PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 10569132

Chronic depression subtypes: a 257 case study.

F Benazzi
View original source ↗Export metadata ↓

Abstract

The aim of the study was to compare Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) three subtypes of chronic depression (chronic major depressive episode [MDE] occurring in major depressive and bipolar II disorders, dysthymic disorder with MDE, and MDE without full interepisode recovery occurring in major depressive and bipolar II disorders) with each other, and with nonchronic depression, and to find if this subdivision was supported by clinical data. Two hundred and fifty seven consecutive MDE outpatients were interviewed with the Structured Clinical Interview for DSM-IV, the Montgomery Asberg Depression Rating Scale (MADRS), and the Global Assessment of Functioning (GAF) scale. Clinical variables (age, age at onset, duration of illness, severity, gender, recurrences, atypical and psychotic features, axis I comorbidity, bipolar II, and unipolar diagnoses) were compared among the chronic depression subtypes, and versus nonchronic depression. Chronic MDE had significantly less comorbidity than the other two chronic depression subtypes. All the other variables were not significantly different. Chronic depression subtypes had significantly longer duration of illness, less comorbidity, and more recurrences than nonchronic depression. These findings do not support the DSM-IV subtyping of chronic depression.

Explore related subjects

Ambulatory CareBipolar DisorderChronic DiseaseMajor Depressive DisorderDysthymic DisorderFemaleHumansMalePsychiatric Status Rating ScalesSeverity of Illness IndexCase ReportsJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

F Benazzi. 1999. Chronic depression subtypes: a 257 case study.. https://pubmed.ncbi.nlm.nih.gov/10569132/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2008

The Assessment of Depression Inventory (ADI): an appraisal of validity in an outpatient sample.

In this study we examined the validity of the Assessment of Depression Inventory (ADI) using outpatient participants. The ADI Depression scale (Dep) was compared to three other measures used to assess depression: Beck Depression Inventory-II (BDI-II), Zung Self-Rating Depression Scale (ZSDS), and Personality Assessment Inventory (PAI). Correlations between the ADI and these three measures were significant. An analysis of the discriminant ability of the ADI Dep scale resulted in sensitivities, specificities, positive predictive power, negative predictive power, hit rate, and area under the curve (92.3%) that were supportive of the scale's effectiveness. The ADI Feigning scale (Fg) was compared to the six PAI validity scales. The Fg scale correlated significantly with the PAI Negative Impression Management (NIM) and Positive Impression Management (PIM) scales, and the Malingering (MAL) and Defensive (DEF) indexes. Directionality was as would be predicted. The ADI did not correlate with the two PAI validity scales derived by discriminant analysis function.

Ambulatory Care↗
PubMed2007

How normalised is HIV care in the UK? A survey of current practice and opinion.

OBJECTIVES: The prognosis for individuals infected with HIV has changed dramatically over the past 10 years, with patients living longer and requiring other specialist services. It is apparent that access of other healthcare professionals to clinical information about a patient's HIV care differs between centres in the UK. Lack of awareness of an individual's HIV status may compromise their clinical care. AIM: To establish current practice and identify the views of clinicians caring for patients infected with HIV. METHODS: Lead consultants in all genitourinary medicine departments in the UK were invited to complete a questionnaire regarding use of combined HIV and hospital notes and ability of general practitioners and other hospital specialists to access information about individual patient's HIV care. Clinician's opinions on the "normalisation" of HIV management were also sought. RESULTS: Combined notes (outpatient and inpatient) were used by 12% (16/130) of respondents. The patient's identifying number was used to request blood tests in 86%. Of the respondents, 42% had encountered difficulties in communication that affected delivery of care for an HIV-positive patient. CONCLUSIONS: Centres using combined notes identified a higher frequency of communication with other doctors and specialties, suggesting a higher standard of care. Physicians involved in HIV care should consider combining patients' HIV and hospital notes for improved clinical care.

Ambulatory Care↗