Department of Psychology, Stony Brook University.
Department of Psychiatry and Behavioral Health, Stony Brook University.
J Psychopathol Clin Sci. 2023 Aug;132(6):694-703. doi: 10.1037/abn0000826. Epub 2023 Jun 5.
Individuals with prolonged or frequent episodes account for a disproportionate share of the burden of depression. However, there are surprisingly few data on whether individuals at risk for developing chronic-intermittent depression (CID) as opposed to briefer, infrequent depressive episodes (time-limited depression [TLD]) can be distinguished before their first depressive episode. We followed a community sample of 465 never-depressed females on five occasions from age 14 to 20 years and examined whether 18 preonset clinical and psychosocial variables prospectively predicted CID. The CID group accounted for 40% of depressed cases but 84% of the cumulative time depressed in the sample. Participants with CID ( = 60) exhibited significantly higher preonset levels of 16 of the 18 risk factors than the never-depressed group ( = 315). The TLD group ( = 90) had significantly higher preonset levels of nine risk factors than never-depressed participants. Finally, the CID group had significantly higher levels of nine risk factors than the TLD group, five of which were similar in TLD and never-depressed participants. These findings indicate that differences between CID and TLD are evident before onset and suggest that the liability to CID may be both greater than, and somewhat different from, the liability to TLD. Moreover, they suggest that individuals at risk for a malignant course of depression can be targeted for prevention and early intervention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
患有持续性或频繁发作的个体在抑郁负担中所占比例不成比例。然而,令人惊讶的是,关于是否可以在首次抑郁发作之前区分出患有慢性间歇性抑郁(CID)而非更短暂、不频繁发作的抑郁(限时抑郁[TLD])的风险个体,数据却很少。我们对 465 名从未抑郁过的女性进行了五次随访,随访时间从 14 岁到 20 岁,研究了 18 个发病前的临床和社会心理变量是否可以预测 CID。CID 组占抑郁病例的 40%,但占样本中抑郁总时间的 84%。与从未抑郁过的组(n=315)相比,CID 组(n=60)在发病前的 18 个风险因素中有 16 个显著更高。TLD 组(n=90)在发病前的 9 个风险因素上显著高于从未抑郁过的参与者。最后,CID 组在 9 个风险因素上的水平明显高于 TLD 组,其中 5 个风险因素在 TLD 和从未抑郁过的参与者中是相似的。这些发现表明,CID 和 TLD 之间的差异在发病前就很明显,这表明 CID 的易感性可能大于且在某种程度上不同于 TLD。此外,它们表明,可以针对具有恶性抑郁病程风险的个体进行预防和早期干预。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。