TY - JOUR PY - 2014// TI - The mistreatment of major depressive disorder JO - Canadian journal of psychiatry, The A1 - Paris, Joel SP - 148 EP - 151 VL - 59 IS - 3 N2 - OBJECTIVE: To examine the effects of classification on treatment in major depressive disorder (MDD).

METHOD: This is a narrative review.

RESULTS: MDD is a highly heterogeneous category, leading to problems in classification and in specificity of treatment. Current models classify all depressions within a single category. However, the construct of MDD obscures important differences between severe disorders that require pharmacotherapy, and mild-to-moderate disorders that can respond to psychotherapy or remit spontaneously. Patients with mild-to-moderate MDD are being treated with routine or overly aggressive pharmacotherapy.

CONCLUSIONS: The current classification fails to address the heterogeneity of depression, leading to mistreatment.

Language: en

LA - en SN - 0706-7437 UR - http://dx.doi.org/ ID - ref1 ER -