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Sleep Medicine Clinics Sep 2017Hypersomnolence is a clinically defined syndrome characterized by the association of prolonged nocturnal sleep, impaired arousal quality, and sleep inertia.... (Review)
Review
Hypersomnolence is a clinically defined syndrome characterized by the association of prolonged nocturnal sleep, impaired arousal quality, and sleep inertia. Hypersomnolence is the major feature of central hypersomnias and is frequently reported in various mood disorders, such as major depressive disorder, bipolar disorder, or seasonal affective disorder. Assessment of hypersomnolence is challenging in depressed patients, with objective tests often in the normal range despite a high level of sleepiness complaint. On the other hand, many patients with central hypersomnias reported depressive symptoms. The self-assessment of mood symptoms in patients with central hypersomnias may overdiagnose depression with an overlap between both conditions.
Topics: Depression; Depressive Disorder; Disorders of Excessive Somnolence; Humans
PubMed: 28778237
DOI: 10.1016/j.jsmc.2017.03.016 -
American Journal of Psychotherapy Mar 2020Family-based interpersonal psychotherapy (FB-IPT) is an evidence-based psychosocial intervention for depression in preadolescents (ages 8-12 years). Adapted from... (Review)
Review
Family-based interpersonal psychotherapy (FB-IPT) is an evidence-based psychosocial intervention for depression in preadolescents (ages 8-12 years). Adapted from interpersonal psychotherapy for adolescents with depression and modified for younger children, this therapy includes structured dyadic sessions with preadolescents and their parents, guidance for parents in supporting their children and decreasing negative parent-child interactions, and a focus on preadolescents' comorbid anxiety and peer relationships. This article reviews the conceptual foundations and risk factors related to preadolescent depression and the rationale for focusing on improving preadolescents' interpersonal relationships to decrease depressive symptoms and risk for depression during adolescence. The structure and goals for the initial, middle, and termination phases of FB-IPT are described, as well as the specific communication and problem-solving strategies presented to preadolescents and parents. Last, research on the efficacy of FB-IPT is summarized, as are future directions for implementing this promising psychosocial intervention for preadolescent depression in community settings.
Topics: Anxiety; Child; Depression; Depressive Disorder; Family Therapy; Humans; Interpersonal Psychotherapy; Interpersonal Relations; Peer Group
PubMed: 32050785
DOI: 10.1176/appi.psychotherapy.20190028 -
Journal of Pediatric Health Care :... 2000
Review
Topics: Adolescent; Depression; Depressive Disorder; Female; Humans; Male; Pediatric Nursing; Sex Distribution
PubMed: 10900415
DOI: 10.1067/mph.2000.107817 -
Harefuah Jan 1999
Review
Topics: Depression; Depressive Disorder; Female; Humans; Puerperal Disorders
PubMed: 10914186
DOI: No ID Found -
Journal of Affective Disorders Mar 2019Depressive disorders in women emerge largely during transitions in their reproductive aging cycle, which can be attributed to internal endocrine possesses that affect... (Review)
Review
INTRODUCTION
Depressive disorders in women emerge largely during transitions in their reproductive aging cycle, which can be attributed to internal endocrine possesses that affect emotion-associated brain circuits. A review was performed to outline the neural basis in depression during female puberty, premenstrual dysphoric disorder (PMDD), postpartum depression disorder (PPD) and perimenopausal depression disorder.
METHODS
For this review, Web of science, Pubmed and PsychInfo databases were searched for functional brain imaging studies addressing reproductive cycle-related mood disorder. The results are summarized and discussed within a broader theoretical framework of major depression disorder (MDD) to determine how reproductive-sensitive phases contribute to affective symptoms and how they relate to the neurobiology of MDD.
RESULTS
Neural activation patterns of all depressive disorders related to female reproductive cycle, except for puberty depression, differ from these observed in MDD. While the PMDD results are widely divergent, the activation patterns in PPD show general hypoactivation in all respects.
LIMITATIONS
Systematic comparisons between the diverse depression disorders are impeded by the heterogeneous experimental protocols used on different samples, reproductive aging stages and depression types.
CONCLUSION
Given that hormonal fluctuations strongly influence the development of a reproductive cycle-related depression, it is possible that the hormonal and neural patterns are indicative of distinct mood disorder with phase specific biotypes, that only show behavioral similarities to MDD. Understanding the similarities and differences in the neural functioning of female cycle-related mood disorders evaluated against MDD might help elucidate the role of neuroendocrine involvement in development of depression in women, and potentially facilitate the search for prevention and treatment approaches for women' reproductive-related depressions.
Topics: Adult; Brain; Depression; Depression, Postpartum; Depressive Disorder, Major; Female; Humans; Longevity; Magnetic Resonance Imaging; Sexual Maturation
PubMed: 30605874
DOI: 10.1016/j.jad.2018.12.133 -
The Psychiatric Clinics of North America Mar 2012In medically ill patients, given the many entities the phenotype of depression may represent, clinicians must be prepared to cast their diagnostic nets widely, not... (Review)
Review
In medically ill patients, given the many entities the phenotype of depression may represent, clinicians must be prepared to cast their diagnostic nets widely, not settling for the obvious but frequently incorrect choice of major depressive episode and throwing antidepressants at it willy nilly. Having chosen the correct diagnosis from among a broad differential of depression “look-alikes,” clinicians can draw upon a broad swath of treatment modalities including medications, psychotherapy, social supports, and spiritual interventions. Working as a psychiatrist in the medical arena requires the curiosity and analytic skills of a detective and the breadth of knowledge of a polymath adapting therapeutic tools from across the biopsychosociospiritual spectrum to the specific needs of the patient.
Topics: Adaptation, Psychological; Adjustment Disorders; Antidepressive Agents; Attitude to Health; Depression; Depressive Disorder; Diagnosis, Differential; Disease; Drug Interactions; Hospitalization; Humans; Phenotype; Psychotherapy; Spirituality
PubMed: 22370500
DOI: 10.1016/j.psc.2011.11.001 -
Rehabilitation Nursing : the Official... 1991Depression following stroke is a complication that frequently is untreated. Lack of awareness of those at risk for poststroke depression, combined with lack of... (Review)
Review
Depression following stroke is a complication that frequently is untreated. Lack of awareness of those at risk for poststroke depression, combined with lack of information about depression in stroke patients, may be one reason for this neglect. This article reviews recent studies on characteristics of poststroke depression. The location of the lesion, degree of functional loss, and distinction between major and dysthymic (minor) depression all are factors that influence poststroke depression.
Topics: Cerebrovascular Disorders; Depression; Depressive Disorder; Humans
PubMed: 1989045
DOI: 10.1002/j.2048-7940.1991.tb01170.x -
Fortschritte Der Neurologie-Psychiatrie Mar 2020Distinguishing between melancholic and non-melancholic depression is still of significant importance in the classification and differentiation of depressive disorders.... (Review)
Review
Distinguishing between melancholic and non-melancholic depression is still of significant importance in the classification and differentiation of depressive disorders. Melancholy appears to be a psychopathological and biologically based entity which can be described as a disorder of drive and which finds its extreme culmination in depressive delusion. Its pathogenesis ranges from the melancholic predisposed personality, mostly of the Typus melancholicus, over psychomotor inhibition and depersonalization, to depressive delusion. Delusion arises from the fear that the realization of basic human values, such as one's existence for important others or ideals, health and livelihood has become hopeless. A clear understanding of the nature and pathogenesis of melancholic delusional depression not only facilitates the diagnostic process, and the empathic assistance to the patient, but also has direct consequences for an appropriate treatment of this disorder.
Topics: Delusions; Depression; Depressive Disorder; Humans; Personality; Personality Inventory
PubMed: 31378852
DOI: 10.1055/a-0957-3226 -
Therapeutische Umschau. Revue... Aug 2021Post stroke depression Post stroke depression is a common psychiatric disorder after a cerebrovascular insult. It effects the outcome of the rehabilitation after the...
Post stroke depression Post stroke depression is a common psychiatric disorder after a cerebrovascular insult. It effects the outcome of the rehabilitation after the stroke and leads to an increased mortality. The symptomatic description of the depressive symptoms is done according to the ICD-10 criteria. The following article aims to provide an overview of the etiologic theories, diagnostic approaches, and therapeutic strategies regarding PSD.
Topics: Depression; Depressive Disorder; Humans; Stroke
PubMed: 34291664
DOI: 10.1024/0040-5930/a001274 -
American Family Physician Nov 2000Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The... (Review)
Review
Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The clinical spectrum of the disease can range from simple sadness to a major depressive or bipolar disorder. Risk factors include a family history of depression and poor school performance. Evaluation should include a complete medical assessment to rule out underlying medical causes. A structured clinical interview and various rating scales such as the Pediatric Symptom Checklist are helpful in determining whether a child or adolescent is depressed. Evidence-based treatment guidelines from the literature are limited. Psychotherapy appears to be useful in most children and adolescents with mild to moderate depression. Tricyclic antidepressants and selective serotonin reuptake inhibitors are medical therapies that have been studied on a limited basis. The latter agents are better tolerated but not necessarily more efficacious. Because the risk of school failure and suicide is quite high in depressed children and adolescents, prompt referral or close collaboration with a mental health professional is often necessary.
Topics: Adolescent; Antidepressive Agents; Antidepressive Agents, Tricyclic; Child; Depression; Depressive Disorder; Diagnosis, Differential; Female; Humans; Male; Patient Education as Topic; Psychology, Adolescent; Psychology, Child; Referral and Consultation; Risk Factors; Selective Serotonin Reuptake Inhibitors; Teaching Materials
PubMed: 11126856
DOI: No ID Found