Resistant depression. Clinical manifestations and diagnosis. Purposely a case
Introduction The term “depression” can be used in different senses: it can be a syndrome, a mood state, a mental disorder, and all of them are distinct clinical conditions…There are no pathognomonic features of bipolar/unipolar depression. A good medical history is the most important component of t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-03-01
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| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933823017881/type/journal_article |
| _version_ | 1797616507047378944 |
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| author | S. M. Bañón González N. Ogando Portilla O. Sobrino cabra B. Gamo Bravo F. García Sánchez |
| author_facet | S. M. Bañón González N. Ogando Portilla O. Sobrino cabra B. Gamo Bravo F. García Sánchez |
| author_sort | S. M. Bañón González |
| collection | DOAJ |
| description |
Introduction
The term “depression” can be used in different senses: it can be a syndrome, a mood state, a mental disorder, and all of them are distinct clinical conditions…There are no pathognomonic features of bipolar/unipolar depression. A good medical history is the most important component of the evaluation. We have to use clinical variables and differential epidemiology for a correct diagnosis.
Objectives
They both analyze clinical, psychopathological and epidemiological characteristics of resistant depression and they review causes, incidence, prevalence, diagnostic, therapeutic tools and the importance of maintaining the treatment, because the abandonment of the treatment is a good predictor of possible relapses.
Methods
A literature Review of the last five years concerning resistant depression has been done: prevalence, incidence, pathogenesis and its relationship with other psychiatric disorders encoded in DSM-V.
Results
Unipolar major depression (major depressive disorder) is characterized by a history of one or more major depressive episodes and no previous history of mania or hypomania symptoms. A major depressive episode is presented with five or more of the following nine symptoms for at least two consecutive weeks; at least one of them must be either a depressed mood or a loss of interest or pleasure. In addition, the symptoms must cause significant distress or psychosocial impairment, and not be a direct result of a substance or general medical condition.
Conclusions
Symptoms of unipolar depression in adults can overlap with symptoms of other psychiatric and general medical disorders. Unipolar depression needs to be distinguished from these other disorders to prevent inappropriate treatment.
Disclosure of Interest
None Declared |
| first_indexed | 2024-03-11T07:42:11Z |
| format | Article |
| id | doaj.art-683bfa86eea943a290c78679fb7e7f6d |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:42:11Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-683bfa86eea943a290c78679fb7e7f6d2023-11-17T05:08:23ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S844S84410.1192/j.eurpsy.2023.1788Resistant depression. Clinical manifestations and diagnosis. Purposely a caseS. M. Bañón González0N. Ogando Portilla1O. Sobrino cabra2B. Gamo Bravo3F. García Sánchez4Hospital Universitario Infanta SofiaHospital Universitario Infanta SofiaHospital Universitario Rey Juan CarlosHospital Universitario Infanta SofiaHospital Universitario de Móstoles, Madrid, Spain Introduction The term “depression” can be used in different senses: it can be a syndrome, a mood state, a mental disorder, and all of them are distinct clinical conditions…There are no pathognomonic features of bipolar/unipolar depression. A good medical history is the most important component of the evaluation. We have to use clinical variables and differential epidemiology for a correct diagnosis. Objectives They both analyze clinical, psychopathological and epidemiological characteristics of resistant depression and they review causes, incidence, prevalence, diagnostic, therapeutic tools and the importance of maintaining the treatment, because the abandonment of the treatment is a good predictor of possible relapses. Methods A literature Review of the last five years concerning resistant depression has been done: prevalence, incidence, pathogenesis and its relationship with other psychiatric disorders encoded in DSM-V. Results Unipolar major depression (major depressive disorder) is characterized by a history of one or more major depressive episodes and no previous history of mania or hypomania symptoms. A major depressive episode is presented with five or more of the following nine symptoms for at least two consecutive weeks; at least one of them must be either a depressed mood or a loss of interest or pleasure. In addition, the symptoms must cause significant distress or psychosocial impairment, and not be a direct result of a substance or general medical condition. Conclusions Symptoms of unipolar depression in adults can overlap with symptoms of other psychiatric and general medical disorders. Unipolar depression needs to be distinguished from these other disorders to prevent inappropriate treatment. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823017881/type/journal_article |
| spellingShingle | S. M. Bañón González N. Ogando Portilla O. Sobrino cabra B. Gamo Bravo F. García Sánchez Resistant depression. Clinical manifestations and diagnosis. Purposely a case European Psychiatry |
| title | Resistant depression. Clinical manifestations and diagnosis. Purposely a case |
| title_full | Resistant depression. Clinical manifestations and diagnosis. Purposely a case |
| title_fullStr | Resistant depression. Clinical manifestations and diagnosis. Purposely a case |
| title_full_unstemmed | Resistant depression. Clinical manifestations and diagnosis. Purposely a case |
| title_short | Resistant depression. Clinical manifestations and diagnosis. Purposely a case |
| title_sort | resistant depression clinical manifestations and diagnosis purposely a case |
| url | https://www.cambridge.org/core/product/identifier/S0924933823017881/type/journal_article |
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