PubMed · 10614036
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C Andrade. 1999. Is dysthymia an indication for ECT?. https://doi.org/10.1097/00124509-199912000-00008
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Dysthymia is currently conceived as an independent diagnostic category in the area of mood disorders, but the concept is controversial, both from a theoretical and clinical point of view. This article reviews the concept of dysthymia as well as its history. The clinical usefulness and validity are examined, taking into special consideration the influential classificatory notions of DSM-IV.
Recent studies support the use of pharmacotherapy in the treatment of dysthymic disorder. This article reviews the relationship of the definition of dysthymic disorder to clinical treatment studies and discusses the treatment of dysthymic disorder with pharmacotherapy (with special emphasis on the use of fluoxetine) and psychotherapy.
The Endicott Work Productivity Scale (EWPS) is a brief self-report questionnaire designed to enable investigators to obtain a sensitive measure of work productivity. The total score is based on the degree to which behaviors and subjective feelings or attitudes that are likely to reduce productivity and efficiency in work activities characterize the subject during the week before evaluation. The total score was found to be reliable and valid within a group of depressed outpatients and a group of nonpatients in the community. The EWPS score is related to, but not redundant with, measures of overall severity of illness and severity of depression in these samples. The EWPS shows considerable promise as an easily used, brief, and sensitive measure for assessing the effects on work performance of various disorders and the efficacy of different therapeutic interventions.