Characteristics of patients with major depression in combination with dysthymic or cyclothymic disorders. Childhood and precipitating events.

Abstract:

:The relationship between patients with acute major depression and chronic affective disorders was investigated in 298 nonpsychotic outpatients. The patients were categorized into 4 groups: major depression only, major depression with dysthymic or cyclothymic disorders, dysthymic or cyclothymic disorder without major depression and one group of other psychiatric disorders. The patients were interviewed about childhood losses, relationship to parents and siblings and family atmosphere, their personality characteristics as children, as well as precipitating events. The reports in the various diagnostic groups were compared. Patients in the mixed group reported somewhat more traumatic childhood experiences compared with patients in the pure major depression group and pure dysthymic-cyclothymic group, and much more traumatic childhood experiences compared with patients in the group of other disorders. Precipitating events among patients in the acute major depression group consisted of more acute external stressors compared with the events of the patients in the group of chronic affective disorders. Patients with major depression in combination with pure dysthymic-cyclothymic disorder generally remembered their childhood as having been more traumatic, with a less satisfying relationship to their parents.

journal_name

Acta Psychiatr Scand

authors

Alnaes R,Torgersen S

doi

10.1111/j.1600-0447.1989.tb09228.x

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

11-8

issue

1

eissn

0001-690X

issn

1600-0447

journal_volume

79

pub_type

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