[Is two weeks the optimum duration criterion for major depression?].

Abstract:

INTRODUCTION:A clinically useful diagnostic classification should identify most patients who are treated. To our surprise, DSM-IV criteria for major depressive episodes (MDE) detected fewer than 50% of a community sample (the Zurich study) who had received treatment for depression.1 Treated subjects often experience episodes lasting under 2 weeks, or with fewer symptoms than required for a DSM diagnosis. METHODS:Our paper focuses on the validity and clinical relevance of the length of depressive syndromes, defined by the presence of 5 or more of 9 diagnostic symptoms (DSM-IV). RESULTS:We found depressive syndromes lasting under 2 weeks to be highly prevalent, and those lasting 4+ days to have equal validity (family history, age of onset, course) and treatment rates to episodes of 2-4 weeks. CONCLUSIONS:The 2-week criterion for MDE would appear questionable. Our results need confirmation by larger epidemiological studies.

journal_name

Actas Esp Psiquiatr

authors

Angst J,Hengartner MP,Ajdacic-Gross V,Roessler W

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

18-27

issue

1

eissn

1139-9287

issn

1578-2735

journal_volume

42

pub_type

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