Chronic depression: Update on classification and treatment

被引：1

作者：

Torpey D.C. ^{[1
]}

Klein D.N. ^{[1
]}

机构：

[1] Department of Psychology, Stony Brook University, Stony Brook

来源：

Current Psychiatry Reports | 2008年 / 10卷 / 6期

关键词：

Major Depressive Disorder; Mood Disorder; Nefazodone; Amisulpride; Attributional Style;

D O I：

10.1007/s11920-008-0074-6

中图分类号：

学科分类号：

摘要：

A significant proportion of patients with depressive disorders suffer from chronic conditions. The DSM-IV recognizes several forms of chronic depression. Chronic depressions differ from nonchronic major depressive disorder (MDD) on many clinical, psychosocial, and familial variables. However, less support exists for current distinctions between the various forms of chronic depression. Antidepressant medications and at least some forms of psychotherapy are efficacious in treating chronic depression, and the combination of pharmacotherapy and psychotherapy appears to be superior to either monotherapy alone. Still, chronic depression is often inadequately treated, and many patients fail to respond or continue to experience residual symptoms after treatment. An important direction for future research is to elucidate the multiple pathways to chronic depression and to tailor treatments to specific etiopathogenetic subgroups. © Current Medicine Group LLC 2008.

引用

页码：458 / 464

页数：6

共 43 条

[1]

Arnow B.A., Constantino M.J., Effectiveness of psychotherapy and combination treatment for chronic depression, J Clin Psychol, 59, pp. 893-905, (2003)

[2]

Klein D.N., Dysthymia and chronic depression, Psychopathology: History, Theory, and Diagnosis, pp. 329-365, (2008)

[3]

Diagnostic and Statistical Manual of Mental Disorders, (2000)

[4]

Keller M.B., Klein D.N., Hirschfeld R.M.A., Et al., Results of the DSM-IV Mood Disorders Field Trial, Am J Psychiatry, 152, pp. 843-849, (1995)

[5]

Gilmer W.S., Trivedi M.H., Rush A.J., Et al., Factors associated with chronic depressive episodes: A preliminary report from the STAR-D project, Acta Psychiatr Scand, 112, pp. 425-433, (2005)

[6]

Keller M.B., Shapiro R.W., Double depression": Superimposition of acute depressive episodes on chronic depressive disorders, Am J Psychiatry, 139, pp. 438-442, (1982)

[7]

Klein D.N., Shankman S.A., Rose S., Ten-year prospective follow-up study of the naturalistic course of dysthymic disorder and double depression, Am J Psychiatry, 163, pp. 872-880, (2006)

[8]

Judd L.L., Paulus M.J., Schettler P.J., Does incomplete recovery from first lifetime major depressive episode herald a chronic course of illness?, Am J Psychiatry, 157, pp. 1501-1504, (2000)

[9]

Mondimore F.M., Zandi P.P., MacKinnon D.F., Et al., Familial aggregation of illness chronicity in recurrent, early-onset major depression pedigrees, Am J Psychiatry, 163, pp. 1554-1560, (2006)

[10]

Karlsson L., Pelkonen M., Heila H., Et al., Differences in the clinical characteristics of adolescent depressive disorders, Depress Anxiety, 24, pp. 421-432, (2007)

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