Atypical depression
| Subclass of | mood disorder, disease  |
|---|---|
| Health specialty | psychiatry |
| Symptoms and signs | hypersomnia, paralysis |
| ICD-9-CM | 296.82 |
Atypical depression be defined insyd de DSM-IV as depression wey dey share chaw of de typical symptoms of major depressive disorder anaa dysthymia, buh e be characterized by improved mood in response to positive events. In contrast to those plus atypical depression, people plus melancholic depression generally no dey experience an improved mood in response to normally pleasurable events. Atypical depression sanso often dey feature significant weight gain anaa an increased appetite, hypersomnia, a heavy sensation insyd de limbs, den interpersonal rejection sensitivity wey dey result in significant social anaa occupational impairment.[1]
Despite ein name, "atypical" depression no dey mean e be uncommon anaa unusual.[2] De reason for ein name be twofold: na e be identified plus ein "unique" symptoms subsequent to de identification of melancholic depression den ein responses to de two different classes of antidepressants wey na dem be available at de time wey be different from melancholic depression (i.e., na MAOIs get clinically significant benefits for atypical depression, while na tricyclic antidepressants no get).[3]
Atypical depression be four times more common insyd females dan insyd males.[4] Individuals plus features of atypical depression tend to report an earlier age of onset (e.g., while insyd high school) of dema depressive episodes. Dese episodes tend to be more chronic dan those of major depressive disorder[5] wey e get partial remission per between episodes. Younger individuals fi be more likely to have atypical features, whereas older individuals fi more often get episodes plus melancholic features.[1] Atypical depression get high comorbidity plus anxiety disorders, dey carry more risk of suicidal behavior, wey e get distinct personality psychopathology den biological traits.[5] Atypical depression be more common insyd individuals plus bipolar I,[5] bipolar II,[5][6] cyclothymia,[5] anaa seasonal affective disorder.[1] Depressive episodes insyd bipolar disorder tend to have atypical features,[5] as depression do plus seasonal patterns.[7]
References
[edit | edit source]- 1 2 3 American Psychiatric Association. (2000). Mood Disorders. In Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.) Washington, DC: Author.
- ↑ "Atypical depression". Mayo Clinic. Retrieved 2013-06-23.
- ↑ Cristancho M (2012-11-20). "Atypical Depression in the 21st Century: Diagnostic and Treatment Issues". Psychiatric Times. Psychiatric Times Vol 28 No 1. 28 (1). Archived from the original on 2013-12-02. Retrieved 23 November 2013.
- ↑ Łojko D, Rybakowski JK (2017). "Atypical depression: current perspectives". Neuropsychiatric Disease and Treatment. 13: 2447–2456. doi:10.2147/NDT.S147317. PMC 5614762. PMID 29033570.
- 1 2 3 4 5 6 Singh, Tanvir; Williams, Kristi (April 2006). "Atypical depression". Psychiatry (Edgmont (Pa.: Township)). 3 (4): 33–39. ISSN 1550-5952. PMC 2990566. PMID 21103169.
- ↑ Perugi G, Akiskal HS, Lattanzi L, Cecconi D, Mastrocinque C, Patronelli A, et al. (1998). "The high prevalence of "soft" bipolar (II) features in atypical depression". Comprehensive Psychiatry. 39 (2): 63–71. doi:10.1016/S0010-440X(98)90080-3. PMID 9515190.
- ↑ Juruena MF, Cleare AJ (May 2007). "[Overlap between atypical depression, seasonal affective disorder and chronic fatigue syndrome]" [Overlap between atypical depression, seasonal affective disorder and chronic fatigue syndrome]. Revista Brasileira de Psiquiatria (in Portuguese). 29 (Suppl 1): S19 – S26. doi:10.1590/S1516-44462007000500005. PMID 17546343.
External links
[edit | edit source]
- Stewart JW, Quitkin FM, McGrath PJ, Klein DF (June 2005). "Defining the boundaries of atypical depression: evidence from the HPA axis supports course of illness distinctions". Journal of Affective Disorders. 86 (2–3): 161–167. doi:10.1016/j.jad.2005.01.009. PMID 15935235.