Prodromal symptoms in primary major depressive disorder

Fava, Giovanni A.; Grandi, Silvana; Canestrari, R; Molnár, George

doi:10.1016/0165-0327(90)90020-9

Cited by 99 publications

(105 citation statements)

References 16 publications

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“…1 By deferring the psychotherapeutic intervention until after pharmacotherapy, we were able to provide a less intensive course of therapy (10 sessions) than is customary (eg, 16-20 sessions) because psychotherapy could be concentrated only on the symptoms that did not abate afterpharmacotherapy.Thefactthatmostoftheresidualsymptoms of depression are also prodromal, 10 and that prodromal symptoms of relapse tend to mirror those of the initial episode, 43 explains the protective effect of this targeted treatment. Cognitive behavioral treatment may act on those residual symptoms of major depression that progress to become prodromal symptoms of relapse.…”

Section: Methodsmentioning

confidence: 99%

“…Cognitive behavioral treatment may act on those residual symptoms of major depression that progress to become prodromal symptoms of relapse. 12 This may particularly apply to anxiety and irritability, which are prominent in the prodromal phase of depression, 43,44 may be covered bymooddisturbancesbutarestillpresentintheacutephase, 45 and are again a prominent feature of its residual phase. 1,10 Substantial comorbidity concerned with anxiety disorders was found in both groups.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Prevention of Recurrent Depression With Cognitive Behavioral Therapy

Fava

Rafanelli²,

Grandi³

et al. 1998

Arch Gen Psychiatry

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469

318

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Prevention of Recurrent Depression With Cognitive Behavioral Therapy

Fava

Rafanelli²,

Grandi³

et al. 1998

Arch Gen Psychiatry

Self Cite

469

318

View full text Add to dashboard Cite

show abstract

“…(1) A modified version of Paykel’s [17] Clinical Interview for Depression, which had been found suitable for detecting prodromal symptoms in mood and anxiety disorder [12,13,14,15]. The full instrument consists of 36 items, rated on 7-point scales; each anchor point specifies severity, frequency and quality.…”

Section: Methodsmentioning

confidence: 99%

“…The aim of this study was to explore the prodromal phase of MI, using a semistructured research interview for prodromal symptoms that had been used in panic disorder [12, 13], major depression [14] and obsessive compulsive disorder [15]. Furthermore, we used both DSM-IV and DCPR criteria to characterize the prodromal phase in our group of patients.…”

Section: Introductionmentioning

confidence: 99%

Prodromal Symptoms in Myocardial Infarction

Ottolini¹,

Modena

Rigatelli³

2005

Psychother Psychosom

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Background: Little is known about the prodromal phase of myocardial infarction (MI). The aim of this study was to explore this phase with methodologies which have been standardized in affective disorders. The psychological evaluation of patients with MI diagnosis is currently based on DSM-IV criteria. An alternative diagnostic and conceptual framework has been proposed by an international group of psychosomatic investigators. In this study, we are going to compare these new criteria, i.e. the Diagnostic Criteria for Psychosomatic Research (DCPR), with DSM-IV in a population where a high prevalence of psychological problems is expected. Methods: A semistructured research interview based on Paykel’s Clinical Interview for Depression for eliciting prodromal symptoms was administered to a consecutive series of 92 patients with a first episode MI diagnosis. Two interviews for the evaluation of psychological problems were administered according to DSM-IV and DCPR criteria. Results: Most of the patients reported prodromal symptoms. Irritability, depressed mood and somatic anxiety were the most common prodromal symptoms. The results also show that the number of DCPR diagnoses was higher than the number of DSM-IV diagnoses. At least one DCPR diagnosis was found in all patients, whereas at least one DSM-IV diagnosis was present in 42 (46%) patients. Conclusions: The prodromal phase of MI was found to be characterized by prodromal symptoms of affective type. The joint use of DSM-IV and DCPR criteria was found to improve the identification of psychological factors which could affect this phase. The results should alert the physician to the fact that patients presenting with irritability, depressed mood (including demoralization), anxiety and insomnia may be at risk of developing coronary artery disease.

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“…Esse enfoque se baseia no fato de que os sintomas residuais se assemelham aos sintomas prodrômicos da DM 20 e que os pródromos da recaída depressiva tendem a espelhar os do episódio inicial. 21 A TCC poderia agir nos sintomas residuais que progridem para se tornarem sintomas prodrômicos de recaída. 22 A ansiedade e a irritabilidade têm se mostrado como importantes alvos desse tipo de abordagem.…”

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Revisão sobre o uso da terapia cognitiva-comportamental na prevenção de recaídas e recorrências depressivas: a review

Almeida

Neto

2003

Rev. Bras. Psiquiatr.

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KeywordsObjetivo: Fazer um levantamento das teorias e revisar as evidências existentes sobre o papel da terapia cognitivacomportamental (TCC) na prevenção de recaídas e recorrências de episódios depressivos. Método: Revisão dos ensaios clínicos randomizados e controlados que investigam a eficácia da TCC na prevenção de recaídas e/ou recorrências depressivas. As bases de dados consultadas foram o Medline, Lilacs, Cochrane, Biosis e a Embase. Foram verificadas as referências bibliográficas dos artigos selecionados, de artigos de revisão e de livros sobre o tema. Resultados: Foram encontrados 15 estudos de desenhos heterogêneos e vários deles com problemas metodoló-gicos. A maioria comparou o uso de TCC e antidepressivos apenas na fase aguda. Em 12 deles a TCC diminuiu a taxa de recorrência/recaídas de modo estatisticamente significativo. As publicações mais recentes apontam para a utilidade da TCC nos sintomas depressivos residuais como estratégia preventiva de recorrências. Conclusões: A TCC mostrou-se eficaz na redução de recaídas depressivas, mas ainda precisam ser mais bem investigadas sua eficácia em relação ao uso de antidepressivos e qual estratégia de TCC (seu uso apenas na fase aguda, na fase aguda e manutenção, na manutenção após antidepressivo na fase aguda ou o enfoque nos sintomas residuais após antidepressivo na fase aguda) é mais eficaz para cada tipo de paciente.Depressão. Prevenção. Terapia cognitiva-comportamental. Recaída. Recidiva. Objectives:To revise theories and the available evidence about Cognitive Behavioral Therapy (CBT) role on the relapse and recurrence prevention of depressive episodes. Methods: Review of random and controlled clinical trials that investigated CBT efficacy on the relapse and recurrence prevention of depressive episodes. The following databases were used: Medline, Lilacs, Cochrane, Biosis and Embase. The reference sections of the selected articles, review articles and specialized books were consulted. Results: Fifteen studies with different experimental design were found, several with methodological problems. The majority of them compared CBT with antidepressants at the acute treatment phase. In 12 studies CBT significantly lowered the relapse/recurrence rate. Recent papers pointed to the CBT usefulness for treating residual depressive symptoms as a recurrence prevention strategy. Conclusion: CBT was effective for the depression relapse reduction. Its relationship with antidepressants as a prevention tool and CBT strategies (using it only in the acute phase, or during acute and maintenance phases, or after antidepressants withdrawal as a maintenance treatment, or focusing residual symptoms) need to be better investigated.Depression. Prevention. Cognitive therapy. Recurrence. Relapse.

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Prodromal symptoms in primary major depressive disorder

Cited by 99 publications

References 16 publications

Prevention of Recurrent Depression With Cognitive Behavioral Therapy

Prevention of Recurrent Depression With Cognitive Behavioral Therapy

Prodromal Symptoms in Myocardial Infarction

Revisão sobre o uso da terapia cognitiva-comportamental na prevenção de recaídas e recorrências depressivas: a review

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