Background: This article presents prospective lower bound estimations of findings on prevalence, incidence, clinical correlates, severity markers, co-morbidity and course stability of threshold and subthreshold recurrent brief depressive disorder (RBD) and other mood disorders in a community sample of 3021 adolescents.
Method: Data were collected at baseline (age 14–17) and at two follow-up interviews within an observation period of 42 months. Diagnostic assessment was based on the Munich Composite International Diagnostic Interview (M-CIDI).
Results: Our data suggest that RBD is a prevalent (2.6%) clinical condition among depressive disorders (21.3%) being at least as prevalent as dysthymia (2.3%) in young adults over lifetime. Furthermore, RBD is associated with significant clinical impairment sharing many features with major depressive disorder (MDD). Suicide attempts were reported in 7.8% of RBD patients, which was similar to MDD (11.9%). However, other features, like gender distribution or co-morbidity patterns, differ essentially from MDD. Furthermore, the lifetime co-occurrence of MDD and RBD or combined depression represents a severe psychiatric condition.
Conclusions: This study provides further independent support for RBD as a clinically significant syndrome that could not be significantly explained as a prodrome or residual of major affective disorders.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:26457 |
| Date | January 2003 |
| Creators | Pezawas, Lukas, Wittchen, Hans-Ulrich, Pfister, Hildegard, Angst, Jules, Lieb, Roselind, Kasper, Siegfried |
| Publisher | Cambridge University Press |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | doc-type:article, info:eu-repo/semantics/article, doc-type:Text |
| Source | Psychological Medicine, Bd. 33 (2003), Nr. 3, S. 407-418, ISSN: 0033-2917 |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 10.1017/S0033291702006967, 0033-2917 |
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