Epidemiologic evidence concerning the bereavement exclusion in major depression-reply.

Epidemiologic Evidence Concerning the Bereavement Exclusion in Major Depression

Bereavement-related depressive episodes: characteristics, 3-year course, and implications for the DSM-5.

CONTEXT The DSM-IV criteria for major depressive episodes exclude brief episodes that are better accounted for by bereavement. However, a proposal has been made to remove this exclusion from the DSM-5. OBJECTIVES To compare the demographic and psychiatric characteristics of participants with bereavement-related, single, brief (<2 months) depressive episodes and other types of depressive episo...

Extending the bereavement exclusion for major depression to other losses: evidence from the National Comorbidity Survey.

CONTEXT Symptoms of intense bereavement-related sadness may resemble those of major depressive disorder (MDD) but may not indicate a mental disorder. To avert false-positive diagnoses, DSM criteria for MDD exclude uncomplicated bereavement of brief duration and modest severity. However, the DSM does not similarly exempt depressive reactions to other losses, even when they are uncomplicated in d...

Enhanced primary care may encourage remission in depression.

Participants Participants were 211 adults beginning a new treatment episode for major depression in primary care (DSMIII-R criteria). Mean age 43 years; 84% women; 84% white. Exclusion criteria were pregnancy; postpartum period; life threatening physical illness; cognitive impairment; treatment resistant depression, bereavement; mania; alcohol dependence; no access to a telephone, and no plans ...

Ongoing primary care intervention increased remission and emotional and physical role functioning in major depression.

Patients 211 patients (mean age 43 y, 85% women) with major depression (defined as reporting ≥ 5 of 9 criteria for major depression listed in the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition revised) who where identified after screening during routine visits to primary care practices. Exclusion criteria included bereavement, mania, alcohol dependence, pregnancy or postpart...