Characteristics of Autonomous Depression
作者:
J CRAIG NELSON,
DENNIS CHARNEY,
DONALD QUINLAN,
期刊:
The Journal of Nervous and Mental Disease
(OVID Available online 1980)
卷期:
Volume 168,
issue 11
页码: 637-643
ISSN:0022-3018
年代: 1980
出版商: OVID
数据来源: OVID
摘要:
The records of 172 depressed inpatients were examined retrospectively to determine the presenting symptoms, history of stress, clinical course, and personality features characteristic of patients whose depressive syndrome had become autonomous. The autonomous distinction was based on observation of a lack of responsiveness of the syndrome to environmental events during the first week of hospitalization prior to drug treatment. The autonomous criterion was selected since it is a central characteristic of recent psychobiological models of depression and it could be operationally defined, reliably rated, and assessed independently of other patient characteristics. Sixty-eight autonomous patients were identified and compared with 104 patients who were responsive to hospitalization. The characteristics of the autonomous patients are discussed in relation to the previous literature, other diagnostic systems, and the criteria proposed for the diagnosis of melancholia in DSM-III
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