Does incomplete recovery from first lifetime major depressive episode
herald a chronic course of illness?
In older adults, often it is difficult to determine whether cognitive symptoms (disorientation, apathy, difficulty concentrating, memory loss) are better accounted for by dementia or by a major depressive episode
. A thorough medical evaluation and an evaluation of the onset of the disturbance, temporal sequencing or depressive and cognitive symptoms, course of illness, and treatment response are helpful in making this determination (APA, 2000a).
In a hypothetical case study, Jonathan, a 13-year-old student, presents to a psychiatrist with symptoms of irritability, sadness, diminished interest in activities, fatigue, loss of energy, and feelings of worthlessness, which are suggestive of a major depressive episode
A total of 2,654 women from 137 obstetric practices were interviewed prior to 17 weeks of pregnancy and classified as positive or negative for major depressive episode
(MDE) in the past 5 years, antidepressant treatment, or PTSD symptoms.
* "Type of Professional Seen Among Adults Aged 18 or Older With a Major Depressive Episode
Who Received Treatment in the Past Year: 2012" (SAMHSA Fig.
An earlier court appearance heard Gilliard had suffered a "major depressive EPISODE
, which had caused a loss of control".
First, the prevention of an initial episode of depression among children at risk prevents the personal, social and societal effects of a Major Depressive Episode
. Second, data show clearly that once a first episode of depression has occurred, the risk of a second episode is greatly increased, so the prevention (or at least delay) of an initial episode may forestall the development of a chronic relapsing condition.
The APA said the change is intended to reflect the recognition that bereavement is a significant psychological stressor that can precipitate a major depressive episode
after the death of a loved one.
If these factors were wholly to blame for depression--as dictated by the shared vulnerability hypothesis--then we would expect that formerheavy smokers and current smokers would have an equal likelihood of having a major depressive episode
(MDE), she reasoned.
San DlEGO--The risk of a major depressive episode
more than doubles for women during and after the menopausal transition, compared with when they were premenopausal, results from a 9-year follow-up study showed.
A new state-by-state ranking of depression found that Utah leads the nation for the condition, with 10.14 percent of adults reporting a major depressive episode
in the past year, and 14.58 percent experiencing serious psychological distress.
The solution was then subjected to a promax rotation with Kaiser normalization, in order to identify the correlated factors that building the construct of a major depressive episode
. STATA 9.0 was used for all statistical tests (29).