Table Of ContentVOLUME
1
Depressive Disorders
Second Edition
WPA Series
Evidence and Experience in Psychiatry
DepressiveDisorders,SecondEdition.EditedbyMarioMajandNormanSartorius.
2002 John Wiley & Sons Ltd. ISBN: 0-470-84965-7
Other Titles in the WPA Series
Evidence and Experience in
Psychiatry
Volume 2—Schizophrenia, Second Edition
Mario Maj and Norman Sartorius
Volume 3—Dementia, Second Edition
Mario Maj and Norman Sartorius
Volume 4—Obsessive Compulsive Disorder,
Second Edition
Mario Maj, Norman Sartorius, Ahmed Okasha
and Joseph Zohar
Volume 5—Bipolar Disorder
Mario Maj, Hagop S. Akiskal, Juan Jose´ Lo´pez-Ibor
and Norman Sartorius
VOLUME
1
Depressive Disorders
Second Edition
Editedby
Mario Maj
UniversityofNaples,Italy
Norman Sartorius
UniversityofGeneva,Switzerland
WPA Series
Evidence and Experience in Psychiatry
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Contents
ListofReviewContributors xiii
Preface xv
CHAPTER1 DIAGNOSISOFDEPRESSIVEDISORDERS 1
DiagnosisofDepressiveDisorders:AReview 1
C.N.StefanisandN.C.Stefanis
COMMENTARIES
1.1 MuchDiversity,ManyCategories,NoEntities 52
R.E.Kendell
1.2 CategoricalandDimensionalPerspectives
ofDepression 54
J.Angst
1.3 ModelsofClassificationofDepressiveDisorders 57
P.Pichot
1.4 FlawsofCurrentDiagnosisofDepression 59
H.M.vanPraag
1.5 ApproachestoDiagnosingDepression,andthe
ReciprocalRelationshiptoDepressionResearch 63
R.J.BolandandM.B.Keller
1.6 ThePracticalImportanceofTemporalSequencing
andSecondaryDepression 65
W.Coryell
1.7 Depression:theComplexityofitsInterfacewith
SoftBipolarity 68
H.S.Akiskal
1.8 ContextualizingtheDiagnosisofDepression 71
J.E.MezzichandM.R.Jorge
1.9 Age,LossandtheDiagnosticBoundaries
ofDepression 73
S.Zisook
vi CONTENTS
1.10 DepressionAmongElderlyandPostpartum
Women 75
P.S.F.YipandD.T.S.Lee
1.11 Self-ratingDepressionScales:Some
MethodologicalIssues 77
T.Kitamura
1.12 UnderdiagnosisofDepression:ItsImpact
ontheCommunity 79
A.Okasha
1.13 LimitedOptionsonDiagnosingDepression 82
S.K.Chaturvedi
1.14 DiagnosisofDepressiveDisorders:Taxonomical
SystemsandClinicalPractice 83
A.A.OteroOjeda
1.15 TheIdentificationofDiagnosticSubtypesof
DepressiveDisorders 85
N.Kornetov
CHAPTER2 PHARMACOLOGICALTREATMENTOF
DEPRESSIVEDISORDERS 89
PharmacologicalTreatmentofDepressive
Disorders:AReview 89
P.Bech
COMMENTARIES
2.1 Antidepressants:FortyYearsofExperience 129
E.S.Paykel
2.2 TargetingAntidepressantTreatment:TheEvidence
isWeak 131
C.Thompson
2.3 TheSelectionoftheAntidepressantinClinical
Practice 133
S.H.Preskorn
2.4 GenderandAntidepressantResponse 135
A.F.SchatzbergandS.G.Kornstein
2.5 ValidityofAtypicalDepression:Evidence
ProvidedbyPharmacologicalDissection 138
F.M.Quitkin
2.6 IncreasingOurUnderstandingoftheWorking
MechanismofAntidepressants 140
J.A.denBoer
CONTENTS vii
2.7 AretheFirstGenerationMonoamineReuptake
InhibitorsStillNeededintheTreatmentofMajor
DepressiveEpisode? 142
A.Gjerris
2.8 AntidepressantsinBroaderContext 144
C.Ho¨schl
2.9 AntidepressantsforBetterQualityofLife 146
S.Kasper
2.10 WouldRationalPolypharmacyImproveQuality
ofLife? 148
S.K.Chaturvedi
2.11 ComplianceIssuesandtheEfficacyof
Antidepressants 150
K.Demyttenaere
2.12 TheParallelNeedforMedicine-basedEvidence 152
D.S.Baldwin
2.13 WhatisaLotofAntidepressantsforsoFew
CriteriaofChoice? 155
F.Rouillon
2.14 DepressionanditsTreatment:aGeneral
HealthProblem 157
A.Okasha
2.15 AntidepressantDrugs:TheIndianExperience 159
R.SrinivasaMurthy
CHAPTER3 PSYCHOTHERAPIESFORDEPRESSIVE
DISORDERS 161
PsychotherapiesforDepressiveDisorders:
AReview 161
A.J.RushandM.E.Thase
COMMENTARIES
3.1 LatestDevelopmentsinPsychotherapy
forDepression 207
M.M.Weissman
3.2 IndicationsandPlanningofPsychotherapies:
‘‘MuchAdoaboutNothing’’? 209
B.E.Wampold
3.3 TheStateofAntidepressantPsychotherapy:
GrowingStrengths,StillUnansweredQuestions 212
J.C.Markowitz
viii CONTENTS
3.4 ResearchonHot-housePsychotherapy 214
T.B.Karasu
3.5 PsychotherapyforDepression:AreAdditional
ControlledTrialsStillWarranted? 216
C.Perris
3.6 Depression:TheEvidenceforWhatWorksand
WhatDoesn’t 219
J.S.McIntyre
3.7 PsychotherapyofDepression:Research
andPractice 221
R.Michels
3.8 Nosologyvs.PersonalityDirectedPsychotherapy
andtheGapBetweenResearchandPractice 223
C.Mundt
3.9 TheSequentialUseofPharmacotherapyand
PsychotherapyinDepressiveDisorders 226
G.A.Fava
3.10 IntegratingPsychotherapiesinClinical
Practice 228
R.Mac´ıas
3.11 BuildingontheFoundations:WhereNextin
TherapeuticOutcomeResearch? 230
J.C.Nemiah
CHAPTER4 DEPRESSIVEDISORDERSINCHILDRENAND
ADOLESCENTS 233
DepressiveDisordersinChildrenand
Adolescents:AReview 233
R.Harrington
COMMENTARIES
4.1 TowardsanUnderstandingofEarlyOnset
Depression 267
J.F.Leckman
4.2 DepressionInYouth:TrendsinDiagnosis 269
S.V.Faraone
4.3 DepressiveDisordersinChildhoodand
Adolescence:StateoftheArt 271
P.M.Lewinsohn
4.4 ‘‘Atleastintheformseeninadults.’’A
CommentaryonMajorDepressiveDisorder
inYouth 273
G.A.Carlson
CONTENTS ix
4.5 The‘‘Atypicality’’ofDepressioninYouth 276
J.BiedermanandT.Spencer
4.6 HowtheStudyofEarlyOnsetDepression
ChallengesUstoProduceaNewParadigmfor
UnderstandingMoodDisorders 278
S.P.Kutcher
4.7 AdultandChildhoodDepressionsMayinFactbe
DifferentIllnesses 281
A.A.Rosenfeld
4.8 TakingStockandMovingon:CurrentIssuesand
ChallengesConcerningChildandAdolescent
DepressiveDisorders 283
C.A.King
4.9 IncreasingAwarenessofDepressiveDisordersin
Childhood:ImplicationsforWorldChildand
AdolescentMentalHealth 286
J.A.Corbett
4.10 SomeUnsolvedProblemsinChildhood
Depression:AClinician’sView 289
H.Remschmidt
4.11 ChildhoodDepression:SomeUnresolvedResearch
Questions 292
E.Fombonne
4.12 ResearchTrendsinDepressiveDisorders
ofYouth 295
B.Vitiello
4.13 TheNatureofFirstEpisodeMajorDepressionin
ChildhoodandAdolescence 297
I.Goodyer
4.14 ClinicalUpdateofChildandAdolescent
Depression 299
S.Tyano
4.15 TreatmentControversiesinChildhoodDepression 302
C.M.Borchardt
4.16 PsychotherapyforChildhoodDepression 304
I.Kolvin,J.Trowell,J.Tsiantis,F.Almqvistand
H.Sadowski
4.17 RoleofNeurobiologicalandGeneticFactorsin
TreatmentofChildhoodDepression 306
B.Geller
4.18 DepressionintheFamily 309
R.Todd
x CONTENTS
CHAPTER5 DEPRESSIVEDISORDERSINTHEELDERLY 313
DepressiveDisordersintheElderly:AReview 313
E.Chiu,D.Ames,B.DraperandJ.Snowdon
COMMENTARIES
5.1 DepressioninOlderAge:DiagnosticProblems,
NewKnowledgeandNeglectedAreas 364
J.R.M.Copeland
5.2 DepressionintheElderlyisUnderdiagnosed;
EtiologyisMultifactorial 366
C.G.Gottfries
5.3 DepressionintheElderly:IssuesinDiagnosis
andManagement 369
D.L.Dunner
5.4 DepressiveDisordersintheElderly:AFresh
Perspective 371
M.Nowers
5.5 DepressionintheElderly:AreasOpento
Research 373
C.Ballard
5.6 FillingintheGapsaboutDepressionintheElderly 376
D.Blazer
5.7 AClinicalPointofViewaboutDepression
intheElderly 377
J.Wertheimer
5.8 GeriatricDepression:ALooktotheFuture 379
C.F.ReynoldsIII
5.9 DepressioninLateLife:DirectionsforIntervention
Research 382
B.D.Lebowitz
5.10 TreatmentofDepressioninthe‘‘Old-old’’ 384
S.H.Preskorn
5.11 SuggestedPrioritiesforResearchintoDepressive
DisordersintheElderly 386
P.W.Burvill
5.12 ComorbidityofDepressioninOlderPeople 388
C.Katona
5.13 MythorRealityofOldAgeDepression:The
ExampleofTaiwanStudies 390
M.-Y.Chong
5.14 DepressionintheElderly:Predictorsand
PrognosticFactors 392
S.-L.Kivela¨