Clinical differences between melancholic and nonmelancholic depression as defined by the CORE system

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art_CALDIERARO_Clinical_differences_between_melancholic_and_nonmelancholic_depression_as_2013.PDF (166.59 KB)
Citações na Scopus
37
Tipo de produção
article
Data de publicação
2013
Editora
W B SAUNDERS CO-ELSEVIER INC
DOI
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Scopus
Web of Science
PubMed
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ISSN da Revista
Título do Volume
Autores
CALDIERARO, Marco Antonio Knob
BAEZA, Fernanda Lucia Capitanio
PINHEIRO, Diesa Oliveira
RIBEIRO, Mariana Rangel
PARKER, Gordon
Autor de Grupo de pesquisa
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Citação
COMPREHENSIVE PSYCHIATRY, v.54, n.1, p.11-15, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: The definition and delineation of melancholia have remained elusive for an extended period. A longstanding signal of psychomotor disturbance has been operationalized via the observer-rated CORE measure and with CORE-assigned melancholic and nonmelancholic compared in several Australian studies. Replication studies in other regions have not previously been reported. This study compares Brazilian patients with melancholic and nonmelancholic depression according to the CORE measure of psychomotor disturbance in terms of clinical characteristics, suicide ideation, stressful life events, quality of life, parental care, and personality styles. Methods: A total of 181 patients with unipolar major depression attending a tertiary care outpatient service in Brazil were evaluated in relation to melancholic status and study variables. Results: The CORE-assigned melancholic patients presented higher symptom severity, greater prevalence of suicide ideation, and Axis I comorbidities than nonmelancholics. Scores of dysfunctional personality styles and dysfunctional parental care measures were also higher among melancholics. Quality-of-life scores were low in both groups. Limitations: The absence of a criterion standard for the diagnosis of melancholia and the use of medication can be potential limitations of the study. Conclusion: Differences suggest that CORE-assigned melancholia defines a distinct group of patients and probably a disorder distinct from nonmelancholic depression not only in quantitative but also in qualitative aspects.
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URI
https://observatorio.fm.usp.br/handle/OPI/7753
Referências
  1. Amorim Patricia, 2000, Revista Brasileira de Psiquiatria, V22, P106
  2. Baeza FLC, 2010, REV BRAS PSIQUIATR, V32, P159, DOI 10.1590/S1516-44462010000200011
  3. Berlim MT, 2004, J NERV MENT DIS, V192, P792, DOI 10.1097/01.nmd.0000144700.97769.06
  4. Berlim MT, 2005, QUAL LIFE RES, V14, P561, DOI 10.1007/s11136-004-4694-y
  5. Berlim MT, 2008, PSYCHIAT RES, V160, P364, DOI 10.1016/j.psychres.2007.07.024
  6. BLACK DW, 1988, J AFFECT DISORDERS, V14, P115, DOI 10.1016/0165-0327(88)90053-5
  7. Carter JD, 2010, J AFFECT DISORDERS, V124, P202, DOI 10.1016/j.jad.2009.11.011
  8. Carter JD, 1999, J AFFECT DISORDERS, V54, P29, DOI 10.1016/S0165-0327(98)00132-3
  9. Coryell W, 2007, ACTA PSYCHIAT SCAND, V115, P31, DOI 10.1111/j.1600-0447.2007.00960.x
  10. Cruz LN, 2010, SOC PSYCH PSYCH EPID, V45, P953, DOI 10.1007/s00127-009-0141-2
  11. Enns MW, 2000, J AFFECT DISORDERS, V60, P33, DOI 10.1016/S0165-0327(99)00156-1
  12. Fleck MPA, 2000, REV SAUDE PUBL, V34, P178, DOI 10.1590/S0034-89102000000200012
  13. Fountoulakis KN, 2006, PSYCHIAT RES, V143, P235, DOI 10.1016/j.psychres.2005.09.018
  14. Fountoulakis KN, 2004, NEUROPSYCHOBIOLOGY, V49, P42, DOI 10.1159/000075338
  15. Gorenstein C., 1998, REV PSIQUIATRIA CLIN, V25, P245
  16. GOTLIB IH, 1988, BRIT J PSYCHIAT, V152, P24, DOI 10.1192/bjp.152.1.24
  17. Grunebaum MF, 2004, BRIT J PSYCHIAT, V184, P534, DOI 10.1192/bjp.184.6.534
  18. HAMILTON M, 1967, BRIT J SOC CLIN PSYC, V6, P278
  19. Hasin DS, 2005, ARCH GEN PSYCHIAT, V62, P1097, DOI 10.1001/archpsyc.62.10.1097
  20. Joyce PR, 2002, AUST NZ J PSYCHIAT, V36, P376, DOI 10.1046/j.1440-1614.2001.01025.x
  21. Kohn Y, 2001, COMPR PSYCHIAT, V42, P57, DOI 10.1053/comp.2001.19753
  22. Leventhal AM, 2005, CLIN PSYCHOL REV, V25, P25, DOI 10.1016/j.cpr.2004.09.001
  23. Parker G, 1998, J AFFECT DISORDERS, V47, P131, DOI 10.1016/S0165-0327(97)00133-X
  24. Parker G, 2007, ACTA PSYCHIAT SCAND, V115, P21, DOI 10.1111/j.1600-0447.2007.00959.x
  25. Parker G, 1999, AUST NZ J PSYCHIAT, V33, P874, DOI 10.1046/j.1440-1614.1999.00648.x
  26. Parker G, 2006, PSYCHOL MED, V36, P1131, DOI 10.1017/S0033291706007562
  27. Parker G, 2001, J CLIN PSYCHIAT, V62, P117
  28. Parker G, 1996, MELANCHOLIA DISORDER
  29. Parker G, 1997, PSYCHOL MED, V27, P1193, DOI 10.1017/S003329179700545X
  30. Parker G, 2000, AM J PSYCHIAT, V157, P1195, DOI 10.1176/appi.ajp.157.8.1195
  31. Parker G, 2005, PSYCHOL MED, V35, P467, DOI 10.1017/S0033291704004210
  32. Parker Gordon, 2009, Rev Bras Psiquiatr, V31 Suppl 1, pS3, DOI 10.1590/S1516-44462009000500002
  33. Parker G, 1998, AUST NZ J PSYCHIAT, V32, P104, DOI 10.3109/00048679809062716
  34. Roth M, 2001, J AFFECT DISORDERS, V64, P1
  35. Rubino IA, 2009, AUST NZ J PSYCHIAT, V43, P145, DOI 10.1080/00048670802607204
  36. RUSH AJ, 1994, AM J PSYCHIAT, V151, P489
  37. Shorter E, 2007, ACTA PSYCHIAT SCAND, V115, P5, DOI 10.1111/j.1600-0447.2007.00957.x
  38. Whiffen VE, 2003, J NERV MENT DIS, V191, P358, DOI 10.1097/01.NMD.0000071583.32879.CC
  39. Wild D, 2005, VALUE HEALTH, V8, P94, DOI 10.1111/j.1524-4733.2005.04054.x

Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - ODS/03