A comparison of the clinical characteristics of Chinese patients with recurrent major depressive disorder with and without dysthymia

被引:12
|
作者
Sang, Wenhua [1 ]
Li, Yihan [2 ]
Su, Liang [3 ]
Yang, Fuzhong [4 ]
Wu, Wenyuan [5 ]
Shang, Xiaofang [6 ]
Zhang, Guanghua [7 ]
Shen, Jianhua [8 ]
Sun, Mengmeng [9 ]
Guo, Liyang [10 ]
Li, Zheng [11 ]
Yan, Lijuan [12 ]
Zhang, Bo [13 ]
Wang, Gang [14 ]
Liu, Guo [15 ]
Liu, Tiebang [16 ]
Zhang, Jinbei [17 ]
Wang, Yanfang [18 ]
Yu, Bin [19 ]
Pan, Jiyang [20 ]
Li, Yi [21 ]
Hu, Chunmei [22 ]
Yang, Lijun [23 ]
Huang, Yongjin [24 ]
Xie, Shoufu [25 ,26 ]
Wang, Xueyi [27 ]
Liu, Jiannin [28 ]
Lv, Luxian [29 ]
Chen, Yunchun [30 ]
Zhang, Lina [31 ]
Dang, Yamei [32 ]
Shi, Shenxun [3 ,4 ]
Chen, Yiping [33 ]
Kendler, Kenneth S. [34 ]
Flint, Jonathan [2 ]
Li, Keqing [1 ]
机构
[1] Hebei Mental Hlth Ctr, Baoding 071000, Hebei, Peoples R China
[2] Wellcome Trust Ctr Human Genet, Oxford OX3 7BN, England
[3] Fudan Univ, Huashan Hosp, Shanghai 200040, Peoples R China
[4] Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Shanghai 200030, Peoples R China
[5] Shanghai Tongji Univ, Tongji Hosp, Shanghai 200065, Peoples R China
[6] Nanjing Brain Hosp, Nanjing 210029, Jiang Su, Peoples R China
[7] Jiangsu Univ, Affiliated Hosp 4, Zhenjiang 212001, Jiang Su, Peoples R China
[8] Tianjin Anding Hosp, Tianjin 300074, Peoples R China
[9] Shandong Mental Hlth Ctr, Jinan 250014, Shan Dong, Peoples R China
[10] Xi An Jiao Tong Univ, Hosp 1, Coll Med, Xian 710061, Shaan Xi, Peoples R China
[11] Zhengzhou Univ, Hosp 1, Zhengzhou 450052, He Nan, Peoples R China
[12] Harbin Med Univ, Mental Hlth Ctr 1, Haerbin, Heilongjiang, Peoples R China
[13] Sichuan Univ, Mental Hlth Ctr, W China Hosp, Chengdu 610041, Si Chuan, Peoples R China
[14] Capital Med Univ, Beijing Anding Hosp, Beijing 100088, Peoples R China
[15] China Med Univ, Shengjing Hosp, Shenyang 100004, Liaoning, Peoples R China
[16] Shenzhen Kangning Hosp, Shenzhen 518020, Peoples R China
[17] Zhongshan Univ, Affiliated Hosp 3, Guangzhou 510630, Guangdong, Peoples R China
[18] Shanxi Med Univ, Hosp 1, Taiyuan, Shanxi, Peoples R China
[19] Mental Hosp Jiangxi Prov, Nanchang 330029, Jiangxi, Peoples R China
[20] Jinan Univ, Affiliated Hosp 1, Guangzhou 510630, Guangdong, Peoples R China
[21] Wuhan Mental Hlth Ctr, Wuhan 430022, Peoples R China
[22] 3 Hosp Heilongjiang Prov, Beian, Heilongjiang, Peoples R China
[23] Jilin Brain Hosp, Siping 136000, Jilin, Peoples R China
[24] China Med Univ, Hosp 1, Shenyang 110001, Peoples R China
[25] Dalian 7 Peoples Hosp, Dalian, Peoples R China
[26] Dalian Mental Hlth Ctr, Dalian, Peoples R China
[27] Hebei Med Univ, Hosp 1, Shijiazhuang 050031, Peoples R China
[28] Lanzhou Univ, Lanzhou Univ Hosp 2, Clin Med Coll 2, Lanzhou 730030, Gansu, Peoples R China
[29] Psychiat Hosp Henan Prov, Xin Xiang, Henan, Peoples R China
[30] Fourth Mil Med Univ, Xijing Hosp, Xian 710032, Shaanxi, Peoples R China
[31] 4 Peoples Hosp Liaocheng, Liaocheng 252000, Shandong, Peoples R China
[32] Guangzhou Psychiat Hosp, Guangzhou Brain Hosp, Guangzhou 510370, Guangdong, Peoples R China
[33] Clin Trial Serv Unit, Oxford OX3 7LF, England
[34] Virginia Commonwealth Univ, Dept Psychiat, Virginia Inst Psychiat & Behav Genet, Richmond, VA 23298 USA
基金
英国惠康基金;
关键词
Major depressive disorder; Dysthymia; Symptom; Comorbidity; EARLY-ONSET DYSTHYMIA; PERSONALITY-DISORDERS; COMORBIDITY; PREVALENCE; MOOD;
D O I
10.1016/j.jad.2011.06.051
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: The relationship between major depressive disorder (MDD) and dysthymia, a form of chronic depression, is complex. The two conditions are highly comorbid and it is unclear whether they are two separate disease entities. We investigated the extent to which patients with dysthymia superimposed on major depression can be distinguished from those with recurrent MDD. Methods: We examined the clinical features in 1970 Han Chinese women with MDD (DSM-IV) between 30 and 60 years of age across China. Logistic regression was used to determine the association between clinical features of MOD and dysthymia and between dysthymia and disorders comorbid with major depression. Results: The 354 cases with dysthymia had more severe MOD than those without, with more episodes of MDD and greater co-morbidity for anxiety disorders. Patients with dysthymia had higher neuroticism scores and were more likely to have a family history of MDD. They were also more likely to have suffered serious life events. Limitations: Results were obtained in a clinically ascertained sample of Chinese women and may not generalize to community-acquired samples or to other populations. It is not possible to determine whether the associations represent causal relationships. Conclusions: The additional diagnosis of dysthymia in Chinese women with recurrent MOD defines a meaningful and potentially important subtype. We conclude that in some circumstances it is possible to distinguish double depression from recurrent MDD. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:106 / 110
页数:5
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