TY - JOUR PY - 2003// TI - Recurrent brief depressive disorder reinvestigated: a community sample of adolescents and young adults JO - Psychological medicine A1 - Pezawas, L. A1 - Wittchen, Hans-Ulrich A1 - Pfister, H. A1 - Angst, J. A1 - Lieb, R. A1 - Kasper, S. SP - 407 EP - 418 VL - 33 IS - 3 N2 - BACKGROUND: This article presents prospective lower bound estimations of findings on prevalence, incidence, clinical correlates, severity markers, co-morbidity and course stability of threshold and subthreshold recurrent brief depressive disorder (RBD) and other mood disorders in a community sample of 3021 adolescents. METHOD: Data were collected at baseline (age 14-17) and at two follow-up interviews within an observation period of 42 months. Diagnostic assessment was based on the Munich Composite International Diagnostic Interview (M-CIDI). RESULTS: Our data suggest that RBD is a prevalent (2.6%) clinical condition among depressive disorders (21.3%) being at least as prevalent as dysthymia (2.3%) in young adults over lifetime. Furthermore, RBD is associated with significant clinical impairment sharing many features with major depressive disorder (MDD). Suicide attempts were reported in 7.8% of RBD patients, which was similar to MDD (11.9%). However, other features, like gender distribution or co-morbidity patterns, differ essentially from MDD. Furthermore, the lifetime co-occurrence of MDD and RBD or combined depression represents a severe psychiatric condition. CONCLUSIONS: This study provides further independent support for RBD as a clinically significant syndrome that could not be significantly explained as a prodrome or residual of major affective disorders.
Language: en
LA - en SN - 0033-2917 UR - http://dx.doi.org/ ID - ref1 ER -