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  1. Reversed neurovegetative symptoms of depression : A community study of Ontario.

    Article - En anglais

    Objective 

    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.

    Method 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0406814

    Code Inist : 002B18C07A. Création : 19/12/1997.