Diagnosis and Classification Subtyping of Depressive Disorders: Comparison of Three Methods

Örsel, Sibel; Karadağ, Hasan; Türkçapar, Hakan; Kahiloğulları, Akfer Karaoğlan

doi:10.1080/10177833.2010.11790635

Cited by 6 publications

(9 citation statements)

References 26 publications

(31 reference statements)

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“…Suicidal thoughts can of course be a symptom of depression, but these findings indicate that such thoughts may be the most important depressive symptom for predicting PPD. Although suicidal thoughts was an important indicator for severity of depression in Turkish population [ 36 ], the literature review failed to identify any other study that particularly focused on the relationship between antepartum suicidal thoughts and PPD.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and clinical features of postpartum depression among Turkish women: a prospective study

Turkcapar

Kadıoğlu

Aslan

et al. 2015

BMC Pregnancy Childbirth

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BackgroundPostpartum depression (PPD) is moderate to severe depression in a woman after she has given birth. Findings from several well-designed studies reflect great variability in rates, from 10 to 22%, and also in risk factors for PPD. This variability may reflect geographical location. The incidence and risk factors for PPD among Turkish women are not well documented. It is, however, important to understand the risk factors to develop preventive intervention strategies. This study aims to examine the prevalence of PPD and associated risk factors among a sample of women receiving services at a tertiary obstetrics hospital in Ankara, Turkey.MethodsA sample of 671 women, between 36 and 40 gestational weeks, were enrolled and screened for depressive symptomatology using the Hospital Depression Inventory. Sociodemographic and clinical data were also collected. At a subsequent postpartum evaluation, 6–8 weeks post-delivery, 540 of the 671 were screened using the Edinburgh Postnatal Depression Scale (EPDS) for PPD.ResultsEighty-three (15.4%) of the 540 women had scores above the cutoff point (>13) on the EPDS. Statistically significant correlations were found between antenatal, prenatal and postpartum depression scores (r = 0.24). Women reporting suicidal thoughts during pregnancy (OR: 6.99), history of past PPD (OR: 6.64), physical violence during pregnancy (OR: 6.20) or during the postpartum period (OR: 5.87), previous psychiatric history (OR: 4.16), depressive symptoms during pregnancy (OR: 1.70), subjectively lower level of satisfaction with the pregnancy (OR:0. 69), a history of premenstrual syndrome (PMS) (OR: 2.05), and unplanned pregnancy (OR: 1.69) had higher odds for developing PPD.ConclusionOne in six mothers screened as positive for PPD. Women who had previously been diagnosed with PPD, reported suicidal thoughts during pregnancy, or had been exposed to physical violence were at especially high risk for postpartum depression. To prevent and treat postpartum depression, special attention should be paid to women reporting these characteristics.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic and clinical features of postpartum depression among Turkish women: a prospective study

Turkcapar

Kadıoğlu

Aslan

et al. 2015

BMC Pregnancy Childbirth

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“…A single cortisol measure has been described in some studies in the past as correlating of HPA axis activity [96,97]; however, most studies have at least taken two or three samplings, or assessed on two or more days, in an attempt to get a more reliable measurement of endogenous cortisol levels and HPA axis function [98, 99, As mentioned before, the baseline functioning of the HPA axis could be influenced in several ways, and respond in different ways according to each subtype of ELS. In addition, our results identified that HPA axis functioning, as measured by plasma cortisol, also varies when comparing patients with BP and BPD.…”

Section: Insert Figurementioning

confidence: 99%

Bipolar affective disorder and borderline personality disorder: Differentiation based on the history of early life stress and psychoneuroendocrine measures

Mazer

Cleare

Young

et al. 2019

Behavioural Brain Research

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“…Moreover, rather unusually, in studies discussed above, only mood reactivity as a single symptom differed significantly between suppressors and non-suppressors (i.e. non-reactivity correlated with non-suppression; Orsel et al, 2010).…”

Section: Dexamethasone Suppression Testmentioning

confidence: 89%

“…Although depression with «me-lancholic features» has been validated extensively (Shotte et al, 1997;Juruena et al 2011;Parker et al, 2015), there is still little agreement among researchers regarding the particular set of features that define it (Maes et al, 1992;Leventhal et al, 2005 ;Fink et al, 2007;Parker et al, 2013). Besides, the various diagnostic measures used for identifying melancholic depression have shown a considerable degree of inconsistency, as exemplified by the comparison of Research Diagnostic Criteria (RDC) endogenous depression definition, Newcastle scale endogenous depression definition, and DSM-III and DSM-IV diagnoses of melancholic depression (Rush et al, 1994 ;Coryell, 2007Orsel et al, 2010.…”

Section: Melancholic Vs Atypical Depression: a Historical Perspectivementioning

confidence: 99%

Atypical depression and non-atypical depression: Is HPA axis function a biomarker? A systematic review

Juruena

Bocharova

Agustini

et al. 2018

Journal of Affective Disorders

254

145

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In conclusion, our findings indicate that there is a difference in the activity of the HPA-axis between melancholic and atypical depressive subtypes. However, these are more likely explained by hypercortisolism in melancholia; and most often normal than decreased function in atypical depression. Further research should seek to distinguish a particular subtype of depression linked to HPA-axis abnormalities, based on symptom profile, with a focus on vegetative symptoms, neuroendocrine probes, and the history of adverse childhood events. New insights into the dichotomy addressed in this review might be obtained from genetic and epigenetic studies of HPA-axis related genes in both subtypes, with an emphasis on the presence of vegetative symptoms.

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Diagnosis and Classification Subtyping of Depressive Disorders: Comparison of Three Methods

Cited by 6 publications

References 26 publications

Sociodemographic and clinical features of postpartum depression among Turkish women: a prospective study

Sociodemographic and clinical features of postpartum depression among Turkish women: a prospective study

Bipolar affective disorder and borderline personality disorder: Differentiation based on the history of early life stress and psychoneuroendocrine measures

Atypical depression and non-atypical depression: Is HPA axis function a biomarker? A systematic review

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