DSM-IV major depressive episode in the elderly: The relationship between the number and the type of depressive symptoms and impairment

2009 ◽  
Vol 117 (1-2) ◽  
pp. 55-62 ◽  
Author(s):  
Tracy M. Anderson ◽  
Tim Slade ◽  
Gavin Andrews ◽  
Perminder S. Sachdev
Keyword(s):  
Depressive Symptoms ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
The Elderly ◽  
Major Depressive ◽  
Dsm Iv ◽  
The Relationship

Empirical Investigation of Two Assumptions in the Diagnosis of DSM-IV Major Depressive Episode

2007 ◽  
Vol 41 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Chika Sakashita ◽  
Tim Slade ◽  
Gavin Andrews
Keyword(s):  
Depressive Episode ◽  
Major Depressive Episode ◽  
Sleep Problems ◽  
Composite International Diagnostic Interview ◽  
Population Based ◽  
Diagnostic Interview ◽  
Major Depressive ◽  
Diagnostic Threshold ◽  
Dsm Iv ◽  
The Relationship

Objective: The aim of the current study was to examine two major assumptions behind the DSM-IV diagnosis of major depressive episode (MDE): that depression represents a distinct category defined by a valid symptom threshold, and that each depressive symptom contributes equally to the diagnosis. Methods: Data were from the Australian National Survey of Mental Health and Wellbeing. Participants consisted of a random population-based sample of 10 641 community volunteers, representing a response rate of 78%. DSM-IV diagnoses of MDE and other mental disorders were obtained using the Composite International Diagnostic Interview, version 2.0. Analyses were carried out on the subsample of respondents who endorsed either depressed mood or loss of interest (n =2137). Multivariate linear regression analyses examined the relationship between the number and type of symptoms and four independent measures of impairment. Results: The relationship between the number of depressive symptoms and the four measures of impairment was purely linear. Three individual symptoms (sleep problems, energy loss, and psychomotor disturbance) were all independent predictors of three of the four measures of impairment. Conclusions: Counting symptoms alone is limited in guiding a clear diagnostic threshold. The differential impact of individual symptoms on impairment suggests that impairment levels may be more accurately estimated by weighting the particular symptoms endorsed.

Prevalence and Correlates of Depression in a Population of Nonagenarians

1995 ◽  
Vol 167 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Y. Forsell ◽  
A. F. Jorm ◽  
E. Von Strauss ◽  
B. Winblad
Keyword(s):  
Depressive Symptoms ◽  
Gender Difference ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Daily Life ◽  
Epidemiological Data ◽  
Age Group ◽  
Major Depressive ◽  
Icd 10 ◽  
Dsm Iv

BackgroundClinicians see many more nonagenarian patients now and there is a need for epidemiological data relating to this group. The aim of the present study was to investigate the prevalence of depressive symptoms and syndromes in this age group.MethodThe DSM–IV and the ICD–10 criteria for depression were used and correlated with physical health, disability in daily life, gender, use of drugs, social circumstances and cognitive dysfunction. Data were derived from 329 persons aged 90 and over, registered in a parish of Stockholm, who had been extensively examined by physicians and nurses.Results/ConclusionsThe prevalence of Major Depressive Episode as defined in DSM–IV was 7.9%; and of mild, moderate and severe Depressive Episode (combined); as defined in ICD–10 9.1%. No gender difference was found. Disability in daily life and the use of psychotropic drugs were found to correlate with depressive symptoms and syndromes.

Depressive Symptoms, Major Depressive Episode and Cognition in the Elderly: The Three-City Study

2007 ◽  
Vol 28 (2) ◽  
pp. 101-108 ◽  
Author(s):  
Ophélia Godin ◽  
Carole Dufouil ◽  
Karen Ritchie ◽  
Jean-François Dartigues ◽  
Christophe Tzourio ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
The Elderly ◽  
Major Depressive

P1-184: Association between depressive symptoms, major depressive episode and cognitive deficits in the elderly. The 3C study

2006 ◽  
Vol 2 ◽  
pp. S149-S150
Author(s):  
Ophelia Godin ◽  
Carole Dufouil ◽  
Karen Ritchie ◽  
Jean-François Dartigues ◽  
Christophe Tzourio ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Deficits ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
The Elderly ◽  
Major Depressive

Is DSM-IV Bereavement Exclusion for Major Depressive Episode Relevant to Severity and Pattern of Symptoms?

2009 ◽  
Vol 70 (8) ◽  
pp. 1091-1097 ◽  
Author(s):  
Emmanuelle Corruble ◽  
Virginie-Anne Chouinard ◽  
Alexia Letierce ◽  
Philip A. P. M. Gorwood ◽  
Guy Chouinard
Keyword(s):  
Depressive Episode ◽  
Major Depressive Episode ◽  
Major Depressive ◽  
Dsm Iv

scholarly journals Importance of retardation and fatigue/interest domains for the diagnosis of major depressive episode after stroke: a four months prospective study

2009 ◽  
Vol 31 (3) ◽  
pp. 202-207 ◽  
Author(s):  
Luisa de Marillac Niro Terroni ◽  
Renério Fráguas ◽  
Mara de Lucia ◽  
Gisela Tinone ◽  
Patricia Mattos ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Rating Scale ◽  
University Hospital ◽  
Regression Equations ◽  
Stroke Patients ◽  
Major Depressive ◽  
Post Stroke ◽  
Neurology Clinic

OBJECTIVE: Post-stroke major depressive episode is very frequent, but underdiagnosed. Researchers have investigated major depressive episode symptomatology, which may increase its detection. This study was developed to identify the depressive symptoms that better differentiate post-stroke patients with major depressive episode from those without major depressive episode. METHOD: We screened 260 consecutive ischemic stroke patients admitted to the neurology clinic of a university hospital. Seventy-three patients were eligible and prospectively evaluated. We assessed the diagnosis of major depressive episode using the Structured Clinical Interview for DSM-IV and the profile of depressive symptoms using the 31-item version of the Hamilton Depression Rating Scale. For data analysis we used cluster analyses and logistic regression equations. RESULTS: Twenty-one (28.8%) patients had a major depressive episode. The odds ratio of being diagnosed with major depressive episode was 3.86; (95% CI, 1.23-12.04) for an increase of one unit in the cluster composed by the domains of fatigue/interest and retardation, and 2.39 (95% CI, 1.21-4.71) for an increase of one unit in the cluster composed by the domains of cognitive, accessory and anxiety symptoms. The domains of eating/weight and insomnia did not contribute for the major depressive episode diagnosis. CONCLUSION: The domains of retardation and interest/fatigue are the most relevant for the diagnosis of major depressive episode after stroke.

Mean Beck Depression Inventory–II Scores by Severity of Major Depressive Episode

2001 ◽  
Vol 88 (3_suppl) ◽  
pp. 1075-1076 ◽  
Author(s):  
Robert A. Steer ◽  
Gregory K. Brown ◽  
Aaron T. Beck ◽  
William C. Sanderson
Keyword(s):  
Beck Depression Inventory ◽  
Depressive Episode ◽  
Major Depressive Episode ◽  
Major Depressive ◽  
Dsm Iv ◽  
The Mean

The Beck Depression Inventory–II total scores of 35 (14%) outpatients who were diagnosed with a mild DSM–IV Major Depressive Episode (MDE), 144 (55%) outpatients with a moderate MDE, and 81 (31%) outpatients with a severe MDE were compared. The mean BDI–II total scores were, respectively, 18 ( SD = 8, 99% CI 12–23), 27 ( SD = 10, 99% CI 24–29), and 34 ( SD = 10, 99% CI 30–37) ( F2,257 = 33.25, p < .001). The mean BDI–II total score of the outpatients with a severe specifier was significantly higher than the mean BDI–II total score of the outpatients with a moderate specifier which was, in turn, significantly higher than the mean BDI–II total score of the outpatients with a mild specifier.

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