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Irritable mood in adult major depressive disorder: results from the world mental health surveys

dc.creatorKovess-Masfety, Viviane
dc.creatorAlonso, Jordi
dc.creatorAngermeyer, Matthias
dc.creatorBromet, Evelyn
dc.creatorDe Girolamo, Giovanni
dc.creatorDe Jonge, Peter
dc.creatorDemyttenaere, Koen
dc.creatorFlorescu, Silvia E.
dc.creatorGruber, Michael J.
dc.creatorGureje, Oye
dc.creatorHu, Chiyi
dc.creatorHuang, Yueqin
dc.creatorKaram, Elie G.
dc.creatorJin, Robert
dc.creatorLépine, Jean-Pierre
dc.creatorLevinson, Daphna
dc.creatorMcLaughlin, Katie A.
dc.creatorMedina-Mora, María E.
dc.creatorO’Neill, Siobhan
dc.creatorOno, Yutaka
dc.creatorPosada-Villa, José A.
dc.creatorSampson, Nancy A.
dc.creatorScott, Kate M.
dc.creatorShahly, Victoria
dc.creatorStein, Dan J.
dc.creatorViana, Maria C.
dc.creatorZarkov, Zahari
dc.creatorKessler, Ronald C.
dc.date.accessioned2017-06-29T03:55:27Z
dc.date.available2017-06-29T03:55:27Z
dc.date.issued2013es_ES
dc.identifier2784es_ES
dc.identifier.issn1091-4269es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4633
dc.identifier.urihttps://doi.org/10.1002/da.22033es_ES
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117370/es_ES
dc.description.abstractes_ES
dc.language.isoenges_ES
dc.publisherNew York, NY : Wileyes_ES
dc.relation30 (4) 395-406 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAgedes_ES
dc.subject.meshCross-Sectional Studieses_ES
dc.subject.meshDepressive Disorder, Major/diagnosises_ES
dc.subject.meshDepressive Disorder, Major/epidemiologyes_ES
dc.subject.meshDepressive Disorder, Major/psychologyes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHealth Surveyses_ES
dc.subject.meshHumanses_ES
dc.subject.meshInterview, Psychologicales_ES
dc.subject.meshIrritable Moodes_ES
dc.subject.meshMalees_ES
dc.subject.meshMiddle Agedes_ES
dc.subject.meshYoung Adultes_ES
dc.titleIrritable mood in adult major depressive disorder: results from the world mental health surveyses_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationUniversité Paris Descartes & EHESP School for Public Health Department of Epidemiology, Paris, Francees_ES
dc.contributor.emailviviane.kovess@ehesp.fres_ES
dc.relation.jnabreviadoDEPRESS ANXIETYes_ES
dc.relation.journalDepression and Anxietyes_ES
dc.identifier.placeEstados Unidoses_ES
dc.date.published2013es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1520-6394es_ES
dc.identifier.doi10.1002/da.22033es_ES
dc.description.monthMayes_ES
dc.description.abstractotrodiomaBackground—Although irritability is a core symptom of DSM-IV major depressive disorder (MDD) for youth but not adults, clinical studies find comparable rates of irritability between nonbipolar depressed adults and youth. Including irritability as a core symptom of adult MDD would allow detection of depression-equivalent syndromes with primary irritability hypothesized to be more common among males than females. We carried out a preliminary examination of this issue using cross-national community-based survey data from 21 countries in the World Mental Health (WMH) Surveys (n = 110,729). Methods—The assessment of MDD in the WHO Composite International Diagnostic Interview includes one question about persistent irritability. We examined two expansions of the definition of MDD involving this question: (1) cases with dysphoria and/or anhedonia and exactly four of nine Criterion A symptoms plus irritability; and (2) cases with two or more weeks of irritability plus four or more other Criterion A MDD symptoms in the absence of dysphoria or anhedonia. Results—Adding irritability as a tenth Criterion A symptom increased lifetime prevalence by 0.4% (from 11.2 to 11.6%). Adding episodes of persistent irritability increased prevalence by an additional 0.2%. Proportional prevalence increases were significantly higher, but nonetheless small, among males compared to females. Rates of severe role impairment were significantly lower among respondents with this irritable depression who did not meet conventional DSM-IV criteria than those with DSM-IV MDD. Conclusion—Although limited by the superficial assessment in this single question on irritability, results do not support expanding adult MDD criteria to include irritable mood.es_ES
dc.subject.meshmes_ES
dc.subject.kwes_ES
dc.subject.koEpidemiologyes_ES
dc.subject.koDepressiones_ES
dc.subject.koMood disorderses_ES
dc.subject.koAssessment/diagnosises_ES
dc.subject.koMeasurement/psychometricses_ES
dc.subject.koIrritabilityes_ES
dc.subject.koMajor depressiones_ES
dc.subject.koNosologyes_ES
dc.subject.koWorld mental health (WMH) surveyses_ES


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