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This study evaluated health-related quality of life (HRQOL) in 126 adults aged 18–85 years with remitted psychotic depression who had initially achieved remission with sertraline plus olanzapine. Participants were randomized to continue sertraline plus olanzapine or sertraline plus placebo. The combination produced significantly better outcomes in the Role Emotional (RE) and Mental Health (MH) SF-36 domains. Relapse was associated with marked deterioration in both domains; approximately one-quarter of participants receiving sertraline plus placebo had RE and MH scores >2 SD below population norms at study termination. The findings support continued combination therapy for maintaining psychological HRQOL.

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This study evaluated health-related quality of life (HRQOL) in 126 adults aged 18–85 years with remitted psychotic depression who had initially achieved remission with sertraline plus olanzapine. Participants were randomized to continue sertraline plus olanzapine or sertraline plus placebo. The combination produced significantly better outcomes in the Role Emotional (RE) and Mental Health (MH) SF-36 domains. Relapse was associated with marked deterioration in both domains; approximately one-quarter of participants receiving sertraline plus placebo had RE and MH scores >2 SD below population norms at study termination. The findings support continued combination therapy for maintaining psychological HRQOL.
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