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Journal ArticleDOI

Characterological Depressions: Clinical and Sleep EEG Findings Separating 'Subaffective Dysthymias' From 'Character Spectrum Disorders'

TLDR
Early-onset characterological depressions are distinguished from late-ONSet chronic depressions that complicate the long-term course of unipolar and nonaffective illnesses.
Abstract
• Early-onset characterological depressions are distinguished from late-onset chronic depressions that complicate the longterm course of unipolar and nonaffective illnesses. In turn, characterological depressions are divisible into at least two subtypes: (1) "Subaffective dysthymias" have even sex distribution, are often complicated by superimposed depressive episodes, rapid eye movement latency is shortened, and they tend to respond to tricyclics or lithium carbonate. In brief, they share many features of primary affective illness. (2) "Character spectrum disorders," by contrast, represent a heterogeneous mixture of personality disorders with inconstant depressive features, are more common in women, are often complicated by alcohol and drug abuse, and outcome tends to be unfavorable.

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Citations
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Journal ArticleDOI

The dexamethasone suppression test for melancholia.

TL;DR: This review will focus on the most widely studied neuroendocrine disturbance: disinhibition of the hypothalamus-pituitary-adrenal cortex (HPA) system as revealed by the dexamethasone suppression test (DST).
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The emerging epidemiology of hypomania and bipolar II disorder.

TL;DR: The study suggests that recurrent brief hypomania belongs to the bipolar spectrum and should be verified on larger national cohorts in other epidemiological and clinical studies.
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Depressive Disorders in Childhood: I. A Longitudinal Prospective Study of Characteristics and Recovery

TL;DR: The characteristics and diagnostic validity of major depressive disorder, dysthymic disorder, and adjustment disorder with depressed mood were examined in a school-aged cohort and early age at onset predicted a more protracted illness.
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The evolving bipolar spectrum. Prototypes I, II, III, and IV.

TL;DR: This article argues for the necessity of a partial return to Kraepelin's broad concept of manic-depressive illness, and proposes definitions--and provides prototypical cases--to illustrate the rich clinical phenomenology of bipolar subtypes I through IV.
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Heterogeneity of Psychiatric Diagnosis in Treated Opiate Addicts

TL;DR: A survey evaluated current and lifetime rates of psychiatric disorders in 533 opiate addicts in treatment at a multimodality program, suggesting the importance of detecting and attending to psychopathology associated with opiate addiction.
References
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Journal ArticleDOI

Diagnostic criteria for use in psychiatric research.

TL;DR: Diagnostic criteria for 14 psychiatric illnesses along with the validating evidence for these diagnostic categories comes from workers outside the authors' group as well as from those within; it consists of studies of both outpatients and inpatients, of family studies, and of follow-up studies.
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Endogenomorphic depression. A conceptual and terminological revision.

TL;DR: This report reviews conflicts in delineating the phenomena of depression with an emphasis on the central criterion role of the symptomatic pattern of the nonprecipitated (endogenous) depression.
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Cyclothymic disorder: validating criteria for inclusion in the bipolar affective group.

TL;DR: The authors conclude that these findings provide evidence for a cyclothymic-bipolar spectrum.
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Treatment effects on the social adjustment of depressed patients.

TL;DR: The results support the value of weekly maintenance psychotherapy in recovering depressives and support the evidence for combined treatments for amitriptyline and psychotherapy.
Journal ArticleDOI

The nosological status of neurotic depression: a prospective three- to four-year follow-up examination in light of the primary-secondary and unipolar-bipolar dichotomies.

TL;DR: The data suggest the merits of a biaxial approach to the nosology of depressive disorders whereby phenomenologically based affective diagnoses are qualified as to the presence or absence of character disorder.
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