Most research on depression with reversed neurovegetative features (hypersomnia, hyperphagia, and weight gain) has been based on site-specific clinic-based samples.
The goal ofthis study was to delineate the epidemiology ofreversed symptoms in a large community sample and to use other symptom patterns for comparison.
Interviewers assessed 8,116 subjects across Ontario, aged 15-64 years, by using the World Health Organization Composite International Diagnostic Interview.
Individuals who met the DSM-III-R criteria for major depression, current or lifetime, were classified into four groups on the basis of lifetime neurovegetative symptoms : episodes of typical symptoms only, episodes of reversed symptoms only, neither type, or both types (fluctuating-symptom group).
The groups were compared on demographic characteristics, comorbidity, disability, and health care utilization.
Of the 653 individuals with lifetime major depression, 11.3%, had episodes of reversed symptoms only, and another 5.8% were classified as fluctuating.
Most of the differences among the four groups were due to the unique characteristics of the groups with neither type of episode or a fluctuating pattern ; individuals who had experienced only reversed symptoms were remarkably similar to those who had had only typical symptoms.
The fluctuating-symptom group had high rates of comorbidity, substance abuse, and health care utilization. (...)
Mots-clés Pascal : Etat dépressif, Trouble humeur, Symptomatologie, Système nerveux autonome pathologie, Trouble sommeil, Prise poids, Perte poids, Appétit, Epidémiologie, Prévalence, Ontario, Canada, Amérique du Nord, Amérique, Homme, Système nerveux pathologie
Mots-clés Pascal anglais : Depression, Mood disorder, Symptomatology, Diseases of the autonomic nervous system, Sleep disorder, Weight gain, Weight loss, Appetite, Epidemiology, Prevalence, Ontario, Canada, North America, America, Human, Nervous system diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0406814
Code Inist : 002B18C07A. Création : 19/12/1997.