Women are affected about twice as likely as men and have a younger average age of onset (cf. Marcus 2005 ) . The reason for this is unknown.
About half of all patients report a family history of affective disorders. The positive family history appears to be correlated with an earlier age of onset, a longer duration of disease, an increased risk for the occurrence of generalized anxiety disorder, and of suicide attempts. The remission rate does not differ from those with no positive family history (cf. Hussain 2009 , Nierenberg 2007 , Zisook 2007 ) .
Patients with subclinical hypothyroidism (underactive thyroid) have a significantly increased lifetime risk (50%) for developing a depressive disorder.
© Sandra Elze, M.D. & Michael Elze, M.D.
Prien am Chiemsee / Rosenheim, www.Dr-Elze.de
References
Depressive Disorders: Risk Factors
Husain MM, Rush AJ, Wisniewski SR, McClintock SM, Fava M, Nierenberg AA, Davis L, Balasubramani GK, Young E, Albala AA, Trivedi MH (2009). Family history of depression and therapeutic outcome: findings from STAR*D. J Clin Psychiatry 70(2): 185-95.
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Marcus SM, Young EA, Kerber KB, Kornstein S, Farabaugh AH, Mitchell J, Wisniewski SR, Balasubramani GK, Trivedi MH, Rush AJ (2005). Gender differences in depression: findings from the STAR*D study. J Affect Disord 87(2-3): 141-50.
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Nierenberg AA, Trivedi MH, Fava M, Biggs MM, Shores-Wilson K, Wisniewski SR, Balasubramani GK, Rush AJ (2007). Family history of mood disorder and characteristics of major depressive disorder: a STAR*D (sequenced treatment alternatives to relieve depression) study. J Psychiatr Res 41(3-4): 214-21.
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Zisook S, Rush AJ, Lesser I, Wisniewski SR, Trivedi M, Husain MM, Balasubramani GK, Alpert JE, Fava M (2007). Preadult onset vs. adult onset of major depressive disorder: a replication study. Acta Psychiatr Scand 115(3):196-205.
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Depressive Disorders: Guidelines
American Psychiatric Association - APA (2003). Practice Guideline for the assessment and treatment of patients with suicidal behaviors. Arlington: APPI.
Full text (pdf) >>
American Psychiatric Association - APA (2010). Practice Guideline for the treatment of patients with major depressive disorder. 3rd edition. Arlington: APPI.
Full text (pdf) >>
DGPPN, BÄK, KBV, AWMF, AkdÄ, BPtK, BApK, DAGSHG, DEGAM, DGPM, DGPs, DGRW (Hrsg) für die Leitliniengruppe Unipolare Depression (2015). S3-Leitlinie/Nationale VersorgungsLeitlinie Unipolare Depression. 2. Auflage. Berlin, Düsseldorf: DGPPN, ÄZQ, AWMF.
Full text (pdf) >>
National Institute for Health an Clinical Excellence - NICE (2010). Depression - The treatment and management of depression in adults. National Clinical Practice Guideline 90. London: British Psychological Society, The Royal College of Psychiatrists.
Full text >>
National Institute for Health an Clinical Excellence - NICE (2003). Guidance on the use of electroconvulsive therapy. Technology Appraisal Guideline 59. London: NICE.
Full text (pdf) >>
Dr. Sandra Elze & Dr. Michael Elze
© Sandra Elze, M.D. & Michael Elze, M.D.
Prien am Chiemsee / Rosenheim, www.Dr-Elze.de