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      Psychoanalytic Versus Psychodynamic Therapy for Depression: A Three-Year Follow-Up Study

      , , ,
      Psychiatry: Interpersonal and Biological Processes
      Guilford Publications

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          Global burden of depressive disorders in the year 2000.

          The initial Global Burden of Disease study found that depression was the fourth leading cause of disease burden, accounting for 3.7% of total disability adjusted life years (DALYs) in the world in 1990. To present the new estimates of depression burden for the year 2000. DALYs for depressive disorders in each world region were calculated, based on new estimates of mortality, prevalence, incidence, average age at onset, duration and disability severity. Depression is the fourth leading cause of disease burden, accounting for 4.4% of total DALYs in the year 2000, and it causes the largest amount of non-fatal burden, accounting for almost 12% of all total years lived with disability worldwide. These data on the burden of depression worldwide represent a major public health problem that affects patients and society.
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            Population-based study of first onset and chronicity in major depressive disorder.

            There are no studies of the natural history of major depressive disorder that lack prevalence and clinic biases. To estimate risk factors for first lifetime onset and parameters of chronicity following the first episode, including duration, recovery, and recurrence, and to search for predictors of each parameter. Prospective population-based cohort study with 23 years of follow-up. East Baltimore, Maryland, an urban setting. Probability sample of 3481 adult household residents in 1981, including 92 with first lifetime onset of major depressive disorder during the course of the follow-up, and 1739 other participants followed up for at least 13 years. Diagnostic Interview Schedule and Life Chart Interview. Female participants showed higher risk of onset of disorder, longer duration of episodes, and a nonsignificant tendency for higher risk of recurrence. Sex was not related to recovery. The median episode length was 12 weeks. About 15% of 92 individuals with first episodes did not have a year free of episodes, even after 23 years. About 50% of first episode participants recovered and had no future episodes. The evolution of the course was relatively stable from first to later episodes. Individuals with 1 or 2 short alleles of the serotonin transporter gene were at higher risk for an initial episode, but experienced episodes of shorter duration. There were few strong predictors of recovery or recurrence. Major depressive disorder is unremitting in 15% of cases and recurrent in 35%. About half of those with a first-onset episode recover and have no further episodes.
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              Structural analysis of social behavior.

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                Author and article information

                Journal
                Psychiatry: Interpersonal and Biological Processes
                Psychiatry: Interpersonal and Biological Processes
                Guilford Publications
                0033-2747
                June 2013
                June 2013
                : 76
                : 2
                : 132-149
                Article
                10.1521/psyc.2013.76.2.132
                23631544
                2eeb06ec-dfdd-458d-94d4-8f5cc9ffc60a
                © 2013
                History

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