2003
DOI: 10.1177/070674370304800206
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Phenomenology and Comorbidity of Dysthymic Disorder in 100 Consecutively Referred Children and Adolescents: Beyond DSM-IV

Abstract: The clinical picture of early-onset DD we found, based entirely on a pure sample without current and past MDD, is not totally congruent with the diagnostic criteria according to DSM-IV. A more precise definition of the clinical picture may help early diagnosis and prevention of superimposed mental disorders.

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Cited by 24 publications
(13 citation statements)
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“…1,6,7 That is, there may be developmental differences in how symptoms are expressed, but the symptoms do not differ when considered as a higher-level construct. 1,7,27 On the other hand, irritability is a non-specific symptom, but may be part of externalized symptomatological expression of distress and negative affect especially in preadolescence years. 28 Thus, the significant rates of irritability in our patients may represent an "acting out" of depressed youths' manifestation rather than internalize emotionally devastating depressive symptoms.…”
Section: Discussionmentioning
confidence: 99%
“…1,6,7 That is, there may be developmental differences in how symptoms are expressed, but the symptoms do not differ when considered as a higher-level construct. 1,7,27 On the other hand, irritability is a non-specific symptom, but may be part of externalized symptomatological expression of distress and negative affect especially in preadolescence years. 28 Thus, the significant rates of irritability in our patients may represent an "acting out" of depressed youths' manifestation rather than internalize emotionally devastating depressive symptoms.…”
Section: Discussionmentioning
confidence: 99%
“…A formação do terapeuta reside na capacitação de habilidades e na supervisão (Hill, & Lent, 2006). Mas há evidências que, com o que vivenciam com seus clientes, terapeutas aprendem muito sobre terapia (Farber, 1983;Freeman, & Hayes, 2002;Orlinsky, Botermans, & Ronnestad, 2001;Ronnestad, & Skovholt, 2003;Skovholt, & McCarthy, 1988), sobre si mesmos e sobre suas próprias questões (Farber, 1983;Jodry, 2003;Masi, 2003). O presente estudo acrescenta a especificação de que o trabalho com as emoções do terapeuta na sessão pode ser o motor desses benefícios incidentais, mas importantes para o profissional.…”
Section: Discussionunclassified
“…Further, anxiety disorders are often present in children, adolescents (Masi, Millepiedi, Mucci, Pascale, Perugi, & Akiskal, 2003) and adults (Pini, Cassano, Simonini, Savino, Russo, & Montgomery, 1997;Sansone & Sansone, 2009;Shankman & Klein, 2002) with dysthymia. Given the frequency of co-occurring anxiety and dysthymia, Niculescu and Akiskal proposed a division of dysthymia into two distinct endophenotypes or sub types: anxious dysthymia (formerly known as atypical) and non-anxious or anergic dysthymia (formerly known as typical) (Niculescu & Akiskal, 2001).…”
Section: Co-morbiditymentioning
confidence: 99%