Depressive Disorders


From Chapter 1 "Depression, like many other mental disorders, is characterised by the presence of a number of symptoms which are changeable over time." Among these symptoms are a depressed mood and a loss of interest; physical and cognitive changes may also occur. Because of difficulties in diagnosis (and varied criteria) only estimates in the global number of cases of depression can be made. Some estimates put it in front of chronic heart disease as a health problem and cause of death.

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Somerset, New Jersey, U.S.A. 1999 Hardcover New 0471999059. 490 pages--FLAWLESS COPY, AVOID WEEKS OF DELAY ELSEWHERE. ----DESCRIPTION: Takes a unique and highly informative ... approach to key issues surrounding depressive disorders. The six systematic reviews, written by outstanding authors, focus on topics such as the choice and duration of drug treatment and the cost of depressive disorders. They are accompanied by commentaries giving advice from clinicians of different orientations and countries. This volume: * Gives the best available evicence to enable well-informed clinical decision-making * Covers developments in diagnosis, therapy, prognosis, economic evaluation and quality improvement * Summarises the 'evidence' and the 'experience' providing an unbiased and reliable reference point * Comprehensively itemises and evaluates the relevant points It provides insights that will prove invaluable to psychiatrists, psychologists, mental health nurses, managers and policy makers. Read more Show Less

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From Chapter 1 "Depression, like many other mental disorders, is characterised by the presence of a number of symptoms which are changeable over time." Among these symptoms are a depressed mood and a loss of interest; physical and cognitive changes may also occur. Because of difficulties in diagnosis (and varied criteria) only estimates in the global number of cases of depression can be made. Some estimates put it in front of chronic heart disease as a health problem and cause of death.

" diagnostic process & criteria; special populations; "soft polarity;" treatment modalities, child onset; and costs."

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Editorial Reviews

From the Publisher
“The editors should be commended for commissioning separate chapters on young and old people.” (International Psychogeriatrics Vol.16.No.2 2004)
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Product Details

Table of Contents

List of Review Contributors
Diagnosis of Depressive Disorders: A Review 1
Much Diversity, Many Categories, No Entities 52
Categorical and Dimensional Perspectives of Depression 54
Models of Classification of Depressive Disorders 57
Flaws of Current Diagnosis of Depression 59
Approaches to Diagnosing Depression, and the Reciprocal Relationship to Depression Research 63
The Practical Importance of Temporal Sequencing and Secondary Depression 65
Depression: the Complexity of its Interface with Soft Bipolarity 68
Contextualizing the Diagnosis of Depression 71
Age, Loss and the Diagnostic Boundaries of Depression 73
Depression Among Elderly and Postpartum Women 75
Self-rating Depression Scales: Some Methodological Issues 77
Underdiagnosis of Depression: Its Impact on the Community 79
Limited Options on Diagnosing Depression 82
Diagnosis of Depressive Disorders: Taxonomical Systems and Clinical Practice 83
The Identification of Diagnostic Subtypes of Depressive Disorders 85
Pharmacological Treatment of Depressive Disorders: A Review 89
Antidepressants: Forty Years of Experience 129
Targeting Antidepressant Treatment: The Evidence is Weak 131
The Selection of the Antidepressant in Clinical Practice 133
Gender and Antidepressant Response 135
Validity of Atypical Depression: Evidence Provided by Pharmacological Dissection 138
Increasing Our Understanding of the Working Mechanism of Antidepressants 140
Are the First Generation Monoamine Reuptake Inhibitors Still Needed in the Treatment of Major Depressive Episode? 142
Antidepressants in Broader Context 144
Antidepressants for Better Quality of Life 146
Would Rational Polypharmacy Improve Quality of Life? 148
Compliance Issues and the Efficacy of Antidepressants 150
The Parallel Need for Medicine-based Evidence 152
What is a Lot of Antidepressants for so Few Criteria of Choice? 155
Depression and its Treatment: a General Health Problem 157
Antidepressant Drugs: The Indian Experience 159
Psychotherapies for Depressive Disorders: A Review 161
Latest Developments in Psychotherapy for Depression 207
Indications and Planning of Psychotherapies: "Much Ado about Nothing"? 209
The State of Antidepressant Psychotherapy: Growing Strengths, Still Unanswered Questions 212
Research on Hot-house Psychotherapy 214
Psychotherapy for Depression: Are Additional Controlled Trials Still Warranted? 216
Depression: The Evidence for What Works and What Doesn't 219
Psychotherapy of Depression: Research and Practice 221
Nosology vs. Personality Directed Psychotherapy and the Gap Between Research and Practice 223
The Sequential Use of Pharmacotherapy and Psychotherapy in Depressive Disorders 226
Integrating Psychotherapies in Clinical Practice 228
Building on the Foundations: Where Next in Therapeutic Outcome Research? 230
Depressive Disorders in Children and Adolescents: A Review 233
Towards an Understanding of Early Onset Depression 267
Depression In Youth: Trends in Diagnosis 269
Depressive Disorders in Childhood and Adolescence: State of the Art 271
"At least in the form seen in adults." A Commentary on Major Depressive Disorder in Youth 273
The "Atypicality" of Depression in Youth 276
How the Study of Early Onset Depression Challenges Us to Produce a New Paradigm for Understanding Mood Disorders 278
Adult and Childhood Depressions May in Fact be Different Illnesses 281
Taking Stock and Moving on: Current Issues and Challenges Concerning Child and Adolescent Depressive Disorders 283
Increasing Awareness of Depressive Disorders in Childhood: Implications for World Child and Adolescent Mental Health 286
Some Unsolved Problems in Childhood Depression: A Clinician's View 289
Childhood Depression: Some Unresolved Research Questions 292
Research Trends in Depressive Disorders of Youth 295
The Nature of First Episode Major Depression in Childhood and Adolescence 297
Clinical Update of Child and Adolescent Depression 299
Treatment Controversies in Childhood Depression 302
Psychotherapy for Childhood Depression 304
Role of Neurobiological and Genetic Factors in Treatment of Childhood Depression 306
Depression in the Family 309
Depressive Disorders in the Elderly: A Review 313
Depression in Older Age: Diagnostic Problems, New Knowledge and Neglected Areas 364
Depression in the Elderly is Underdiagnosed; Etiology is Multifactorial 365
Depression in the Elderly: Issues in Diagnosis and Management 369
Depressive Disorders in the Elderly: A Fresh Perspective 371
Depression in the Elderly: Areas Open to Research 373
Filling in the Gaps about Depression in the Elderly 375
A Clinical Point of View about Depression in the Elderly 377
Geriatric Depression: A Look to the Future 379
Depression in Late Life: Directions for Intervention Research 382
Treatment of Depression in the "Old-old" 384
Suggested Priorities for Research into Depressive Disorders in the Elderly 386
Comorbidity of Depression in Older People 388
Myth or Reality of Old Age Depression: The Example of Taiwan Studies 390
Depression in the Elderly: Predictors and Prognostic Factors 392
Risk and Protective Factors in Elderly Depression 394
Depression in Elderly Chinese 396
Suicide in Old Age 398
Costs of Depressive Disorders: A Review 401
Economics of Depression and its Treatment: Why Are We So Interested? 450
Economic Evidence and Policy Decisions 452
Cost-effectiveness of Treatment for Depression: Methods and Policies 456
Costs of Treating Depression: Policy Should Be Evidence-based 459
Economic Costs and Benefits of Depression Treatment from Naturalistic Studies 461
Compliance: Another Factor in Estimating the Cost of Depression 463
Capturing the Cost of Depressive Disorders in the Natural Laboratory of the Workplace 465
Depression Management: No Longer At All Costs 468
Limitations to Cost Assessments of Depressive Disorders 470
Understanding the Economic Implications of Depression 472
The Burden of Depression and the Importance of Educational Programmes 474
Therapy of Depression Means Less Cost Than What is Otherwise Lost 476
Economic Aspects of Depression: the Experience of Developing Countries 478
Acknowledgements for the First Edition 481
Index 483
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