Book contents
- Frontmatter
- Contents
- Foreword
- Preface
- PART I INTRODUCTION: THE EXPERIENCE OF PSYCHOPATHOLOGY
- PART II THE EXPERIENCE SAMPLING METHOD: PROCEDURES AND ANALYSES
- PART III EXPERIENCE SAMPLING STUDIES WITH CLINICAL SAMPLES
- 7 Variability of schizophrenia symptoms
- 8 The daily life of ambulatory chronic mental patients
- 9 ‘Goofed-up’ images: thought sampling with a schizophrenic woman
- 10 The social ecology of anxiety: theoretical and quantitative perspectives
- 11 Consequences of depression for the experience of anxiety in daily life
- 12 Dysphoric moods in depressed and non-depressed adolescents
- 13 Capturing alternate personalities: the use of Experience Sampling in multiple personality disorder
- 14 Bulimia in daily life: a context-bound syndrome
- 15 Alcohol and marijuana use in adolescents' daily lives
- 16 Drug craving and drug use in the daily life of heroin addicts
- 17 Stress, coping and cortisol dynamics in daily life
- 18 Vital exhaustion or depression: a study of daily mood in exhausted male subjects at risk for myocardial infarction
- 19 Blood pressure and behavior: mood, activity and blood pressure in daily life
- PART IV THERAPEUTIC APPLICATIONS OF THE EXPERIENCE SAMPLING METHOD
- PART V PSYCHIATRIC RESEARCH APPLICATIONS: PRACTICAL ISSUES and ATTENTION POINTS
- CLOSING Looking to the future
- References
- List of contributors
- Index
18 - Vital exhaustion or depression: a study of daily mood in exhausted male subjects at risk for myocardial infarction
from PART III - EXPERIENCE SAMPLING STUDIES WITH CLINICAL SAMPLES
Published online by Cambridge University Press: 03 May 2010
- Frontmatter
- Contents
- Foreword
- Preface
- PART I INTRODUCTION: THE EXPERIENCE OF PSYCHOPATHOLOGY
- PART II THE EXPERIENCE SAMPLING METHOD: PROCEDURES AND ANALYSES
- PART III EXPERIENCE SAMPLING STUDIES WITH CLINICAL SAMPLES
- 7 Variability of schizophrenia symptoms
- 8 The daily life of ambulatory chronic mental patients
- 9 ‘Goofed-up’ images: thought sampling with a schizophrenic woman
- 10 The social ecology of anxiety: theoretical and quantitative perspectives
- 11 Consequences of depression for the experience of anxiety in daily life
- 12 Dysphoric moods in depressed and non-depressed adolescents
- 13 Capturing alternate personalities: the use of Experience Sampling in multiple personality disorder
- 14 Bulimia in daily life: a context-bound syndrome
- 15 Alcohol and marijuana use in adolescents' daily lives
- 16 Drug craving and drug use in the daily life of heroin addicts
- 17 Stress, coping and cortisol dynamics in daily life
- 18 Vital exhaustion or depression: a study of daily mood in exhausted male subjects at risk for myocardial infarction
- 19 Blood pressure and behavior: mood, activity and blood pressure in daily life
- PART IV THERAPEUTIC APPLICATIONS OF THE EXPERIENCE SAMPLING METHOD
- PART V PSYCHIATRIC RESEARCH APPLICATIONS: PRACTICAL ISSUES and ATTENTION POINTS
- CLOSING Looking to the future
- References
- List of contributors
- Index
Summary
Introduction
Many subjects, suffering from a first myocardial infarction (MI), describe a lack of energy, excess fatigue, listlessness, a loss of libido and increased irritability as their most dominant feelings in the months prior to this cardiac event (Appels & Mendes de Leon, 1989; Falger, 1989). A prospective study (average follow-up period 4.2 years), in which the association of these feelings with future MI was explored, showed that subjects, suffering from these feelings, had at least a two-fold increase in risk for future MI (Appels & Mulder, 1988). The aforementioned studies suggest that a lack of energy, excess fatigue, listlessness, loss of libido and increased irritability are important premonitory symptoms for MI.
These feelings reflect a state of exhaustion which people develop when their resources to adapt to stress break down (Appels, 1989). These feelings are also reported by subjects suffering from depression (DSM-III-R, 1987) leading to the question whether exhausted subjects are also suffering from depression. An association between depression and coronary heart disease has been previously reported by Crisp, Queen & d'Souza (1984) and Booth-Kewley & Friedman (1987). Current psychiatric consensus on depression is that depression is a complex of cognitive, behavioral, motivational and somatic symptoms that manifest themselves around a core symptom of depressed mood (DSMIII- R, 1987). The assessment of depression, however, is problematic (Bouman, 1987) because both kind and severity of symptom components show considerable inter-individual variability.
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- The Experience of PsychopathologyInvestigating Mental Disorders in their Natural Settings, pp. 233 - 239Publisher: Cambridge University PressPrint publication year: 1992