Chronic Depression
- 1 September 1988
- journal article
- review article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 153 (3) , 287-297
- https://doi.org/10.1192/bjp.153.3.287
Abstract
Defining chronic depression as persistent symptoms for 2 or more years, a prevalence of chronic depression of 12–15% is found in the literature. A four-part classification of chronic depression is proposed: Chronic Primary Major Depression; Chronic Secondary Major Depression; Characterological or Chronic Minor Depression (Dysthymic Disorder); and ‘Double Depression’. The literature indicates several factors predicting chronicity in primary major depression: more at risk are female patients, particularly those with premorbid neurotic personality traits, individuals with unipolar disorders, and those with higher familial loading for such disorders. Other factors are the adequacy and appropriateness of the treatment given, and the length of illness episode prior to treatment being received. Larger studies with well-matched controls are needed.Keywords
This publication has 69 references indexed in Scilit:
- The Importance of Dosage in Prescribing AntidepressantsThe British Journal of Psychiatry, 1985
- "Double depression": superimposition of acute depressive episodes on chronic depressive disordersAmerican Journal of Psychiatry, 1982
- Epidemiology of mental disorders in CamberwellPsychological Medicine, 1981
- Treatment-resistant or untreatable?Comprehensive Psychiatry, 1978
- A Study of Predictive Factors in Depressive Disorders of Poor OutcomeThe British Journal of Psychiatry, 1977
- The chronic depressive in the community: Unrecognized and poorly treatedComprehensive Psychiatry, 1977
- Depressão permanente e disritmia do lobo temporalArquivos de Neuro-Psiquiatria, 1976
- A Study of the Use of Antidepressant Medication in General PracticeThe British Journal of Psychiatry, 1974
- Treatment of Intractable DepressionInternational Pharmacopsychiatry, 1974
- RELATIONSHIP OF PATIENT BACKGROUND CHARACTERISTICS TO EFFICACY OF PHARMACOTHERAPY IN DEPRESSIONJournal of Nervous & Mental Disease, 1972