The weighted 1 year incidence was 3.3 % (95 % CI 0.0 % to 8.9 %) for MDD, 3.4 % (CI 0.0 % to 9.1 %)
for dysthymia, and 1.0 % (CI 0.0 % to 2.8 %) for any other disorder.
Observations that remained in the same category over the next year were 20 % for MDD, 3 %
for dysthymia, and 5 % for any other disorder.
In 1995, a Minnesota social worker took the IDS Life Insurance Company to court for refusing to issue her a long - term disability policy because she had received counseling and the medication Zoloft
for dysthymia — low - grade depression.
Not exact matches
Dysthymia generally persists
for two or more years.
Approximately 17 % of Americans will be diagnosed with major depressive disorder (MDD) at some point, and many more will experience lesser forms of the disease (e.g.
dysthymia), according to the Centers
for Disease Control (CDC).
If antidepressant medications are indicated
for dually diagnosed patients, the findings that they can be effective (when used at adequate doses
for at least six weeks) in people accurately diagnosed with major depression or
dysthymia are clinically relevant.
Youth baseline and follow - up interviews assessed mental health — related quality of life using the Mental Health Summary Score (MCS - 12)(range of possible scores, 0 - 100), 48,49 overall mental health using the Mental Health Inventory 5 (MHI - 5)(range of possible scores, 5 - 30), 50 service use during the previous 6 months using the Service Assessment
for Children and Adolescents51 adapted to incorporate items assessing mental health treatment by primary care clinicians, 52 and satisfaction with mental health care using a 5 - point scale ranging from very dissatisfied (1) to very satisfied (5).53 CIDI diagnoses of major depression and
dysthymia were evaluated at baseline and follow - up.
Enrollment eligibility was based on youth meeting either of 2 criteria: (1) endorsed «stem items»
for major depression or
dysthymia from the 12 - month Composite International Diagnostic Interview (CIDI - 12 [Core Version 2.1]-RRB- 38 modified slightly to conform to diagnostic criteria
for adolescents, 39 1 week or more of past - month depressive symptoms, and a total Center
for Epidemiological Studies - Depression Scale (CES - D) 40 score of 16 or greater (range of possible scores, 0 - 60); or (2) a CES - D score of 24 or greater.
There were no statistically significant risk factors
for the incidence of
dysthymia.
Participants aged between 18 and 65 years, familiar with the use of personal computers and suffering from mild to moderate levels of major depression and / or
dysthymia and / or mild to moderate comorbid anxiety were eligible
for the study.
To determine the incidence, transitions over 1 year, and risk factors
for major depressive disorder (MDD) and
dysthymia in adolescents.
The maltreated children were more likely to meet criteria
for major depression,
dysthymia, or minor depression than the CCs (any depressive disorder: maltreated, 22.8 %; CCs, 4.5 %; χ2 = 6.55, df = 1, and P < 0.01), although few children met full diagnostic criteria
for major depression (major depressive disorder: maltreated, 7.0 %; CCs, 0.0 %; χ2 = 3.22, df = 1, and P < 0.08).
For those with
dysthymia at baseline, 19 % had any other disorder, 78 % had no disorder, and none had MDD at follow up.
Among adolescents with ideation, only MDD /
dysthymia predicted the development of a suicide plan, and only a handful of disorders were predictors of the transition from ideation to a suicide attempt (ie, MDD /
dysthymia, eating disorders, attention - deficit / hyperactivity disorder, conduct disorder [only
for unplanned attempt] and IED [only
for planned attempt]-RRB-.
It is difficult to compare our findings with studies of general population youth because rates vary widely, depending on the sample, the method, the source of data (participant or collaterals), and whether functional impairment was required
for diagnosis.50 Despite these differences, our overall rates are substantially higher than the median rate reported in a major review article (15 %) 50 and other more recent investigations: the Great Smoky Mountains Study (20.3 %), 56 the Virginia Twin Study of Adolescent Behavioral Development (142 cases per 1000 persons), 57 the Methods
for the Epidemiology of Child and Adolescent Mental Disorders (6.1 %), 32 and the Miami — Dade County Public School Study (38 %).58 We are especially concerned about the high rates of depression and
dysthymia among detained youth (17.2 % of males, 26.3 % of females), which are also higher than general population rates.51,56 - 61 Depressive disorders are difficult to detect (and treat) in the chaos of the corrections milieu.
Each weekly symptom severity level was assigned as presented in Table2, based on the 6 - point PSR scale
for major depression and mania plus the 3 - point PSR scale
for rating minor depression /
dysthymia, hypomania, DSM - IV atypical depression, DSM - III adjustment disorder with depressed mood, and RDC cyclothymic personality.
Although originally developed as an individual therapy
for adults, IPT has been modified
for use with adolescents and older adults,
dysthymia, bipolar disorder, bulimia, anxiety disorders and couples counseling.
Therapy
for adolescents and adults emphasizes evidence - based treatments
for problems such as generalized anxiety, panic disorders, social phobias, major depression,
dysthymia, bi-polar disorder, identity struggles (sexual, gender, life transition), and general adjustments to major life situations.
Dysthymia may be diagnosed when symptoms are milder but continue
for a long time and limit the child's ability to cope with everyday situations.
418 adolescents aged 13 — 21 years, presenting at clinic with either of two criteria: endorsed «stem items»
for major depression or
dysthymia from 12 month Composite International Diagnostic Interview (CIDI - 12), one week or more of depressive symptoms in the past month, and a total Center
for Epidemiological Studies Depression Scale (CES - D) score of ⩾ 16; or a CES - D score of ⩾ 24.
The disorders considered in this report include (1) mood disorders, including major depressive episode (MDE),
dysthymia (DYS), and bipolar disorder (BPD) I and II studied together
for increased statistical power; (2) anxiety disorders, including panic disorder (PD), agoraphobia without panic (AG), specific phobia (SP), social phobia (SoP), generalized anxiety disorder (GAD), posttraumatic stress disorder (PTSD), and separation anxiety disorder (SAD); (3) substance disorders, including alcohol abuse (AA), alcohol dependence (AD), drug abuse (DA), and drug dependence (DD); and (4) impulse control disorders, including intermittent explosive disorder (IED), oppositional defiant disorder (ODD), and attention - deficit / hyperactivity disorder (ADHD).
Some people suffering from disorders like
dysthymia, minor depression, or grief might benefit from short 15 to 30 minute chats with a physician
for a few weeks.
Clinic group: 58 participants aged 8 — 16 years attending a mental health clinic with depression (DSM - III - R major depression, minor depression, or
dysthymia, assessed using the Schedule
for Affective Disorders and Schizophrenia
for School - Age Children (K - SADS), Present version).
Even if you are struggling with multiple conditions at the same time, such as
Dysthymia and Anxiety, we are prepared to create a treatment plan specifically
for you.
[11] Cuijpers, Pim, et al. «Psychotherapy
for chronic major depression and
Dysthymia: A meta - analysis.»
Diagnostic decisions were reviewed by the clinical rating team, with best - estimate judgments based on all available information.26 Orvaschel25 reported excellent κ value reliability coefficients
for major depression and
dysthymia in childeren.
Mothers with an infant aged up to 12 months were recruited at eight mental health centers in The Netherlands, if they met the following inclusion criteria: (a) having a diagnosis of a major depressive episode or
dysthymia according to the DSM - IV criteria [52](95 %) and / or scoring above 14 on the Beck Depression Inventory [53] indicating increased levels of depressive symptoms (5 %); (b) having adequate fluency in Dutch; and (c) receiving professional outpatient treatment
for their depression.
Adolescent interviews assessed all disorders, while briefer parent questionnaires assessed only disorders
for which parent reports have previously been shown to play a large part in diagnosis: behavior disorders15 and depression or
dysthymia.16 Parent and adolescent reports were combined at the symptom level using an «or» rule (except in the case of attention - deficit / hyperactivity disorder where only parent reports were used based on evidence of low validity of adolescent reports).
Most children (85 %) met criteria
for more than one anxiety disorder and 21 % met criteria
for a non-anxiety diagnosis, including
dysthymia (n = 3) and externalising disorders (n = 4).
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Parent and adolescent reports both contributed to area under the curve when both were assessed, with respective values based on adolescent, parent, and combined reports of 0.75, 0.71, and 0.87
for depression or
dysthymia; 0.57, 0.71, and 0.78
for attention - deficit / hyperactivity disorder; 0.71, 0.66, and 0.85
for oppositional - defiant disorder; and 0.59, 0.96, and 0.98
for conduct disorder.
In the current sample, the weighted κ value was 0.82 on youth and mother interviews
for current depressive diagnoses (major depressive episode or
dysthymia) or subclinical depression, and κ = 0.73
for past depressive diagnoses or subclinical depression.
Childhood adversity places individuals with major depression at risk
for anxiety and
dysthymia co-morbidity.