The 12-month prevalence and characteristics of major depressive episode in a representative nationwide sample of adolescents and young adults

2001 ◽  
Vol 31 (7) ◽  
pp. 1169-1179 ◽  
Author(s):  
L. HAARASILTA ◽  
M. MARTTUNEN ◽  
J. KAPRIO ◽  
H. ARO
Keyword(s):  
Young Adults ◽  
General Population ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Short Form ◽  
Population Sample ◽  
Adolescents And Young Adults ◽  
Major Depressive ◽  
Psychosocial Impairment ◽  
Episode Duration

Background. This study set out to estimate the 12-month prevalence of DSM-III-R major depressive episode (MDE) and to analyse factors associating with psychosocial impairment, episode duration, phenomenology and symptom severity in a representative general population sample of adolescents (15–19-year-olds) and young adults (20–24-year-olds).Method. The Finnish Health Care Survey '96 (FINHCS '96) was a cross-sectional nationwide epidemiological study. A random sample of 509 adolescents and 433 young adults was interviewed in 1996. MDE was assessed by University of Michigan Composite Diagnostic Interview Short-Form.Results. The 12-month prevalence of MDE was 5·3% for adolescents (females 6·0%, males 4·4%) and 9·4% for young adults (females 10·7%, males 8·1%). When moderate psychosocial impairment was included in case definition, the prevalences were lowered by 20–25%. Increased impairment was associated with drunkenness at least twice a month, a higher mean number of depressive symptoms and impaired concentration. The median episode duration was 1 month. No factors associating with duration were found. With the exception of symptoms related to appetite being more common among females than males, the phenomenology of MDE was mainly independent of age and gender.Conclusions. Episodes of major depression among adolescents and young adults in the general population are short but often associated with psychosocial impairment, especially if frequent drunkenness coexists.

scholarly journals Validation of the Edinburgh postnatal depression scale (EPDS) for screening of major depressive episode among adults from the general population

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Alicia Matijasevich ◽  
Tiago N Munhoz ◽  
Beatriz Franck Tavares ◽  
Ana Paula Pereira Neto Barbosa ◽  
Diego Mello da Silva ◽  
...  
Keyword(s):  
General Population ◽  
Depressive Episode ◽  
Postnatal Depression ◽  
Major Depressive Episode ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Major Depressive

Major depressive episode among young adults: CIDI-SF versus SCAN consensus diagnoses

2002 ◽  
Vol 32 (7) ◽  
pp. 1309-1314 ◽  
Author(s):  
T. AALTO-SETÄLÄ ◽  
L. HAARASILTA ◽  
M. MARTTUNEN ◽  
A. TUULIO-HENRIKSSON ◽  
K. POIKOLAINEN ◽  
...  
Keyword(s):  
High School Students ◽  
Affective Disorder ◽  
Depressive Episode ◽  
Affective Disorders ◽  
Large Scale ◽  
Major Depressive Episode ◽  
Short Form ◽  
Diagnostic Interview ◽  
World Health ◽  
Major Depressive

Background. We aimed to evaluate the diagnostic accuracy of a highly structured diagnostic interview in relation to a semi-structured diagnostic procedure. We compared the World Health Organization Composite International Diagnostic Interview Short Form (CIDI-SF) in diagnosing major depressive episode (MDE) to consensus diagnoses based on the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry).Method. Subjects comprised a follow-up sample of 239 20–24-year-old former high-school students who were administered the SCAN and immediately thereafter the CIDI-SF. Concordance was estimated for 12-month MDE, using different cut-points of the CIDI-SF and for any affective disorders.Results. Correspondence between instruments was moderate for MDE (κ = 0.43, sensitivity 0.71, specificity 0.82), but better for any affective disorder (κ = 0.60, sensitivity 0.70, specificity 0.90). Most false negatives suffered from their depression as much as those correctly identified by the CIDI-SF. False negativity was mainly due to not endorsing the stem questions of the CIDI-SF. Of the false positives almost half had an affective disorder other than MDE.Conclusions. The CIDI-SF seems to function best in identifying a broader category of affective disorders. It could be useful in large-scale community surveys where more extensive psychiatric interviews are not feasible.

scholarly journals INTERCONNECTION OF COGNITIVE DISORDERS AND CLINICAL AND PSYCHOPATOLOGICAL FEATURES IN PROLONGED DEPRESSIVE REACTION

2021 ◽  
Vol 2 (16) ◽  
pp. 39-47
Author(s):  
N.A. Maruta ◽  
S.A. Yaroslavtsev
Keyword(s):  
Depressive Episode ◽  
Depressive Disorders ◽  
Major Depressive Episode ◽  
Statistical Research ◽  
Major Depressive ◽  
Low Level ◽  
Remission Duration ◽  
Episode Duration ◽  
The Relationship ◽  
Depressive Reaction

Aim of research. The aim of the study was to determine the relationship between the clinical and psychopathological features of anxiety and depressive manifestations and the features of cognitive dysfunctions in patients with prolonged depressive reaction. Materials and methods. The study involved 98 patients with prolonged depressive reactions. The study used an integrated approach, which consisted in the use of clinical-psychopathological, psychometric, psychodiagnostic and statistical research methods. Results. According to the research results, a correlation analysis was carried out, which made it possible to determine the combination of clinical and psychopathological symptoms with the features of the cognitive functioning of patients with prolonged depressive reaction. Obsessive thoughts and hypochondriacal ideas have been shown to be associated with marked levels of anxiety; suicidal thoughts - with a protracted onset of depression and a minor depressive episode; mild violations of verbal productivity were associated with a major depressive episode and with a prolonged onset of depression, with 1-2 episodes of depression in anamnesis; a low level of attention switching was associated with an episode duration of up to 2 years, a protracted onset of depression, a major depressive episode, and an increased level of anxiety; average work efficiency correlated with a low level of anxiety, an episode duration of up to a year, 1-2 episodes of depression in anamnesis, a remission duration of more than 24 months; mobilization of mental processes was associated with a remission duration of more than 24 months and a reduced level of anxiety; high selectivity of attention to negative stimuli was combined with the duration of the episode up to 2 years and a pronounced level of anxiety; moderate disturbances in aggressive behavior patterns were associated with an episode duration of up to a year and a moderate level of anxiety. Conclusions. The relationship between clinical and psychopathological features of anxiety and depressive manifestations and features of cognitive dysfunction in patients with prolonged depressive reaction were identified. It should be considered in the differential diagnosis and in the development of psychocorrective measures to reduce cognitive impairment in patients with depressive disorders.

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