, among individuals with low depressive symptoms, 60.0% reported low flourishing and 31.3% reported low personal recovery.<\/jats:p>\n                  <jats:p xml:lang=\"en\">Conclusions: Individuals with MDD value a diverse range of outcomes, and exhibit a large variation in levels of depressive symptoms and characteristics of \u201cpositive\u201d mental health. Aligning outcome tracking with patient-defined goals may provide a more comprehensive understanding of overall mental health.<\/jats:p>","DOI":"10.20935\/mhealthwellb8342","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T16:56:21Z","timestamp":1781888181000},"source":"Crossref","is-referenced-by-count":0,"title":["What outcomes matter in recovery from depression? A pilot study of young adults"],"prefix":"10.20935","volume":"3","author":[{"given":"Jeffrey A.","family":"Lam","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA."},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norah","family":"Mulvaney-Day","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA."},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra R.","family":"Dobbins","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendra","family":"Aldis","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA."},{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishan","family":"Pasricha","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermioni L.","family":"Amonoo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Harvard Medical School, Boston, MA, USA."},{"name":"Department of Supportive Oncology, Dana-Farber Cancer Institute, Boston, MA, USA."},{"name":"Department of Psychiatry, Brigham and Women\u2019s Hospital, Boston, MA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana M.","family":"Progovac","sequence":"additional","affiliation":[{"name":"Institute for Excellence in Health Equity, New York University Grossman School of Medicine, New York, NY, USA."},{"name":"Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"9563","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"B1-Acad.Ment.Health.WellB.-3-329526","author":"Gelenberg","year":"2010","journal-title":"American Psychiatric Association practice guidelines for the treatment of patients with major depressive disorder"},{"key":"B2-Acad.Ment.Health.WellB.-3-329526","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511581649","author":"Slade","year":"2009","journal-title":"Personal recovery and mental illness: a guide for mental health professionals"},{"key":"B3-Acad.Ment.Health.WellB.-3-329526","first-page":"13","article-title":"Measurement-based care in psychiatry\u2014past, present, and future","volume":"15","author":"Aboraya","year":"2018","journal-title":"Innov Clin Neurosci"},{"key":"B4-Acad.Ment.Health.WellB.-3-329526","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1176\/appi.ps.20240082","article-title":"Advancing measurement-informed care in outpatient community behavioral health","volume":"76","author":"Scharf","year":"2025","journal-title":"Psychiatr Serv"},{"key":"B5-Acad.Ment.Health.WellB.-3-329526","doi-asserted-by":"publisher","first-page":"100431","DOI":"10.1016\/j.jadr.2022.100431","article-title":"What outcomes matter to service users who experience persistent depression: a mixed-method narrative review and synthesis","volume":"10","author":"Cummergen","year":"2022","journal-title":"J Affect Disord Rep"},{"key":"B6-Acad.Ment.Health.WellB.-3-329526","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.915689","article-title":"Remission of symptoms is not equal to functional recovery: psychosocial functioning impairment in major depression","volume":"13","author":"Yang","year":"2022","journal-title":"Front Psychiatry"},{"key":"B7-Acad.Ment.Health.WellB.-3-329526","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1080\/09638237.2025.2607985","article-title":"Using recovery-focused PROMs in mental health care: what helps and what gets in the way? 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