Movement Disorders (revue)

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Depression and major depressive disorder in patients with Parkinson's disease

Identifieur interne : 001D55 ( Main/Curation ); précédent : 001D54; suivant : 001D56

Depression and major depressive disorder in patients with Parkinson's disease

Auteurs : Takeshi Inoue [Japon] ; Mayumi Kitagawa [Japon] ; Teruaki Tanaka [Japon] ; Shin Nakagawa [Japon] ; Tsukasa Koyama [Japon]

Source :

RBID : ISTEX:3A4698C7432758CEDC41BB919BF0E2AED8C59B34

Descripteurs français

English descriptors

Abstract

The prevalence of depression in Parkinson's disease (PD) varies greatly. In this study, we investigated major depressive disorder (MDD) and depressive symptoms without MDD in patients with PD. The psychopathological characteristics of depressive symptoms were assessed by a psychiatric interview. A total of 105 Japanese patients with PD without dementia were included. The Japanese version of the Beck Depression Inventory‐II (BDI‐II) with a cutoff score of 13/14 was used to screen for depression. Using a structured interview, a comprehensive psychiatric evaluation of patients with BDI‐II scores >13 (high BDI patients) was completed using the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM)‐IV‐TR. Forty patients (38%) had a BDI‐II >13, but 29 did not show any depressed mood. Five cases met the criteria for MDD (three current, two past) and one patient was diagnosed with minor depressive disorder. A slight depressed mood that was associated with worrying about PD was seen in 6 of 34 patients without any depressive disorder and fluctuated with aggravation of PD symptoms in two of these patients. For the diagnosis of MDD, the number of positive items from the DSM‐IV‐TR definition of MDD is most important and useful for differentiating MDD and non‐MDD. The low‐prevalence rate of MDD in our patient population suggests that PD may be a psychological stressor for MDD, but does not necessarily induce MDD. © 2009 Movement Disorder Society

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DOI: 10.1002/mds.22921

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ISTEX:3A4698C7432758CEDC41BB919BF0E2AED8C59B34

Le document en format XML

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<title level="a" type="main" xml:lang="en">Depression and major depressive disorder in patients with Parkinson's disease</title>
<author>
<name sortKey="Inoue, Takeshi" sort="Inoue, Takeshi" uniqKey="Inoue T" first="Takeshi" last="Inoue">Takeshi Inoue</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita‐ku, Sapporo</wicri:regionArea>
<wicri:noRegion>Sapporo</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kitagawa, Mayumi" sort="Kitagawa, Mayumi" uniqKey="Kitagawa M" first="Mayumi" last="Kitagawa">Mayumi Kitagawa</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Neurology, Sapporo Azabu Neurosurgical Hospital, Higashi‐ku, Sapporo</wicri:regionArea>
<wicri:noRegion>Sapporo</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Tanaka, Teruaki" sort="Tanaka, Teruaki" uniqKey="Tanaka T" first="Teruaki" last="Tanaka">Teruaki Tanaka</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita‐ku, Sapporo</wicri:regionArea>
<wicri:noRegion>Sapporo</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nakagawa, Shin" sort="Nakagawa, Shin" uniqKey="Nakagawa S" first="Shin" last="Nakagawa">Shin Nakagawa</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita‐ku, Sapporo</wicri:regionArea>
<wicri:noRegion>Sapporo</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Koyama, Tsukasa" sort="Koyama, Tsukasa" uniqKey="Koyama T" first="Tsukasa" last="Koyama">Tsukasa Koyama</name>
<affiliation wicri:level="1">
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita‐ku, Sapporo</wicri:regionArea>
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</affiliation>
</author>
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<monogr></monogr>
<series>
<title level="j">Movement Disorders</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
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<publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="2010-01-15">2010-01-15</date>
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<idno type="ISSN">0885-3185</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Aged</term>
<term>Beck Depression Inventory</term>
<term>DSM‐IV‐TR</term>
<term>Depressive Disorder (diagnosis)</term>
<term>Depressive Disorder (epidemiology)</term>
<term>Depressive Disorder (etiology)</term>
<term>Depressive Disorder, Major (diagnosis)</term>
<term>Depressive Disorder, Major (epidemiology)</term>
<term>Depressive Disorder, Major (etiology)</term>
<term>Female</term>
<term>Humans</term>
<term>Japan (epidemiology)</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson's disease</term>
<term>Psychiatric Status Rating Scales</term>
<term>Statistics, Nonparametric</term>
<term>major depressive disorder</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Japan</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Depressive Disorder</term>
<term>Depressive Disorder, Major</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Depressive Disorder</term>
<term>Depressive Disorder, Major</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Depressive Disorder</term>
<term>Depressive Disorder, Major</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Psychiatric Status Rating Scales</term>
<term>Statistics, Nonparametric</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Japon</term>
</keywords>
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<language ident="en">en</language>
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<front>
<div type="abstract" xml:lang="en">The prevalence of depression in Parkinson's disease (PD) varies greatly. In this study, we investigated major depressive disorder (MDD) and depressive symptoms without MDD in patients with PD. The psychopathological characteristics of depressive symptoms were assessed by a psychiatric interview. A total of 105 Japanese patients with PD without dementia were included. The Japanese version of the Beck Depression Inventory‐II (BDI‐II) with a cutoff score of 13/14 was used to screen for depression. Using a structured interview, a comprehensive psychiatric evaluation of patients with BDI‐II scores >13 (high BDI patients) was completed using the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM)‐IV‐TR. Forty patients (38%) had a BDI‐II >13, but 29 did not show any depressed mood. Five cases met the criteria for MDD (three current, two past) and one patient was diagnosed with minor depressive disorder. A slight depressed mood that was associated with worrying about PD was seen in 6 of 34 patients without any depressive disorder and fluctuated with aggravation of PD symptoms in two of these patients. For the diagnosis of MDD, the number of positive items from the DSM‐IV‐TR definition of MDD is most important and useful for differentiating MDD and non‐MDD. The low‐prevalence rate of MDD in our patient population suggests that PD may be a psychological stressor for MDD, but does not necessarily induce MDD. © 2009 Movement Disorder Society</div>
</front>
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