Self-assessment of DSM-IV criteria for major depression in psychiatric out- and inpatients *

2003 ◽  
Vol 57 (4) ◽  
pp. 291-296 ◽  
Author(s):  
PÄR SVANBORG ◽  
LISA EKSELIUS
Keyword(s):  
Major Depression ◽  
Self Assessment ◽  
Dsm Iv

Evaluation of Functionality in Families with Depressed Patient by Using the FFS - Poster Prezentation

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
T. Maria-Silvia
Keyword(s):  
Major Depression ◽  
Depressive Disorder ◽  
Positive Affect ◽  
Psychiatric Patients ◽  
Normal Families ◽  
Control Group ◽  
World Population ◽  
Dsm Iv ◽  
The Individual ◽  
Family Functionality

Depression is a disorder of representation and regulation of mood and emotion; it affects 5% of world population, in a year. Unlike normal loss and sadness feelings, major depression is persistant and it interferes significantly with thoughts, behaviour, emotions, activity and health of the individual. If untreated, depression can lead to suicide. Using family therapy in treating psychiatric patients is a must due to the significance that a family holds in individual and society life.Objective:Assesing family functionality in families with a member diagnosed according to DSM IV TR with depressive disorder; depression intensity was assesed with HDRS.Methods:A sample of 3o families (71 members); FFS assesses the most important and consistent five functioning areas: positive affect, comunication, conflicts, worries and rituals.Results:Values obtained in each of the 40 questions of the scale can give information on variables affecting the increase or decrease in subscales values. Positive affect 35,07, communication 37, conflicts 15,11, worries 40,77, rituals 45,03. The reuslts were compared to those obtained by assessin normal families from a control group of 132 families (323 members).Conclusions:Differences were noticed. Values obtained in our study represent the standard of functioning of families with a depressed member.

DSM-IV “major depression”: Are more stringent criteria needed?

Depression ◽  
1993 ◽  
Vol 1 (1) ◽  
pp. 24-28 ◽  
Author(s):  
James H. Kocsis
Keyword(s):  
Major Depression ◽  
Dsm Iv

Predictors of Recovery From Major Depression Among Geriatric Psychiatry Inpatients: The Importance of Caregivers' Beliefs

1999 ◽  
Vol 11 (2) ◽  
pp. 149-157 ◽  
Author(s):  
Robin J. Casten ◽  
Barry W. Rovner ◽  
Yochi Shmuely-Dulitzki ◽  
Rona E. Pasternak ◽  
Rodney Pelchat ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Major Depression ◽  
Multivariate Analyses ◽  
Geriatric Psychiatry ◽  
Depression Treatment ◽  
Electroconvulsive Treatment ◽  
Caregiver Support ◽  
Important Relationship ◽  
Dsm Iv ◽  
Course Of Depression

Caregiver support is an important factor in recovery from depression among older patients. We examined whether caregivers' perceptions regarding patients' ability to control depressive symptoms were related to depression recovery. Depression treatment, demographics, number of depressive symptoms, and health were controlled. The sample comprised 51 geriatric psychiatry inpatients who met DSM-IV criteria for major depression and who had a primary caregiver. Depression was assessed at both admission and discharge. Caregivers were asked to indicate whether they believed their patient-relatives could control their depressive symptoms. At discharge, 33 patients (64.7%) were “remitted” and 18 (35.3%) were “nonremitted.” Multivariate analyses indicated that receiving electroconvulsive treatment, having fewer depressive symptoms caregivers perceived to be within patient control, and being female predicted depression remission at discharge. This study highlights the important relationship between family dynamics and course of depression.

Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“

Diagnostica ◽  
2004 ◽  
Vol 50 (4) ◽  
pp. 171-181 ◽  
Author(s):  
Kerstin Gräfe ◽  
Stephan Zipfel ◽  
Wolfgang Herzog ◽  
Bernd Löwe
Keyword(s):  
Major Depression ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Patient Health ◽  
Dsm Iv

Zusammenfassung. Ziel dieser Studie ist die Validierung der deutschen Version des “Patient Health Questionnaire (PHQ-D)“. Der PHQ wurde zum praktikablen Screening psychischer Störungen für die Primärmedizin entwickelt und erfasst direkt die diagnostischen Kriterien des DSM-IV. N = 357 allgemeinmedizinische/internistische Patienten und N = 171 psychosomatische Patienten wurden mit dem PHQ-D und dem Strukturierten Klinischen Interview für DSM-IV (SKID-I) untersucht, wobei das SKID-I als diagnostischer Goldstandard diente. Ärzte und Patienten wurden zur Akzeptanz des PHQ-D befragt. Eine ausgezeichnete Kriteriumsvalidität des PHQ-D zeigte sich insbesondere bei der Diagnose der Major Depression, wo die Sensitivität für die medizinische Stichprobe bei 95% und die Spezifität bei 86% lag. Gute teststatistische Werte ergaben sich u.a. auch für die Panikstörung. Die Anwendung des PHQ-D wurde von jeweils mehr als 90% der Patienten und Ärzte gut akzeptiert. Mit dem PHQ-D liegt ein praktikables, valides und gut akzeptiertes Instrument zur Anwendung in Forschung und klinischer Praxis vor. Sein Einsatz kann zur verbesserten Versorgung psychischer Störungen beitragen.

scholarly journals Prevalence of DSM-IV Major Depression Among U.S. Military Personnel: Meta-Analysis and Simulation

2012 ◽  
Vol 177 (8S) ◽  
pp. 47-59 ◽  
Author(s):  
Anne M. Gadermann ◽  
Charles C. Engel ◽  
James A. Naifeh ◽  
Matthew K. Nock ◽  
Maria Petukhova ◽  
...  
Keyword(s):  
Major Depression ◽  
Military Personnel ◽  
Meta Analysis ◽  
Dsm Iv

scholarly journals Empirical typology of bipolar I mood episodes

2009 ◽  
Vol 195 (6) ◽  
pp. 525-530 ◽  
Author(s):  
David A. Solomon ◽  
Andrew C. Leon ◽  
Jean Endicott ◽  
William H. Coryell ◽  
Chunshan Li ◽  
...  
Keyword(s):  
Major Depression ◽  
Mixed State ◽  
Relative Frequency ◽  
Minor Depression ◽  
Bipolar I Disorder ◽  
Empirical Typology ◽  
Icd 10 ◽  
Dsm Iv ◽  
Over Time

BackgroundMuch remains unknown about the phenomenology of bipolar I disorder.AimsTo determine the type of bipolar I mood episodes that occur over time, and their relative frequency.MethodA total of 219 individuals with Research Diagnostic Criteria bipolar I disorder were prospectively followed for up to 25 years (median 20 years). Psychopathology was assessed with the Longitudinal Interval Follow-up Evaluation.ResultsOverall, 1208 mood episodes were prospectively observed. The episodes were empirically classified as follows: major depression, 30.9% (n = 373); minor depression, 13.0% (n = 157); mania, 20.4% (n = 246); hypomania, 10.4% (n = 126); cycling, 17.3% (n = 210); cycling plus mixed state, 7.8% (n = 94); and mixed, 0.2% (n = 2).ConclusionsCycling episodes constituted 25% of all episodes. Work groups revising ICD–10 and DSM–IV should add a category for bipolar I cycling episode.

Psychoendocrine antecedents of persistent first-episode major depression in adolescents: a community-based longitudinal enquiry

2003 ◽  
Vol 33 (4) ◽  
pp. 601-610 ◽  
Author(s):  
I. M. GOODYER ◽  
J. HERBERT ◽  
A. TAMPLIN
Keyword(s):  
High Risk ◽  
Major Depression ◽  
Life Events ◽  
First Episode ◽  
Community Based ◽  
Morning Cortisol ◽  
Regression Techniques ◽  
Dsm Iv ◽  
Endocrine Features

Background. This longitudinal study investigated whether patterns of cortisol and DHEA that precede the onset of an episode of major depression influence time to recovery in a community ascertained sample of adolescents meeting DSM-IV criteria for major depression.Method. Sixty adolescents aged 12 to 16 at high risk for psychiatric disorders were followed for 24 months. At 12 months, 30 had experienced an episode of major depression and 30 had not. The second follow-up repeated the psychiatric evaluations with all participants completing the Kiddie-SADS Schedule for Schizophrenia and Affective Disorders. Hormone characteristics and self-reports completed at entry (the Mood and Feelings questionnaire and the Ruminations scale) together with intervening undesirable life events in the 12 months prior to onset, were used to determine the best pattern of psychosocial and endocrine features to predict persistent major depression.Results. Compared to the never depressed (N=30) and remitted adolescents (N=19), persistently depressed cases (N=11) had a raised morning cortisol/DHEA ratio at entry. Only persistent cases had higher levels of self-reported depressive symptoms and ruminations at entry compared to never depressed. There was no difference in exposure to undesirable life events before onset of disorder between remitted and persistent groups. Logistic regression techniques showed that only the cortisol/DHEA ratio predicted persistence.Conclusions. In community adolescents at high risk for psychiatric disorder persistent major depression may be distinguished from sporadic forms by the 08.00 h salivary cortisol/DHEA ratio prior to onset.

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