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Dysthymic disorder in an inpatient population. A descriptive study

Published online by Cambridge University Press:  16 April 2020

P Scherillo
Affiliation:
Scientific Institute of San Raffaele Hospital, Department of Neuropsychical Sciences, University of Milan, Medical School, 1-20217, Milan, Italy
M Gasperini
Affiliation:
Scientific Institute of San Raffaele Hospital, Department of Neuropsychical Sciences, University of Milan, Medical School, 1-20217, Milan, Italy
A Cescon
Affiliation:
Scientific Institute of San Raffaele Hospital, Department of Neuropsychical Sciences, University of Milan, Medical School, 1-20217, Milan, Italy
E Smeraldi*
Affiliation:
Scientific Institute of San Raffaele Hospital, Department of Neuropsychical Sciences, University of Milan, Medical School, 1-20217, Milan, Italy
*
*Correspondance and reprints.
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Summary

Patients suffering from various subtypes of dysthymia were compared with regard to demographic, clinical and personality characteristics. Patients with secondary dysthymia, as compared to those with primary dysthymia, had an earlier age of onset and a higher frequency of Axis I co-diagnoses (in particular anxiety disorders). Patients with pure dysthymia, as compared to those with double depression, showed an earlier age of onset of Axis I co-diagnoses, a later age of onset of dysthymic disorder and a shorter duration of the disease.

Type
Original article
Copyright
Copyright © Elsevier, Paris 1994

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References

Akiskal, HSRosenthal, TLHaykal, RFLemmi, HRosenthal, RHScott-Strauss, A. Characterological depressions: clinical and sleep findings separating “subaffective dysthymias” from “character spectrum disorders”. Arch Gen Pyschiatry 1980;37:777–83CrossRefGoogle ScholarPubMed
Akiskal, HSKing, DRosenthal, TLRobinson, DScott-Strauss, A. Chronic depressions: part I. Clinical and familial characteristics in 137 probands. J Affective Disord 1981;3:297315CrossRefGoogle ScholarPubMed
Akiskal, HS. Dysthymic Disorder: psychopatology of proposed chronic depressive subtypes. Am J Psychiatry 1983:140:1120Google Scholar
Akiskal, HS. Characterologic manifestations of affective disorders: toward a new conceptualization. In: Burton, SWAkiskal, HS eds. Dysthymic disorder. Gaskell: London, 1984; 112Google Scholar
Akiskal, HSDowns, JJordan, PWatson, SDaugherty, DPruitt, DB. Affective disorders in referred children and younger siblings of manic-depressives: mode of onset and prospective course. Arch Gen Psychiatry 1985;42:9961003CrossRefGoogle ScholarPubMed
Akiskal, HS. Towards a definition of dysthymia: boundaries with personality and mood disorders. In: Burton, SWAkiskal, HS eds. Dysthymic Disorder. Gaskell: London, 1990;6977Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (3rd Edn Revised) DSM III-R. Washington: APA, 1987Google Scholar
Andreasen, NCEndicott, JSpitzer, RL. The family history method using diagnostic criteria: reliability and validity. Arch Gen Psychiatry 1977;34:1229–33CrossRefGoogle ScholarPubMed
Barlow, DHDi Nardo, PAVermilyea, BBVermilyea, JBlanchard, EB. Comorbidity and depression among the anxiety disorders. J Nerv Ment Dis 1986;174:6372CrossRefGoogle ScholarPubMed
Barret, JE. Naturalistic change after two years in neurotic depressive disorders (RDC categories). J Comp Psychiatry 1984;25:404–18CrossRefGoogle Scholar
Cloninger, CRMartin, RLGuze, SBClayton, PJ. The empirical structure of psychiatric comorbidity and its theoretical significance.In: Maser, JDCloninger, CR eds. Comorbidity of Mood and Anxiety Disorders. American Psychiatric Press, Washington: American Psychiatric Press 1990;439–62Google Scholar
Crowe, RRSmouse, PE. The genetic implication of an age dependent penetrance in manic-depressive illness. J Psychiatr Res 1977;19:273–85CrossRefGoogle Scholar
Gasperini, MBattaglia, MScherillo, PSciuto, GDiaferia, GBellodi, L. Morbidity risk for mood disorders in the families of borderline patients. J Affective Disord 1191,21:265–72CrossRefGoogle Scholar
Gonzales, LRLewinsohn, PMClark, GN. Longitudinal follow-up of unipolar depressives: an investigation of predictors or relapse. J Consult Clin Psychol 1985;53:461–9CrossRefGoogle ScholarPubMed
Hirschfeld, RMA. Personality and dysthymia.In: Burton, SWAkiskal, HS eds. Dysthymic Disorder. London: Gaskell, 1990;6977Google Scholar
Howland, RH. Pharmacotherapy of dysthymia: a review. J Clin Psycho-Pharmacol 1991;11:8392CrossRefGoogle ScholarPubMed
Keller, MBShapiro, RW. Double depression: superimposition of acute depressive episodes on chronic depressive disorders. Am J Psychiatry 1982; 139:438–42Google ScholarPubMed
Keller, MBLavori, PWEndicott, JCoryell, WKlerman, GL. Double depression: two years follow-up. Am J Psychiatry 1983;140:689694Google Scholar
Keller, MBLavori, PW. Double depression, major depression and dysthymia: distinct entities or different phases of a single disorder? Psychopharmacol Bull 1984;20:399402Google ScholarPubMed
Keller, MBSessa, FM (1990) Dysthymia: development and clinical course.In: Burton, SWAkiskal, HS eds. Dysthymic Disorder. London: Gaskell, 1990;1323Google Scholar
Keller, MBLavori, PWMueller, Tlet al. Time to recovery, chronicity, and levels of psychopathology in Major Depression. Arch Gen Psychiatry 1992;49:809–16CrossRefGoogle ScholarPubMed
Klein, DNTaylor, EBDickstein, SHarding, K. Early-onset primary dysthymia: comparison with non-bipolar non chronic primary major depression on demographic, clinical, familial, personality and socio-environmental characteristics and short-term outcoume. J Abnorm Psychol 1987;97:387–98CrossRefGoogle Scholar
Klein, DNTaylor, EBDickstein, SHarding, K. The early-late onset distinction in DSM III-R dysthymia. J Affective Disord 1988a;14:2533CrossRefGoogle Scholar
Klein, DNClark, DCDansky, LMargolis, ET. Dysthymia in the offspring of parents with primary unipolar affective disorder. J Abnormal Psychol 1988b;97:265–74CrossRefGoogle Scholar
Klein, DNTaylor, EBHarding, KDickstein, S. Double depression and episodic major depression: demographic, clinical, familial, personality and socioenvironmental characteristics and short-term outcome. Am J Psychiatry 1988c;10:1226–31Google Scholar
Klerman, GLEndicott, JSpitzer, RHirschfeld, RMA. Neurotic depressions: a systematic analysis of multiple criteria and meanings. Am J Psychiatry 1979;136:5761Google ScholarPubMed
Kocsis, JHVoss, CMann, JJFrances, A. Chronic depression: demographic and clinical characteristics. Psychopharmacol Bull 1986;22:192–5Google ScholarPubMed
Kocsis, JHFrances, AJ. A critical discussion of DSM III dysthymic disorder. Am J Psychiatry 1987;144:1534–42Google ScholarPubMed
Kocsis, JHMason, BJFrances, AJSweeney, JMann, JJMarin, D. Prediction of response of chronic depression to imipramine. J Affective Disord 1989;17:255–60CrossRefGoogle ScholarPubMed
Kocsis, JHMarkowitz, JCPrien, RF. Comorbidity of dysthymic disorder.In: Maser, JDCloninger, CR eds. Comorbidity in Anxiety and Mood Disorders. Washington: American Psychiatric Press, 1990:317–28Google Scholar
Kovacs, MFeinberg, TLCrouse-Novak, Paulauskas, SLFinkelstein, R. Depressive disorders in childhood: I. A longitudinal prospective study of characteristics and recovery. Arch Gen Psychiatry 1984;41:229–37CrossRefGoogle ScholarPubMed
Maj, MVeltro, FPirozzi, Ret al. Pattern of recurrence of illness after recovery from an episode of major depression: a prospective study. Am J Psychiatry 1992;6:795800Google Scholar
Markowitz, JCMoran, MEKocsis, JHFrances, AJ. Prevalence and comorbidity of dysthymic disorder among psychiatric outpatients. J Affective Disord 1992;24:6371CrossRefGoogle ScholarPubMed
Miller, IWNorman, WHDow, MG. Psychosocial characteristics of “double depression”. Am J Psychiatry 1986;143:1042–4Google ScholarPubMed
Murphy, DGMCheckley, SA. A prevalence study and treatment study of ritanserin in dysthymic disorder. Psychopharmacology 1988;96109Google Scholar
Pfohl, BBlum, NZimmerman, M. Structured Interview for DSM III-R Personality Disorders (SIDP-R). Iowa City: The University of Iowa, 1989Google Scholar
Phillips, KAGunderson, JGHirschfeld, RMASmith, LE. A review of the depressive personality. Am J Psychiatry 1990;147:830–7Google ScholarPubMed
Robins, NLCoppler, LKeating, S. National Institute of Mental Health-Diagnostic Interview Schedule Version III (DIS III-R). St-Louis: Washington University School of Medicine, 1989Google Scholar
Sanderson, WCBeck, ATBeck, J.Syndrome comorbidity in patients with major depression of dysthymia: prevalence and temporal relationship. Am J Psychiatry 1990; 147:1025–8Google Scholar
Scott, J. Chronic depression. Br J Psychiatry 1988;153:287–97CrossRefGoogle ScholarPubMed
Smeraldi, EPetroccione, AGasperini, MMacciardi, FOrsini, AKidd, KK. Outcomes on lithium treatment as a tool for genetic studies in affective disorders. J Affective Disord 6, 139–51CrossRefGoogle Scholar
Stewart, JWQuitkin, FMMacGrath, PJet al. Social functioning in chronic depression: effect of 6 weeks of antidepressant treatment. Psychiatr Res 1988;25:213–22CrossRefGoogle ScholarPubMed
Thompson, WDOrvashel, HPrusolt, BAKidd, KK. An evaluation of the familty history method for ascertaining psychiatric disorders. Arch Gen Psychiatry 1982;39:53–8CrossRefGoogle Scholar
Vallejo, PJGastro, CCatalan, RSalamero, M. Double-blind study of imipramine versus phenelzine in melancholias and dysthymic disorders. Br J Psychiatry 1987; 151:639–42CrossRefGoogle ScholarPubMed
Weissman, MMKlerman, GL. The chronic depressive in the community: unrecognized and poorly treated. Comp Psychiatry 1977;18:522–32CrossRefGoogle ScholarPubMed
Weissman, MMLeaf, PJBruce, MLFlorio, L. The epidemiology of dysthymia in five communities: rates, risks, comorbidity and treatment. Am J Psychiatry 1988;145:815–9Google ScholarPubMed
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