Abstract:
AIM:Japanese psychiatrists have increasingly reported patients with depression that does not seem to fit the criteria of the ICD-10 and the DSM-IV, and which has recently been called modern type depression (MTD). We explored whether MTD is frequently seen in Japan and also in other countries, and if so, how patients with MTD are diagnosed and treated. METHODS:The questionnaires, with two case vignettes (traditional type depression (TTD) and MTD), were sent to psychiatrists in Australia, Bangladesh, India, Iran, Japan, Korea, Taiwan, Thailand and the USA. Participants rated their opinions about each case's prevalence in their country, etiology, diagnosis, suicide risk, and treatment using Likert scales. RESULTS:Out of 247 responses (123 from Japan and 124 from other countries), two hundred thirty-nine valid responses were received. MTD was recognized in all participating countries, and especially in urban areas. Generally, the factor of personality was regarded as the most probable cause of MTD. Whereas about 90% of Japanese psychiatrists applied the ICD/DSM criteria to TTD, only about 60% applied the criteria to MTD. CONCLUSION:Our results indicate that Japan's MTD seems to be occurring in many other countries, and that the present ICD/DSM criteria may not be sufficient to diagnose MTD. Therefore, it could be an important candidate for a new international diagnostic criterion as a subtype of depression. A clear diagnostic framework and consensus on the interventions to treat MTD would be valuable. Further clinical, psychopathological and international epidemiological studies are needed to confirm our preliminary findings of MTD.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Kato TA,Shinfuku N,Fujisawa D,Tateno M,Ishida T,Akiyama T,Sartorius N,Teo AR,Choi TY,Wand AP,Balhara YP,Chang JP,Chang RY,Shadloo B,Ahmed HU,Lerthattasilp T,Umene-Nakano W,Horikawa H,Matsumoto R,Kuga H,Tanaka M,doi
10.1016/j.jad.2011.06.030subject
Has Abstractpub_date
2011-12-01 00:00:00pages
66-76issue
1-3eissn
0165-0327issn
1573-2517pii
S0165-0327(11)00362-4journal_volume
135pub_type
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