Clinical features of dysthymia and age: a clinical investigation

  title={Clinical features of dysthymia and age: a clinical investigation},
  author={Silvio Bellino and Luca Patria and Simona Ziero and Giuseppe Rocca and Filippo Bogetto},
  journal={Psychiatry Research},
A few authors have described the clinical picture of dysthymia in groups of elderly patients and pointed out differences from literature reports of dysthymia in younger adults. The present study, an attempt to analyze age effects on clinical characteristics of dysthymia throughout a lifetime, was performed in a sample of 106 patients, all aged > or =18 years, who were diagnosed according to DSM-IV. The patients were evaluated using: (1) a semistructured interview to assess clinical features… Expand
The impact of comorbid dysthymic disorder on outcome in personality disorders.
Baseline DD diagnosis was associated with persistence of PD diagnosis at 2 years, particularly for borderline and avoidant PDs, and comorbidity of DD is associated with worse outcome on many, but not all, measures of psychosocial functioning. Expand
The course of depressive symptoms in older adults with comorbid major depression and dysthymia.
Older patients with comorbid major depression and dysthymia have a less favorable trajectory of recovery compared with those with major depression alone. Expand
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Antidepressant use to be low in these relatively poor, community-dwelling, ethnically diverse older adults with dysthymia and minor depression in 2000 through 2003, with 36.22% of participants using antidepressants at baseline. Expand
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Is dysthymia a different disorder in the elderly?
Dysthymia is not uncommon among depressed elderly outpatients who present for treatment, and the DSM-III-R subtyping of dysthymic disorder into early/late onset and primary/secondary may not apply to the elderly. Expand
Recognition and Treatment of Dysthymia in Elderly Patients
Drug treatment of depressive conditions in the elderly is currently based on new antidepressants that have an improved adverse effect profile compared with some of the older agents, but no specific data are available concerning the psychotherapy of dysthymia in this age group. Expand
Dysthymia among the community‐dwelling elderly
Late life dysthymia is less associated with axes 1 and 2 comorbidity but is associated with significant degrees of physical impairment and interventions must be delivered at this level. Expand
The undertreatment of dysthymia.
Dysthymia and psychosocial outcomes improved with sertraline and imipramine treatment, and newer antidepressant agents may alter the potential for pharmacotherapy interventions in this vulnerable population. Expand
Dysthymia in community and clinical samples of older adults.
  • D. Blazer
  • Psychology, Medicine
  • The American journal of psychiatry
  • 1994
Findings should not be surprising to practicing psychiatrists, for it has often been observed that persons in the early stages of dementia of the Alzheimer's type experience a substantial depressed mood, a depression that may well respond to antidepres-sant therapy, but as the disorder progresses the mood disturbance is no longer an integral part of the dementia symptoms. Expand
The long-term outcome of dysthymia in private practice: clinical features, temperament, and the art of management.
It is submitted that SSRIs such as fluoxetine appear broadly efficacious in areas previously deemed to be the domain of formal psychotherapy, and 3 of 4 patients immersed in gloom for much of their lives achieved for the first time good to superior levels of functioning that were maintained for an average of 5 years. Expand
Personality disorders in elderly patients with dysthymic disorder.
  • D. Devanand, N. Turret, +5 authors S. Roose
  • Psychology, Medicine
  • The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2000
The current findings on personality disorders reinforce the view that DD in elderly patients is typically a different disorder from DD in young adults, and that young adults with DD have been shown consistently to have personality disorders at high frequency. Expand
Dysthymia in neurological disorders.
A World Health Organization meeting on dysthymia in neurological disorders was held in Geneva, 1-3 July 1996 to address this topic, providing direction and opportunity for future studies in the under-recognized and under-investigated relationship between dysthysymia and neurological disorders. Expand
The subaffective-character spectrum subtyping distinction in primary early-onset dysthymia: a clinical and family study.
Criteria for Akiskal's model were applied to a sample of 97 early-onset dysthymic outpatients, yielding groups of 41 subaffective and 56 character spectrum patients, which were consistent with the model but did not differ on gender, unstable personality disorders, family history of mood disorders, or the early home environment. Expand
The relationship of aging and dysthymia in primary care.
There appears to be a core of symptoms and functional impairment that generalizes across the age span and growing older appears to have an impact on the nature of what it means to have dysthymia. Expand