Symptom-based subtypes of depression and their psychosocial correlates: A person-centered approach focusing on the influence of sex
Carregando...
Citações na Scopus
54
Tipo de produção
article
Data de publicação
2014
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE BV
Autores
RODGERS, Stephanie
HOLTFORTH, Martin Grosse
MUELLER, Mario
HENGARTNER, Michael P.
ROESSLER, Wulf
AJDACIC-GROSS, Vladeta
Citação
JOURNAL OF AFFECTIVE DISORDERS, v.156, p.92-103, 2014
Resumo
Background: Reducing the complexity of major depressive disorder by symptom-based subtypes constitutes the basis of more specific treatments. To date, few studies have empirically derived symptom subtypes separated by sex, although the impact of sex has been widely accepted in depression research. Methods: The community-based sample included 373 males and 443 females from the Zurich Program for Sustainable Development of Mental Health Services (ZInEP) manifesting depressive symptoms in the past 12 months. Latent Class Analysis ([CA) was performed separately by sex to extract sex-related depression subtypes. The subtypes were characterized by psychosocial characteristics. Results: Three similar subtypes were found in both sexes: a severe typical subtype (males: 22.8%; females: 35.7%), a severe atypical subtype (males: 17.4%; females: 22.6%), and a moderate subtype (males: 25.2%; females: 41.8%). In males, two additional subgroups were identified: a severe irritable/angry-rejection sensitive (IARS) subtype (30%) comprising the largest group, and a small psychomotor retarded subtype (4%). Males belonging to the severe typical subtype exhibited the lowest masculine gender role orientation, while females of the typical subtype showed more anxiety disorders. The severe atypical subtype was associated with eating disorders in both sexes and with alcohol/drug abuse/dependence in females. In contrast, alcohol/drug abuse/dependence was associated with the severe IARS subtype in males. Limitations: The study had a cross-sectional design, allowing for no causal inferences. Conclusions: This study contributes to a better understanding of sex-related depression subtypes, which can be well distinguished on the basis of symptom profiles. This provides the base for future research investigating the etiopathogenesis and effective treatment of the heterogeneous depression disorder.
Palavras-chave
Depression, Subtypes, Sex, Epidemiology, Latent class analysis
Referências
- Ajdacic-Gross V., 2013, INT J METHODS PSYCHI
- AKAIKE H, 1987, PSYCHOMETRIKA, V52, P317, DOI 10.1007/BF02294359
- Alexandrino-Silva C, 2013, J AFFECT DISORDERS, V147, P355, DOI 10.1016/j.jad.2012.11.041
- Angst J, 2006, EUR ARCH PSY CLIN N, V256, P44, DOI 10.1007/s00406-005-0600-z
- Angst J, 2011, ARCH GEN PSYCHIAT, V68, P791, DOI 10.1001/archgenpsychiatry.2011.87
- Angst J, 2002, EUR ARCH PSY CLIN N, V252, P201, DOI 10.1007/s00406-002-0381-6
- Angst J, 2002, J AFFECT DISORDERS, V72, P125, DOI 10.1016/S0165-0327(02)00169-6
- Angst J, 2007, ACTA PSYCHIAT SCAND, V115, P72, DOI 10.1111/j.1600-0447.2007.00965.x
- Angst J, 2005, EPIDEMIOL PSICHIAT S, V14, P68
- ANGST J, 1984, EUR ARCH PSY CLIN N, V234, P13, DOI 10.1007/BF00432878
- APA, 2013, AMERICAN PSYCHIATRIC
- APA, 1987, AMERICAN PSYCHIATRIC
- APA, 2000, AMERICAN PSYCHIATRIC
- Baumeister H, 2012, J AFFECT DISORDERS, V139, P126, DOI 10.1016/J.JAD.2011.07.015
- Bech P, 2001, DEPRESSION SOCIAL EC, P63
- BECK AT, 1961, ARCH GEN PSYCHIAT, V4, P561
- Benazzi F, 1999, PSYCHIAT RES, V86, P259, DOI 10.1016/S0165-1781(99)00035-9
- BEM SL, 1977, J CONSULT CLIN PSYCH, V45, P196, DOI 10.1037//0022-006X.45.2.196
- BLASHFIELD RK, 1999, OXF TEXT CLIN PSY, V4, P3
- Carragher N, 2009, J AFFECT DISORDERS, V113, P88, DOI 10.1016/j.jad.2008.05.015
- Carter J D, 1999, Depress Anxiety, V9, P49, DOI 10.1002/(SICI)1520-6394(1999)9:2<49::AID-DA1>3.0.CO;2-U
- CLAYTON PJ, 1991, AM J PSYCHIAT, V148, P1512
- Cochran S.V., 2000, MEN AND DEPRESSION C
- Crum RM, 2005, DRUG ALCOHOL DEPEN, V79, P71, DOI 10.1016/j.drugalcdep.2005.01.001
- Derogatis L. R., 1977, SYMPTOM CHECKLIST 90
- Doering S, 2007, Z PSYCHOSOM MED PSYC, V53, P111
- EATON WW, 1989, BRIT J PSYCHIAT, V155, P48, DOI 10.1192/bjp.155.1.48
- Fava M, 1996, J AFFECT DISORDERS, V38, P129, DOI 10.1016/0165-0327(96)00004-3
- Halbreich U, 2007, J AFFECT DISORDERS, V102, P245, DOI 10.1016/j.jad.2006.09.023
- HAMILTON M, 1960, J NEUROL NEUROSUR PS, V23, P56, DOI 10.1136/jnnp.23.1.56
- Hardt J, 2004, PSYCHOTHER PSYCH MED, V54, P214, DOI 10.1055/s-2003-814786
- Helgeson V.S., 2005, THE PSYCHOLOGY OF GE
- Hildebrandt MG, 2003, PSYCHOPATHOLOGY, V36, P204, DOI 10.1159/000072791
- Innamorati M, 2011, J AFFECT DISORDERS, V132, P99, DOI 10.1016/j.jad.2011.02.003
- Kendler KS, 1996, ARCH GEN PSYCHIAT, V53, P391
- KESSLER RC, 1993, J AFFECT DISORDERS, V29, P85, DOI 10.1016/0165-0327(93)90026-G
- Kessler RC, 2003, J AFFECT DISORDERS, V74, P5, DOI 10.1016/S0165-0327(02)00426-3
- KESSLER RC, 1994, ARCH GEN PSYCHIAT, V51, P8
- Kornstein SG, 2000, J AFFECT DISORDERS, V60, P1, DOI 10.1016/S0165-0327(99)00158-5
- Lamers F, 2012, PSYCHOL MED, V42, P2083, DOI 10.1017/S0033291712000141
- Lamers F, 2012, BRIT J PSYCHIAT, V201, P143, DOI 10.1192/bjp.bp.111.098079
- Lamers F, 2010, J CLIN PSYCHIAT, V71, P1582, DOI 10.4088/JCP.09m05398blu
- Leimkuhler AMM, 2007, J AFFECT DISORDERS, V98, P65, DOI 10.1016/j.jad.2006.07.007
- Leventhal AM, 2008, PSYCHIAT RES, V161, P43, DOI 10.1016/j.psychres.2007.10.014
- Levitan RD, 1997, AM J PSYCHIAT, V154, P934
- Lo YT, 2001, BIOMETRIKA, V88, P767, DOI 10.1093/biomet/88.3.767
- Lubke GH, 2005, PSYCHOL METHODS, V10, P21, DOI 10.1037/1082-989X.10.1.21
- Magovcevic M, 2008, PSYCHOL MEN MASCULIN, V9, P117, DOI 10.1037/1524-9220.9.3.117
- MAJ M, 1990, ACTA PSYCHIAT SCAND, V82, P439, DOI 10.1111/j.1600-0447.1990.tb03075.x
- Marcotte D, 1999, SEX ROLES, V41, P31, DOI 10.1023/A:1018833607815
- Matza LS, 2003, ARCH GEN PSYCHIAT, V60, P817, DOI 10.1001/archpsyc.60.8.817
- McKay D, 2004, CLIN PSYCHOL REV, V24, P283, DOI 10.1016/j.cpr.2004.04.003
- Moller Leimkuhler A.M., 2004, J AFFECT DISORDERS, V80, P87
- Moller Leimkuhler A.M., 2010, J AFFECT DISORDERS, V121, P22
- Muthen B., 2004, HDB QUANTITATIVE MET, P345, DOI 10.4135/9781412986311.N19
- Muthen L. K., 1998, MPLUS USERS GUIDE
- Nylund KL, 2007, STRUCT EQU MODELING, V14, P535
- Perugi G, 1998, COMPR PSYCHIAT, V39, P63, DOI 10.1016/S0010-440X(98)90080-3
- Probst JC, 2006, FAM MED, V38, P653
- Riecher-Rossler A, 2010, EUR PSYCHIAT, V25, P189, DOI 10.1016/j.eurpsy.2009.03.002
- ROBINS E, 1970, AM J PSYCHIAT, V126, P983
- Rodgers S., 2013, EUR ARCH PSYCHIATRY
- Rossler W, 2007, SCHIZOPHR RES, V92, P1, DOI 10.1016/j.schres.2007.01.002
- Rush AJ, 2007, J CLIN PSYCHIAT, V68, P4
- Rush AJ, 2005, J AFFECT DISORDERS, V87, P43, DOI 10.1016/j.jad.2005.03.005
- Rutz W, 1999, INT CLIN PSYCHOPHARM, V14, pS27, DOI 10.1097/00004850-199906003-00005
- RUTZ W, 1995, LANCET, V345, P524, DOI 10.1016/S0140-6736(95)90622-3
- Rutz W, 1997, Int J Psychiatry Clin Pract, V1, P39, DOI 10.3109/13651509709069204
- Schneider-Duker M., 1988, DIAGNOSTICA, V34, P227
- Schotte CKW, 2004, J PERS DISORD, V18, P405, DOI 10.1521/pedi.18.4.405.40348
- Schotte C.K.W., 1994, ADP IV QUESTIONNAIRE
- SCHWARZ G, 1978, ANN STAT, V6, P461, DOI 10.1214/aos/1176344136
- SCLOVE SL, 1987, PSYCHOMETRIKA, V52, P333, DOI 10.1007/BF02294360
- Silverstein B, 2006, PSYCHIAT RES, V144, P87, DOI 10.1016/j.psychres.2006.02.008
- Silverstein B, 2002, AM J PSYCHIAT, V159, P1051, DOI 10.1176/appi.ajp.159.6.1051
- Silverstein B, 1999, AM J PSYCHIAT, V156, P480
- Sobin C, 1997, AM J PSYCHIAT, V154, P4
- Sullivan PF, 1998, AM J PSYCHIAT, V155, P1398
- Sullivan PF, 2002, J AFFECT DISORDERS, V68, P273, DOI 10.1016/S0165-0327(00)00364-5
- van der Waerden JEB, 2011, J AFFECT DISORDERS, V128, P10, DOI 10.1016/j.jad.2010.02.137
- VUONG QH, 1989, ECONOMETRICA, V57, P307, DOI 10.2307/1912557
- Walinder J, 2001, INT CLIN PSYCHOPHARM, V16, pS21
- WEISSMAN MM, 1977, ARCH GEN PSYCHIAT, V34, P98
- Wide J, 2011, CAN FAM PHYSICIAN, V57, pE74
- Williams J. E., 1982, MEASURING SEX STEREO
- World Health Organization WHO, 1992, THE ICD 10 CLASSIFIC
- Xiang YT, 2012, PLOS ONE, V7, DOI 10.1371/journal.pone.0039840
- Zierau F, 2002, NORD J PSYCHIAT, V56, P265, DOI 10.1080/08039480260242750