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Dysthymia in Clinical Practice

  • Hagop S. Akiskal (a1), Jorge Alberto Costa e Silva (a2), Allen Frances (a3), Hugh L. Freeman (a4), Martin B. Keller (a5), Yvon D. Lapierre (a6), Juan José Lopez Ibor (a7), Eugene S. Paykel (a8), Max Stabl (a9) and The WPA Dysthymia Working Group...
Abstract
Background

Dysthymia has been reconceptualised in recent years from a personality disorder to a chronic affective disorder. It is incorporated into both the DSM and ICD diagnostic systems. Method. The members of the WPA Dysthymia Working Group combined the results of their manual literature searches with a search using Medline.

 Results

Available data are summarised under the headings of classification, epidemiology, validity, comorbidity, course and outcome, pharmacotherapy and psychotherapy. The coexistence of major depressive disorder, constituting ‘double depression’ is of particular importance.

 Conclusions

Improved knowledge of this disorder has led to a more positive approach to treatment, in which antidepressants can usefully be complemented by psychosocial measures. A high proportion of cases remain unrecognised in most populations, leading to prolonged morbidity and distress, much of which is now treatable.
Copyright
COPYRIGHT: © 1995 The Royal College of Psychiatrists 
Corresponding author
Professor H. L. Freeman, 21 Montagu Square, London W1H 1RE
Footnotes
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1.

Members of the WPA Dysthymia Working Group: Hagop S. Akiskal (USA), Jorge A. Costa e Silva (Chair) (Brazil), Allen Frances (USA), Hugh L. Freeman (UK), Martin B. Keller (USA), Yvon D. Lapierre (Canada), Juan José Lopez Ibor Jr (Spain), Eugene S. Paykel (UK), Max Stabl (Switzerland).

Footnotes
References
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  • Cited by 36
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    Hoffmann, Sven Olaf 2003. Die neurotische Depression - Eine Krankheit ohne Diagnose oder eine Diagnose ohne Glossar?/ Neurotic depression – a disease without a diagnosis or a diagnosis without a glossary?. Zeitschrift für Psychosomatische Medizin und Psychotherapie, Vol. 49, Issue. 4, p. 346.
    Silva de Lima, Mauricio and Hotopf, Matthew 2003. Pharmacotherapy for dysthymia. Cochrane Database of Systematic Reviews,
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Dysthymia in Clinical Practice

  • Hagop S. Akiskal (a1), Jorge Alberto Costa e Silva (a2), Allen Frances (a3), Hugh L. Freeman (a4), Martin B. Keller (a5), Yvon D. Lapierre (a6), Juan José Lopez Ibor (a7), Eugene S. Paykel (a8), Max Stabl (a9) and The WPA Dysthymia Working Group...
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