A simpler definition of major depressive disorder

Zimmerman, Mark; Galione, Janine N.; Chelminski, Iwona; McGlinchey, Joseph B.; Young, Diane; Dalrymple, Kristy; Ruggero, Camilo J.; Witt, Caren Francione

doi:10.1017/s0033291709990572

Cited by 33 publications

(28 citation statements)

References 24 publications

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“…A number of strategies have been introduced to overcome these problems and improve the accuracy of depression diagnosis in general medical settings, including the use of multiple assessments [42,43] and simplified diagnostic criteria [44]. There have also been calls for adoption of dimensional diagnoses [45,46,47].…”

Section: Discussionmentioning

confidence: 99%

Clinician-Identified Depression in Community Settings: Concordance with Structured-Interview Diagnoses

Mojtabai

2013

Psychother Psychosom

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Background: Relatively little is known about the prevalence and correlates of overdiagnosis of depression in community settings. This study examined the extent to which individuals with clinician-identified depression in the community meet the criteria for DSM-IV major depressive episodes (MDE) and characteristics of these individuals. Methods: In a sample of 5,639 participants with clinician-identified depression drawn from the 2009-2010 United States National Survey of Drug Use and Health, the proportion of participants who met the 12-month MDE criteria, ascertained by a structured interview, and variations in MDE diagnosis across different groups of participants were examined. Mental health profiles and service use of participants who met the MDE criteria were compared to those who did not meet these criteria. Results: Only 38.4% of participants with 12-month clinician-identified depression met the 12-month MDE criteria. Older adults were less likely than younger adults to meet the criteria - only 14.3% of those 65 years old or older met the criteria, whereas participants with more education and those with poorer overall health were more likely to meet the criteria. Participants who did not meet the 12-month MDE criteria reported less distress and impairment in role functioning and used fewer services. A majority of both groups, however, were prescribed and used psychiatric medications. Conclusions: Depression overdiagnosis and overtreatment is common in community settings in the USA. There is a need for improved targeting of diagnosis and treatments of depression and other mental disorders in these settings.

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Section: Discussionmentioning

confidence: 99%

Clinician-Identified Depression in Community Settings: Concordance with Structured-Interview Diagnoses

Mojtabai

2013

Psychother Psychosom

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“…The diagnosis of FM was based on the American College of Rheumatology classifi cation criteria. 13 Depression was defi ned according to Zimmerman et al 14 The diagnosis of SAH was based on the V Brazilian Arterial Hypertension …”

Section: Methodsmentioning

confidence: 99%

Prevalência de manifestações clínico-laboratoriais e comorbidades na polimiosite segundo o gênero

Souza¹,

Levy‐Neto

Shinjo

2011

Rev. Bras. Reumatol.

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Objective: To assess gender distribution in polymyositis (PM) and its infl uence on disease, regarding clinical and laboratory manifestations, outcome and comorbidities. Methods: Retrospective single-center cohort study assessing 75 consecutive patients with PM ) from 1990 to 2010. Complementary tests were related to early diagnosis of PM. Results: The study assessed 52 women and 23 men (ratio 2.3:1), most of whom white (84.0%), with a mean age of 42.7 ± 13.7 years (16 to 67 years), and mean disease duration of 6.9 ± 5.5 years (0 to 20 years). Approximately 50% experienced disease relapse during follow-up. Nevertheless, two thirds were in remission at the end of this study, with 4.0% of deaths. There was no difference between genders regarding demographic, clinical and laboratory characteristics, clinical outcome and the drug therapy instituted. Regarding comorbidities, there was a high prevalence of hypertension (38.7%) and diabetes mellitus (17.3%), equally distributed between genders. There was also a high prevalence of depression and fi bromyalgia, which were only observed among females. Conclusions: The prevalence of PM was higher among women than among men (2.3:1). Because the prevalence of comorbidities was high in the case series studied, it is worth emphasizing the need for their control to provide better quality of life for patients with PM.

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“…[7] As shown in Table 1, a high level of agreement between the simpler definition and the DSM-IV definition has been found in each of six samples. [7][8][9] The mean level of agreement between the two definitions across the studies was 94.6%.…”

Section: Introductionmentioning

confidence: 95%

Validity of a simpler definition of major depressive disorder

et al. 2010

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Background: In previous reports from the Rhode Island Methods to Improve Diagnostic Assessment and Services project, we developed a briefer definition of major depressive disorder (MDD), and found high levels of agreement between the simplified and DSM‐IV definitions of MDD. The goal of the present study was to examine the validity of the simpler definition of MDD. We hypothesized that compared to patients with adjustment disorder, patients with MDD would be more severely depressed, have poorer psychosocial functioning, have greater suicidal ideation at the time of the intake evaluation, and have an increased morbid risk for depression in their first‐degree family members. Methods: We compared 1,486 patients who met the symptom criteria for current MDD according to either DSM‐IV or the simpler definition to 145 patients with a current diagnosis of adjustment disorder with depressed mood or depressed and anxious mood. Results: The patients with MDD were more severely depressed, more likely to have missed time from work due to psychiatric reasons, reported higher levels of suicidal ideation, and had a significantly higher morbid risk for depression in their first‐degree family members. Both definitions of MDD were valid. Conclusions: The simpler definition of MDD was as valid as the DSM‐IV definition. This new definition offers two advantages over the DSM‐IV definition—it is briefer and therefore more likely to be recalled and applied in clinical practice, and it is free of somatic symptoms thereby making it easier to apply with medically ill patients. Depression and Anxiety, 2010. © 2010 Wiley‐Liss, Inc.

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A simpler definition of major depressive disorder

Cited by 33 publications

References 24 publications

Clinician-Identified Depression in Community Settings: Concordance with Structured-Interview Diagnoses

Clinician-Identified Depression in Community Settings: Concordance with Structured-Interview Diagnoses

Prevalência de manifestações clínico-laboratoriais e comorbidades na polimiosite segundo o gênero

Validity of a simpler definition of major depressive disorder

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