Evaluating the new ICD-10 categories of depressive episode and recurrent depressive disorder

Background. In this paper, data from the British National Survey of Psychiatric Morbidity are used to assess depressive disorders and markers of social disadvantage in women bringing up children on their own.Method. The household component of the British National Surveys of Psychiatric Morbidity was based on a stratified random sample of >10000 subjects. This paper reports on 5281 women interviewed in person. Psychiatric symptoms and ICD-10 diagnoses were established by lay interviewers using the CIS-R. Results are presented in terms of depressive episode and mixed anxiety/depressive disorder. Housing tenure and access to a car were used as proxy measures of material status. The life event rate in the 6 months before interview was used to indicate overall exposure to stress, and subjects were asked in detail about perceived social support. Information was collected about various other sociodemographic attributes. Lone mothers were compared with supported mothers and with women not involved in care of children under 16.Results. Lone mothers had prevalence rates of depressive episode of 7%, about three times higher than any other group. The milder condition, mixed anxiety/depression, was also increased in frequency. These increased rates of depressive conditions were no longer apparent after controlling for measures of social disadvantage, stress and isolation.Conclusions. Lone mothers are increasing in numbers as marital stability declines. Their high rates of material disadvantage and of depressive disorder may have considerable implications for psychiatric and social policy.

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Severity of depressive episodes during the course of depressive disorder

The British Journal of Psychiatry ◽

10.1192/bjp.bp.107.038935 ◽

2008 ◽

Vol 192 (4) ◽

pp. 290-293 ◽

Cited By ~ 19

Author(s):

Lars Vedel Kessing

Keyword(s):

Depressive Disorder ◽

Depressive Episode ◽

Prophylactic Treatment ◽

First Episode ◽

Case Register ◽

Course Of Illness ◽

Icd 10 ◽

Single Depressive Episode ◽

First Contact ◽

Depressive Episodes

BackgroundIt is not clear whether the severity of depressive episodes changes during the course of depressive disorder.AimsTo investigate whether the severity of depressive episodes increases during the course of illness.MethodUsing a Danish nationwide case register, all psychiatric inpatients and out-patients with a main ICD-10 diagnosis of a single mild, moderate or severe depressive episode at the end of first contact were identified. Patients included in the study were from the period 1994–2003.ResultsA total of 19 392 patients received a diagnosis of a single depressive episode at first contact. The prevalence of severe depressive episodes increased from 25.5% at the first episode to 50.0% at the 15th episode and the prevalence of psychotic episodes increased from 8.7% at the first episode to 25.0% at the 15th episode. The same pattern was found regardless of gender, age at first contact and calendar year.ConclusionsThe increasing severity of depressive episodes emphasises the importance of early and sustained prophylactic treatment.

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Prospective Study of Clinical Predictors of Suicidal Acts After a Major Depressive Episode in Patients With Major Depressive Disorder or Bipolar Disorder

Yearbook of Psychiatry and Applied Mental Health ◽

10.1016/s0084-3970(08)70191-9 ◽

2006 ◽

Vol 2006 ◽

pp. 195-196

Author(s):

J.C. Ballenger

Keyword(s):

Bipolar Disorder ◽

Major Depressive Disorder ◽

Depressive Disorder ◽

Prospective Study ◽

Depressive Episode ◽

Major Depressive Episode ◽

Clinical Predictors ◽

Major Depressive

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Metabolic syndrome in subjects with bipolar disorder and major depressive disorder in a current depressive episode: Population-based study

Journal of Psychiatric Research ◽

10.1016/j.jpsychires.2017.03.025 ◽

2017 ◽

Vol 92 ◽

pp. 119-123 ◽

Cited By ~ 19

Author(s):

Fernanda Pedrotti Moreira ◽

Karen Jansen ◽

Taiane de Azevedo Cardoso ◽

Thaíse Campos Mondin ◽

Pedro Vieira da Silva Magalhães ◽

...

Keyword(s):

Metabolic Syndrome ◽

Bipolar Disorder ◽

Major Depressive Disorder ◽

Depressive Disorder ◽

Depressive Episode ◽

Population Based ◽

Major Depressive ◽

Population Based Study ◽

A Current

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Augmentation Strategies for Patients with Major Depressive Disorder with an Inadequate Response to Antidepressant Monotherapy

Acta Medica Marisiensis ◽

10.2478/amma-2014-0014 ◽

2014 ◽

Vol 60 (2) ◽

pp. 61-66

Author(s):

Th Moica ◽

I Gabos Grecu ◽

Marieta Gabos Grecu ◽

Melinda Ferencz ◽

Elena Gabriela Buicu ◽

...

Keyword(s):

Major Depressive Disorder ◽

Depressive Disorder ◽

Depressive Episode ◽

Physical Symptoms ◽

Inadequate Response ◽

Recurrent Depression ◽

Major Depressive ◽

Incomplete Response ◽

Augmentation Strategies ◽

Wide Range

Abstract Introduction: Major depressive disorder is a chronic and debilitating disease characterized by a wide range of emotional and physical symptoms that coexist during a depressive episode and may reoccur at some point during the progression of the disease for the majority of patients. The purpose of the study was to investigate psychiatrists’ experience regarding the response to antidepressive treatment and their options regarding augmentation strategies in depression with incomplete response to antidepressant monotherapy. Method: We applied an 18-item questionnaire containing multiple choice questions to adult psychiatrists working in ambulatories, hospitals or mental health centers. Results: Fourty-two psychiatrists have agreed to answer the questionnaire. The majority of them were psychiatry specialists, between 35 and 49 years of age, working in an outpatient unit. For the majority of doctors, SSRIs (Serotonin Reuptake Inhibitors) proved to be the first line treatment both for the first depressive episode and for recurrent depression, followed by SNRI (Serotonin and Noradrenalin Reuptake Inhibitors). Regarding the duration of maintenance treatment for the patients who achieved complete remission after the first episode of depression, the results showed a wide spectrum from 4 to 9 months. Conclusions: Incomplete response to antidepressive monotherapy is very frequent both for the first depressive episode and for recurrent depression. Given the pharmacological profile that some atypical antipsychotic have, augmentation with atypical antipsychotics in patients with inadequate response to antidepressant monotherapy is a useful therapeutic strategy that should be considered.

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Perbedaan Proporsi Gangguan Depresi dan Gangguan Cemas Antara Mahasiswa Preklinik dan Klinik

Jurnal Pendidikan Kedokteran Indonesia The Indonesian Journal of Medical Education ◽

10.22146/jpki.32234 ◽

2017 ◽

Vol 6 (3) ◽

pp. 146

Author(s):

Yoan Chou ◽

Dharmady Agus ◽

Dwi Jani Juliawati

Keyword(s):

Anxiety Disorder ◽

Medical Students ◽

Depressive Disorder ◽

Random Sampling ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Sectional Study ◽

Structured Interviews ◽

Cross Sectional ◽

Icd 10

Background: Medical education is full of burden and pressure, so that medical students are prone to get depressive disorder and anxiety disorder. These have been proven by several researches conducted in the faculties of medicine from abroad as well as in Indonesia. Medical students, either preclinical or clinical, need to face many obstacles, but clinical students have more demands than preclinical students and they are directly responsible for patient safety. The more demands of the clinical students made them prone to have more depressive and anxiety disorder.Method: This research was conducted as a cross-sectional study on 200 students on Atma Jaya Medicine Faculty by choosing 100 pre-clinical and clinical students with simple random sampling. Data were collected with structured interviews by using MINI ICD-10 instrument to determine the depressive and anxiety disorder.Results: There were significant differences between the proportion of depressive disorder and anxiety disorder among preclinical and clinical students in FKUAJ 2015 (p = 0.044 and p = 0.048). The proportion of depressive disorder and anxiety disorder in clinical students are higher than preclinical students (29% vs. 17% and 38% vs. 25%).Conclusions: Clinical students are more prone to get depressive disorder 1,99 times and anxiety disorder 1,84 times than preclinical students FKUAJ year 2015

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