World Library  
Flag as Inappropriate
Email this Article

Melancholic depression

Article Id: WHEBN0030846934
Reproduction Date:

Title: Melancholic depression  
Author: World Heritage Encyclopedia
Language: English
Subject: Mood disorder, Bipolar disorder, Major depressive disorder, Major depressive episode, Mania
Collection:
Publisher: World Heritage Encyclopedia
Publication
Date:
 

Melancholic depression

Melancholic depression, or depression with melancholic features, is a DSM-IV subtype of clinical depression requiring at least one of the following symptoms:

  • Anhedonia (the inability to find pleasure in positive things)
  • Lack of mood reactivity (i.e. mood does not improve in response to positive events)

And at least three of the following:

  • Depression that is subjectively different from grief or loss
  • Severe weight loss or loss of appetite
  • Psychomotor agitation or retardation
  • Early morning awakening
  • Guilt that is excessive
  • Worse mood in the morning

Melancholic features apply to an episode of depression that occurs as part of either major depressive disorder or bipolar disorder I or II.[1]

Melancholic depression is often considered to be a biologically based and particularly severe form of depression.[2] Treatment involves antidepressants, electroconvulsive therapy, or other empirically supported treatments such as cognitive behavioral therapy and interpersonal therapy for depression.[3] A 2008 analysis of a large study of patients with unipolar major depression found a rate of 23.5% for melancholic features.[2] It was the first form of depression extensively studied, and many of the early symptom checklists for depression reflect this. The incidence of melancholic depression has been found to increase when the temperature and/or sunlight are low.[4] According to the DSM-IV, the "melancholic features" specifier may be applied to the following only:

  1. Major depressive episode, single episode
  2. Major depressive episode, recurrent episode
  3. Bipolar I disorder, most recent episode depressed
  4. Bipolar II disorder, most recent episode depressed

Causes

The causes of melancholic-type major depressive disorder are believed to be mostly due to biological factors; some may have inherited the disorder from their parents. Sometimes stressful situations can trigger episodes of melancholic depression, though this is a contributing cause rather than a necessary or sufficient cause. It has also been found that melancholic symptoms are common in people who suffer from bipolar I disorder and may often be present in people with bipolar II disorder. People with psychotic symptoms are also thought to be more susceptible to this disorder. It is frequent in old age and often unnoticed by some physicians who perceive the symptoms to be a part of dementia. Major depressive disorder, melancholic or otherwise, is a separate condition that can be comorbid with dementia in the elderly.[5]

See also

References

  1. ^ Diagnostic and Statistical Manual of Mental Disorders - Text Revision. Arlington VA: American Psychiatric Publishing. 2008. pp. 419–420.  
  2. ^ a b McGrath, Patrick; Ashan Khan, Madhukar Trivedi, Jonathan Stewart, David W Morris, Stephen Wisniewski, Sachiko Miyahara, Andrew Nierenberg, Maurizio Fava, John Rush, (2008). "Response to a Selective Serotonin Reuptake Inhibitor (Citalopram) in Major Depressive Disorder with Melancholic Features: A STAR*D Report". Journal of Clinical Psychiatry 69: 1847–1855.  
  3. ^ Luty, Suzanne; Carter, Janet; McKenzie, Janice (2007). "Randomised controlled trial of interpersonal psychotherapy and cognitive-behavioural therapy for depression". The British Journal of Psychiatry 190: 496–502.  
  4. ^ Radua, Joaquim; Pertusa, Alberto; Cardoner, Narcis (28 February 2010). "Climatic relationships with specific clinical subtypes of depression". Psychiatry Research 175 (3): 217–220.  
  5. ^ Pekker, Michael. "Clinical Depression: Symptoms and Treatments". Retrieved 12 October 2011. 
This article was sourced from Creative Commons Attribution-ShareAlike License; additional terms may apply. World Heritage Encyclopedia content is assembled from numerous content providers, Open Access Publishing, and in compliance with The Fair Access to Science and Technology Research Act (FASTR), Wikimedia Foundation, Inc., Public Library of Science, The Encyclopedia of Life, Open Book Publishers (OBP), PubMed, U.S. National Library of Medicine, National Center for Biotechnology Information, U.S. National Library of Medicine, National Institutes of Health (NIH), U.S. Department of Health & Human Services, and USA.gov, which sources content from all federal, state, local, tribal, and territorial government publication portals (.gov, .mil, .edu). Funding for USA.gov and content contributors is made possible from the U.S. Congress, E-Government Act of 2002.
 
Crowd sourced content that is contributed to World Heritage Encyclopedia is peer reviewed and edited by our editorial staff to ensure quality scholarly research articles.
 
By using this site, you agree to the Terms of Use and Privacy Policy. World Heritage Encyclopedia™ is a registered trademark of the World Public Library Association, a non-profit organization.
 


Copyright © World Library Foundation. All rights reserved. eBooks from Project Gutenberg are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.