Depression With Atypical Features in the National Comorbidity Survey

Matza, Louis S.; Revicki, Dennis A.; Davidson, Jonathan; Stewart, Jonathan W.

doi:10.1001/archpsyc.60.8.817

Cited by 206 publications

(185 citation statements)

References 45 publications

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“…Subsequent studies of treatment-seeking patients also found patients with atypical depression have an earlier age of onset (Posternak and Zimmerman, 2002;Perugi et al, 1998;Benazzi, 1999) and a more chronic illness (McGinn et al, 1996;Posternak and Zimmerman, 2002) than other depressed patients. Corroboration by epidemiological studies (Angst et al, 2002;Matza et al, 2003;Kendler et al, 1996) suggests these findings are not artifacts of self-selection or referral bias. Despite occasional discrepancies (Benazzi, 1999;Asnis et al, 1995), the preponderance of evidence is that early onset and chronic illness characterize atypical depression relative to other depressed patients.…”

Section: Course Of Illnessmentioning

confidence: 88%

DSM-IV Depression with Atypical Features: Is It Valid?

Stewart

McGrath

Quitkin³

et al. 2009

Neuropsychopharmacol

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Atypical features were incorporated into the American Psychiatric Association's Diagnostic and Statistical Manual, Fourth Edition (DSM-IV, 1994) as an illness specifier for major depression and dysthymia. The validity of depression with atypical features was supported by differences relative to depression with melancholic features in syndromal symptoms, course of illness, biology, family history, and treatment response. This paper reviews post-DSM-IV literature relevant to the validity of depression with atypical features. Most studies support the pre-DSM-IV findings. Again, course of illness, biological, family, and treatment differences are shown between melancholia and depression with atypical features. Several biologic studies report nondepressed controls have mean values between depressed subjects having atypical features and other depressed patients. This suggests atypical depression is a distinct depressive group rather than a milder form of melancholia. In addition, some studies show distinctions between depressed subjects with atypical features and those having neither atypical nor melancholic features. As depression with atypical features separates not only from melancholia but also from other depressed groups and controls over a range of meaningful distinctions, we conclude it is a valid clinical syndrome, useful both heuristically and in driving treatment decisions.

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Section: Course Of Illnessmentioning

confidence: 88%

DSM-IV Depression with Atypical Features: Is It Valid?

Stewart

McGrath

Quitkin³

et al. 2009

Neuropsychopharmacol

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“…4 Others have found an association between history of physical or sexual abuse (SA) in childhood and MDD with reversed neurovegetative signs. 5,6 Physical or SA has also been linked to MDD with psychotic features (as opposed to MDD without psychotic features). 7 Nevertheless, it is not clear whether childhood trauma is linked more broadly and nonspecifically to depressive symptomatology, or if it is associated with more specific features of this heterogeneous disorder.…”

Section: Introductionmentioning

confidence: 99%

Childhood trauma and dimensions of depression: a specific association with the cognitive domain

Vares

Salum

Spanemberg

et al. 2015

Rev. Bras. Psiquiatr.

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Objective: To investigate associations between a history of childhood trauma and dimensions of depression in a sample of clinically depressed patients. Methods: A sample of 217 patients from a mood-disorder outpatient unit was investigated with the Beck Depression Inventory, the Hamilton Depression Rating Scale, the CORE Assessment of Psychomotor Change, and the Childhood Trauma Questionnaire. A previous latent model identifying six depressive dimensions was used for analysis. Path analysis and Multiple Indicators Multiple Causes (MIMIC) models were used to investigate associations between general childhood trauma and childhood maltreatment modalities (emotional, sexual, and physical abuse; emotional and physical neglect) with dimensions of depression (sexual, cognition, insomnia, appetite, non-interactiveness/ retardation, and agitation). Results: The overall childhood trauma index was uniquely associated with cognitive aspects of depression, but not with any other depressive dimension. An investigation of childhood maltreatment modalities revealed that emotional abuse was consistently associated with depression severity in the cognitive dimension. Conclusion: Childhood trauma, and specifically emotional abuse, could be significant risk factors for the subsequent development of cognitive symptoms of major depression. These influences might be specific to this depressive dimension and not found in any other dimension, which might have conceptual and therapeutic implications for clinicians and researchers alike.

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“…Özellikle monoamin oksidaz (MAO) inhibitörü ilaçlara yanıt veren depresyon tipi olarak tanımlanmıştır. [2] Klein ve Davis depresyon tanısı almış bu hastalarda bir alt grup olarak histeroid disfori kavramını öne sürmüştür. Tanımlanan bu alt grup, genellikle kadın, atipik özellikli, histrionik görünümlü, kişisel reddedilmeye aşırı tahammülsüz, özellikle romantik ilişki kaybına duyarlılığı olan bir gruptu.…”

unclassified

Atypical Depression

Koyuncu¹,

Binbay²,

Ertekin³

et al. 2013

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychia

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Atypical depression is defined as a specifier of major depressive disorder. Columbia criteria for atypical depression are commonly used to make a diagnosis. Female sex, onset at early age, chronic course, and higher rate of comorbidity (especially anxiety disorder and bipolar disorder) is noteworthy in atypical depression. Although, the atypical depression seems to support the familial genetic transition, there is not any specific study supporting these data. In the treatment of atypical depression, monoamine oxidase inhibitors are reported to be more effective than tricyclic antidepressants. In recent studies, selective serotonin reuptake inhibitors have also proven to be efficient

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Depression With Atypical Features in the National Comorbidity Survey

Cited by 206 publications

References 45 publications

DSM-IV Depression with Atypical Features: Is It Valid?

DSM-IV Depression with Atypical Features: Is It Valid?

Childhood trauma and dimensions of depression: a specific association with the cognitive domain

Atypical Depression

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