DSM-5 and Depression
Precision Oncology. Women's Health. Media Insights. Post-Conference Perspectives. Institute for Value-Based Medicine News. Currently Reading. During a presentation at the US Psychiatric and Mental Health Congress in New Orleans, Louisiana, Mark Zimmerman, MD, said studies show that the presence of a comorbid disorder or specific symptom were the most important factors driving treatment decisions when clinicians picked an antidepressant, and anxiety was the symptom they cited most frequently.
The addition of the anxiety distress specifier in the DSM-5 has simplified the task of identifying those patients whose anxiety must be considered in their treatment plan, said Mark Zimmerman, MD, director of outpatient psychiatry and the Partial Hospital Program at Rhode Island Hospital, and a professor of psychiatry at Brown Medical School.
During a presentation at the US Psychiatric and Mental Health Congress in New Orleans, Louisiana, Zimmerman said studies show that the presence of a comorbid disorder or specific symptom were the most important factors driving treatment decisions when clinicians picked an antidepressant, and anxiety was the symptom they cited most frequently That covers a lot ground: he led a study of depressed patients that found This means that many patients with anxiety are missed. But finding better ways to screen patients for anxiety is important, because Zimmerman said studies show more than three-fourths of patients with anxiety say they want to be treated.
Zimmerman took the audience through a 2-stage screening process; the first stage screens for general distress, and if the patient tests positive, a second, more in-depth stage hones in on the precise diagnosis. Next, he reviewed clinical trial data involving patients with anxious depression. Zimmerman explained there have been fewer studies involving patients with depression and anxiety, because they have often been excluded from trials. Future studies should develop brief, psychometrically sound measures of these domains for epidemiologic studies. Also, a response rate greater than Increases between surveys can occur for many reasons, 90 including methodological eg, DSM changes and unspecified survey effects or substantive eg, true increases, perhaps due to growing economic insecurities 1 or other societal changes.
Studies examining methodological issues would be valuable but are beyond the present scope. The likelihood that NESARC-III indicates valid increases in prevalence is supported by the coherence of its results with 6 other reports showing national increases in depression indicators 1 , 2 also Katherine M. Keyes, PhD, written communication, January 2, and suicidality. This study on MDD prevalence, demographic and psychiatric correlates, disability, treatment use, and specifiers can inform policymakers, clinicians, and the public, as well as stimulate investigation in several areas. While many with MDD receive treatment, others remain untreated.
The high prevalence of MDD among US adults is a substantial concern given the personal, public health, and economic burdens that the disorder imposes.
DSM-5 Anxious Distress Specifier Valid for Major Depressive Disorder
Therefore, the need to reduce the prevalence of this disorder remains. Corresponding Author: Deborah S. Published Online: February 14, Author Contributions: Drs Hasin and Grant had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Critical revision of the manuscript for important intellectual content: All authors. Conflict of Interest Disclosures: None reported. All Rights Reserved. Table 1. View Large Download.
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