Identification of minor affective disorders and implications for psychopharmacotherapy

Winter, Patrizia; Philipp, Michael; Buller, R.; Delmo, Cynthia D.; Schwarze, Harald; Benkert, Otto

doi:10.1016/0165-0327(91)90046-u

Cited by 13 publications

(3 citation statements)

References 28 publications

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“…This is not what the authors of DSM-IV intended, an NOS diagnosis contains no clinical information and neither informs treatment or assists communication. Winter et al [1991] reported that 70% of people receiving a DSM-III-R diagnosis of depressive disorder NOS in primary care qualified for specific diagnoses when Research Diagnostic Criteria were applied. Thus, there may be some utility in simplifying the main diagnostic criteria to facilitate more accurate diagnosis.…”

Section: Simplifying the Diagnostic Criteria To Improve Clinical Utilitymentioning

confidence: 99%

Classification of Anxiety and Depressive disorders: problems and solutions

et al. 2008

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The American Psychiatric Association and the World Health Organization have begun to revise their classifications of mental disorders. Four issues related to these revisions are discussed in this study: the structure of the classifications, the relationship between categories and dimensions, the sensitivity of categorical thresholds to definitions, and maximizing the utility and validity of the diagnostic process. There is now sufficient evidence to consider replacing the present groupings of disorders with an empirically based structure that reflects the actual similarities among disorders. For example, perhaps the present depression and anxiety disorders would be best grouped as internalizing disorders. Most mental disorders exist on a severity dimension. The reliability and validity of the classification might be improved if we accepted the dimensional nature of disorders while retaining the use of categorical diagnoses to enhance clinical utility. Definitions of the thresholds that define categories are very susceptible to detail. In International Classification of Diseases-11(ICD-11) and Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V), disorders about which there is agreement should be identically defined, and disorders in which there is disagreement should be defined differently, so that research can identify which definition is more valid. The present diagnostic criteria are too complex to have acceptable clinical utility. We propose a reduced criterion set that can be remembered by clinicians and an enhanced criterion set for use with decision support tools.

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Section: Simplifying the Diagnostic Criteria To Improve Clinical Utilitymentioning

confidence: 99%

Classification of Anxiety and Depressive disorders: problems and solutions

et al. 2008

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“…Wir haben an einer stationären und einer ambulanten Winter et al, 1991) Stichprobe zeigen können, daß diese Zweiteilung des Gesamtspektrums akuter Depressionszustände in Major-Depression und nicht näher bezeichnete Depression unbefriedigend ist: Im stationären Bereich hat sich das Konzept der Major-Depression (MDE) als zu eng erwiesen, um etwa die Zielgruppe bipolarer Depressionen mit ausreichend hoher Sensitivität zu erfassen ; im ambulanten (primärärztlichen) Bereich hat sich gezeigt, daß die Diagnosekategorie der nicht näher bezeichneten Depression (NNB) fiir eine Restkategorie viel zu weit gefaßt ist. Sie vereinigt deutlich mehr Patienten auf sich (30,2 %) als die Kerngruppe der Zwischenform leichterer akuter Depressionen.…”

Section: Zusammenfassungunclassified

Minor-Depression - Ein sinnvolles und valides diagnostisches Konzept?

Philipp¹

1994

Fortschr Neurol Psychiatr

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“…There has been much progress in diagnostic methodologies since the advent of standardized psychopathology ratings, for example the (Blazer and Williams 1980, Philipp et al 1992, Rosenman 1991, Snaith 1987, Winter et al 1991. Blazer (1991) exemplifies these 'subsyndromaP conditions with 'anhedonia' (Snaith 1987), recurrent brief depression (Angst 1990), and dysthymic depression (Blazer et al 1987).…”

Section: 'Subdiagnostic' Psychiatric Morbiditymentioning

confidence: 99%

The Differentiation Between Depression and Dementia in the Very Old

Helmchen¹

1993

Ageing and Society

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Key questions in the psychiatric understanding of elderly people are the development of psychiatric morbidity, its phenomenology in old age, the differentiation between ‘normal’ and ‘pathological’ ageing, the interrelatedness of different types of mental disorders, their relation to somatic morbidity, and their consequences in daily life. Under the hypothesis of the de-differentiation of psychopathological features in old age, the relation between depression and dementia is studied. Contrary to most gerontopsychiatric research, the Berlin Aging Study (BASE) permits an analysis of these questions in a heterogeneous and primarily non-clinical community population. Initial data from the first 360 intake assessments and the first 156 intensively studied participants of BASE are presented. Results show that, even in very old individuals, depression and dementia still exhibit clearly distinctive psychopathological features. Prevalence rates in consecutive age groups show an age-related increase for dementia but not for depression. Nevertheless dementia and depression do not seem to be fully independent, because our data indicate a masking or extinction of depressive symptoms by dementia. Finally, both disorders have a similarly significant negative impact on independence, comparable to that of somatic morbidity.

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Identification of minor affective disorders and implications for psychopharmacotherapy

Cited by 13 publications

References 28 publications

Classification of Anxiety and Depressive disorders: problems and solutions

Classification of Anxiety and Depressive disorders: problems and solutions

Minor-Depression - Ein sinnvolles und valides diagnostisches Konzept?

The Differentiation Between Depression and Dementia in the Very Old

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