Subthreshold depression based on functional impairment better defined by symptom severity than by number of DSM-IV symptoms

Journal of Affective Disorders

Volumn 123, Issue 1-3, 2010, Pages 230-237

  Karsten, J ^a   Hartman, C A ^a   Ormel, J ^a   Nolen, W A ^a   Penninx, B W J H ^a,b,c  

^a UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

^b UNIVERSITY OF AMSTERDAM   (Netherlands)

^c LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Affective disorders; Classification; Clinical significance; Disability; Functional impairment; Subthreshold depression

Indexed keywords

ADULT; AGE; AGORAPHOBIA; ANXIETY DISORDER; ARTICLE; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISEASE SEVERITY; EDUCATION; FEMALE; FUNCTIONAL ASSESSMENT; GENDER; HUMAN; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MALE; MENTAL DISEASE; MENTAL HEALTH; PANIC; PRIORITY JOURNAL; QUESTIONNAIRE; SOCIAL PHOBIA; SOCIOECONOMICS;

ADULT; ANXIETY DISORDERS; COMORBIDITY; DEPRESSIVE DISORDER; DEPRESSIVE DISORDER, MAJOR; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISABILITY EVALUATION; FEMALE; HEALTH STATUS; HUMANS; INTERVIEW, PSYCHOLOGICAL; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; NETHERLANDS; YOUNG ADULT;

EID: 77952106778     PISSN: 01650327     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jad.2009.10.013     Document Type: Article

References (31)

1. Altshuler L.L., Post R.M., and Black D.O. Subsyndromal depressive symptoms are associated with functional impairment in patients with bipolar disorder: results of a large, multisite study. J. Clin. Psychiatry 67 10 (2006) 1551-1560
2. Angst J., and Merikangas K. The depressive spectrum: diagnostic classification and course. J. Affect. Disord. 45 1 (1997) 31-40
3. Ansseau M., Fischler B., Dierick M., Albert A., Leyman S., and Mignon A. Socioeconomic correlates of generalized anxiety disorder and major depression in primary care: the GADIS II study (Generalized Anxiety and Depression Impact Survey II). Depress. Anxiety 25 (2008) 506-513
4. APA. Diagnostic and Statistical Manual of Mental Disorders (1994), American Psychiatric Association, Washington, DC (DSM-IV)
5. Backenstrass M., Frank A., Joest K., Hingmann S., Mundt C., and Kronmüller K. A comparative study of nonspecific depressive symptoms and minor depression regarding functional impairment and associated characteristics in primary care. Compr. Psychiatry 47 (2006) 35-41
6. Baumeister H., and Morar V. The impact of clinical significance criteria on subthreshold depression prevalence rates. Acta Psychiatr. Scand. 118 (2008) 443-450
7. Beals J., Novins D.K., Spicer P., Orton H.D., Mitchell C.M., Barón A.E., Manson S.M., and the AI-SUPERPFP Team. Challenges in operationalizing the DSM-IV clinical significance criterion. Arch. Gen. Psychiatry 61 (2004) 1197-1207
8. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. (1988), Lawrence Erlbaum Associates, Hillsdale, NJ
9. Cuijpers P., De Graaf R., and Van Dorsselaer S. Minor depression: risk profiles, functional disability, health care use and risk of developing major depression. J. Affect. Disord. 79 1-3 (2004) 71-79
10. Forsell Y. A three-year follow-up of major depression, dysthymia, minor depression and subsyndromal depression: results from a population based study. Depress. Anxiety 24 (2007) 62-65
11. Hankin B.L., Fraley R.C., Lahey B.B., and Waldman I.D. Is depression best viewed as a continuum or discrete category? A taxometric analyses of childhood and adolescent depression in a population-based sample. J. Abnorm. Psychol. 114 1 (2005) 96-110
12. Hanley J.A., and McNeil B.J. A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Radiology 148 3 (1983) 839-843
13. Inventory of Depressive Symptomatology (IDS) and Quick Inventory of Depressive Symptomatology (QIDS) [homepage on the internet]. Pittsburgh, PA: Epidemiology Data Center; [cited 2009 may 26]. Available from: http://www.ids-qids.org/.
14. Lépine J.P. Epidemiology, burden, and disability in depression and anxiety. J. Clin. Psychiatry 62 Suppl. 13 (2001) S4-S10
15. Ormel J., Petukhova M., Chatterji S., Aguilar-Gaxiola S., Alonso J., Angermeyer M.C., Bromet E.J., Burger H., Demyttenaere K., De Girolamo G., Haro J.M., Hwang I., Karam E., Kawakami N., Lépine J.P., Medina-Mora M.E., Posada-Villa J., Sampson N., Scott K., Üstün T.B., Von Korff M., Williams D.R., Zhang M., and Kessler R.C. Disability and treatment of specific mental and physical disorders across the world. Br. J. Psychiatry 192 5 (2008) 368-375
16. Penninx B.W.J., Beekman A.T.F., Smit J.H., Zitman F.G., Nolen W.A., Spinhoven P., Cuijpers P., De Jong P.J., Van Marwijk H.W.J., Assendelft W.J.J., Van der Meer K., Verhaak P., Wensing M., De Graaf R., Hoogendijk W.J., Ormel J., and Van Dyck R. The Netherlands Study of Depression and Anxiety (NESDA): rationale, objectives and methods. Int. J. Methods Psychiatr. Res. 17 3 (2008) 121-140
17. Rapaport M.H., Judd L.L., Schettler P.J., Yonkers K.A., Thase M.E., Kupfer D.J., Frank E., Plewes J.M., Tollefson G.D., and Rush A.J. A descriptive ananlysis of minor depression. Am. J. Psychiatry 159 (2002) 637-643
18. Rivas-Vazquez R.A., Saffa-Biller D., Ruiz I., Blais M.A., and Rivas-Vazquez A. Current issues in anxiety and depression: comorbid, mixed, and subthreshold disorders. Prof. Psychol. 35 (2004) 74-83
19. Rush A.J., First M.B., and Burns B. Handbook of psychiatric measures. 2nd ed. (2008), American Psychiatric Publishing, Washington, DC
20. Rush A.J., Giles D.E., Schlesser M.A., Fulton C.L., Weissenburger J., and Burns C. The Inventory for Depressive Symptomatology (IDS): preliminary findings. Psychiatry Res. 18 (1986) 65-87
21. Sadek N., and Bona J. Subsyndromal symptomatic depression: a new concept. Depress. Anxiety 12 (2000) 30-39
22. Spitzer R.L., and Wakefield J.C. DSM-IV diagnostic criterion for clinical significance: does it help solve the false positives problem?. Am. J. Psychiatry 156 12 (1999) 1856-1864
23. Streiner D.L., and Cairney J. What's under the ROC? An introduction to Receiver Operating Characteristics Curves. Can. J. Psychiatry 52 2 (2007) 121-128
24. Thurston-Hicks A., Paine S., and Hollifield M. Functional impairment associated with psychological distress and medican severity in rural primary care patients. Psychiatr. Serv. 49 (1998) 951-955
25. Üstün B., and Kennedy C. What is "functional impairment"? Disentangling disability from clinical significance. World Psychiatry 8 (2009) 82-85
26. Wells K.B., Steward A., Hays R.D., Burnam M.A., Rogers W., Daniels M., Berry S., Greenfield S., and Ware J. The functioning and well-being of depressed patients: results from the Medical Outcomes Study. JAMA 262 7 (1989) 914-919
27. World Health Organization. Composite International Diagnostic Interview (CIDI) (1997), World Health Organization, Geneva
28. World Health Organization. World health Organization Disability Assessment Schedule (WHODAS II) (2000), World Health Organization, Geneva
29. World Health Organization. International classification of functioning, disability and health (ICF) (2001), World Health Organization, Geneva
30. World Health Organization [homepage on the internet]. Geneva: World Health Organization, [cited 2009 may 26]. Available from http://www.who.int/icidh/whodas/index.html/.
31. Zimmerman M., Chelminski I., and Young D. On the threshold of disorder: a study of the impact of the DSM-IV clinical significance criterion on diagnosing depressive and anxiety disorders in clinical practice. J. Clin. Psychiatry 65 (2004) 1400-1405