Recurrent brief depression in general practice. Clinical features, comorbidity with other disorders, and need for treatment
| Autor: | Otto Benkert, K. Houshangpour, M. Gänsicke, Dirk Lichtermann, R. Herr, Wolfgang Maier |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Bipolar Disorder Adolescent Psychometrics Poison control Suicide Attempted Comorbidity Personality Assessment Recurrent brief depression Recurrence Germany Injury prevention Activities of Daily Living medicine Humans Pharmacology (medical) Bipolar disorder Psychiatry Somatoform Disorders Biological Psychiatry Depression (differential diagnoses) Aged Depressive Disorder Primary Health Care business.industry Incidence General Medicine Middle Aged medicine.disease Psychiatry and Mental health Cross-Sectional Studies Female Personality Assessment Inventory business Psychosocial Clinical psychology |
| Zdroj: | European archives of psychiatry and clinical neuroscience. 244(4) |
| ISSN: | 0940-1334 |
| Popis: | This study tested the clinical validity of the new diagnostic entity "recurrent brief depression" (RBD) in 300 general practice patients who participated in the WHO study on "Psychological Problems in Primary Care." Patients with current RBD reported of episodes major depression more often than did a comparison group of nondepressed general practice patients: however, the majority of RBD patients had not received a diagnostic of any well-established affective disorder during the last 12 months. RBD patients (without MDE) did not suffer more frequently from dysthymia, from nonaffective psychiatric disorders, or from somatic disorders. However, RBD was associated with a higher percentage of previous suicide attempts and of ideation of suicide and death. RBD was accompanied by substantial psychosocial impairment; psychosocial impairment in RBD patients could not be explained by excess comorbidity. Thus, the clinical validity of RBD was demonstrated although doubts about the appropriateness of the definition remained. This new diagnostic category needs more attention as only as small minority of patients with RBD received specific antidepressant treatment. |
| Databáze: | OpenAIRE |
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