Organizations and Individuals Providing Additional Scientific, Technical, and Administrative Support University of Texas Southwestern Medical Center, Dallas, Texas M. Trivedi, MD, Scientific Assistant to the Chair W. Hendrickse, MD, MRCP D. Savage Agency for Health Care K. McCormick, PhD, RN, C. Crofton, PhD G. Hernandez, RN V. Montgomery K. Pearson, RPh, MPH L. Williams Editorial Associates, Fast Word, Dallas, Texas MedStat Systems, Inc., Mikalix & Company, National Institute of Mental A. Leshner, PhD G. Norquist, MD, MSPH University of California University of Pittsburgh Washington Consulting Group, C.L. Smith Index A Acronyms, 99 Acute treatment, 101 Adequate treatment analysis, 101 clinical course and outcome of, 54 features of dysthymic disorder in, 3 Alcoholism. See also Substance abuse Alzheimer's disease, 40, 59 Amphetamines, 4, 37 Amphotericin B, 71 Anabolic steroids, 6, 69 Angiotensin I converting enzyme Anorexia, 49 Anti-infective agents, 67 Antiarrhythmics, 71 Antibiotics, 71 Anticancer agents, 67 depressive effects of, 70 to treat secondary bipolar disorders, Antidepressants. See also Tricyclic manic or hypomanic episodes precipitated by, 37 in patients with genetic disposition to to treat eating disorders, 49-50 to treat psychotic depression, 28 Antihypertensives, 11, 68-69 characteristics of, 29 chronic fatigue symptoms and, 64 B Bech-Rafaelsen Depression Scale, 77 Beta-adrenergic blocking agents, 68 genetic vulnerability for, 73-74 in DSM-III-R, 38 Bipolar disorders. See also Bipolar disorder; Cyclothymic disorder clinical features and course of, 4, 21, diagnosis of, 11, 20-21 description of, 2, 19 features of, 4, 36, 37 morbidity and mortality associated description of, 19 diagnosis of, 31 features of, 37 seasonal patterns in, 37 Blood level measurements, 83 C Calcium-channel blockers, 69 Cancer, 6, 56, 62-64 Carbamazepine, 70 Cardiovascular medications, 67 Center for Epidemiological Studies- Children dysthymic disorder in, 3, 33 depression in patients with, 58-59 coexisting with medical conditions, description of, 1, 12 differential diagnosis of, 7-8, 19-20, in geriatric patients, 4, 40, 41 patient self-report questionnaires to prevalence of, 1, 3-4, 10, 23-25 risk factors for, 1, 3, 5-7, 23, 73 social stigma associated with, 9, Depression Guideline Panel, 10, 12 interpretation of scientific literature literature reviews and guideline development in, 12-15 overview of, 9-10 Depression not otherwise specified clinical features and course of, 33-34, cost of untreated, 34-35 in geriatric patients, 40 Dexamethasone suppression test, 79, 81 Diagnostic and Statistical Manual of Mental Disorders, Third Edition, bereavement in, 53, 54 bipolar disorder not otherwise definition of depression in, 1, 12 major depressive disorder in, 18 clinical reassessment as critical Drug abuse, 46. See also Substance Dysthymic disorder clinical features and course of, 3, costs of untreated, 33 atypical features of, 27, 29 in children and adolescents, 39-40 conditions associated with, 17-19 diagnosis and treatment of, 11 DSM-III-R criteria for, 18 psychological tests to diagnose, 82 seasonal features of, 27, 29-30 treated as independent condition when Mania, 102 Manic episodes, 4, 35-38 Medical disorders. See also individual depressive symptoms in patients with, explanations for depression coexisting in geriatric patients, 40, 41 manic and hypomanic episodes relationship between major depressive treatment of major depressive disorder use of psychological tests for patients Medical Outcomes Study, 52 Medication. See also Antidepressants; individual medications causing or maintaining rapid cycling, depression associated with, 6, 11, for geriatric patients, 41 for patients with depression and panic characteristics and implications for, definition of, 103 Men alcoholism in, 45, 46 brief depressive disorder in, 34 course of depression in, 22 dysthymic disorder in, 32, 33 Millon Clinical Multiaxial Inventory, 82 Inventory (MMPI), 82 Minor depressive disorder, 33 Montgomery-Asberg Depression Rating Mood disorders. See also Depression; in children and adolescents, 39-40 features of, 9, 17-21 risk factors associated with, 5-6, social costs of, 9, 15-16, 24 Myocardial infarction, 61, 62 |