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Titolo:
GENERAL HEALTH, HEALTH-CARE UTILIZATION, AND MEDICAL COMORBIDITY IN DYSTHYMIA
Autore:
HOWLAND RH;
Indirizzi:
WESTERN PSYCHIAT INST CLIN,3811 OHARA ST PITTSBURGH PA 15213 UNIV PITTSBURGH,SCH MED PITTSBURGH PA 15261
Titolo Testata:
International journal of psychiatry in medicine
fascicolo: 3, volume: 23, anno: 1993,
pagine: 211 - 238
SICI:
0091-2174(1993)23:3<211:GHHUAM>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; CHRONIC FATIGUE SYNDROME; PAIN-PRONE DISORDER; LIFETIME PSYCHIATRIC DIAGNOSES; POSTSTROKE MOOD DISORDERS; DSM-III; MAJOR DEPRESSION; FOLLOW-UP; MULTIPLE-SCLEROSIS; ANTIDEPRESSANT TREATMENT;
Keywords:
DEPRESSION; DYSTHYMIA; CHRONIC DEPRESSION; MEDICAL COMORBIDITY; HYPOTHYROIDISM; SOMATOFORM DISORDERS; NEUROLOGICAL DISORDERS; ANTIDEPRESSANTS; PSYCHOTHERAPY;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Social Sciences Citation Index
Science Citation Index Expanded
Citazioni:
154
Recensione:
Indirizzi per estratti:
Citazione:
R.H. Howland, "GENERAL HEALTH, HEALTH-CARE UTILIZATION, AND MEDICAL COMORBIDITY IN DYSTHYMIA", International journal of psychiatry in medicine, 23(3), 1993, pp. 211-238

Abstract

This article reviews the literature on the general health, health care utilization, prevalence, medical comorbidity, and treatment of dysthymia in medical settings. Method: The literature was searched by usingMEDLINE and by reviewing the bibliographies of recent publications. Studies were selected that included health data on patients with dysthymia or chronic depression according to DSM-III, DSM-III-R, ICD-9, or RDC criteria, or patients who were described as having persistent depressive symptoms. Results: This review shows that dysthymic patients areat increased risk for poor general health and frequently use medical services. Compared to the general population, dysthymia is more prevalent in primary care and among patients with various medical and neurological conditions, sleep disorders, chronic fatigue, hypothyroidism, and somatoform disorders. Pharmacotherapy is effective, but has not been well studied. Non-tricyclic antidepressants might be especially useful. Psychotherapy studies are virtually nonexistent. Conclusions: Although dysthymia is considered a minor depressive condition, these findings show that it is a significant public health problem, comparable tomajor depression. Recent efforts to improve the recognition and treatment of major depression in medical settings, therefore, should be extended to include the entire spectrum of depressive disorders. Future studies should investigate the type and pattern of medical comorbidity and health care utilization, different antidepressant and psychosocialtherapies, and the clinical and biological correlates of treatment response in different chronic depressive subtypes in medical settings and compare them to major depressive and subsyndromal depressive conditions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/07/20 alle ore 08:08:48