ترجمه مقاله مدت اپیزودهای افسردگی شدید در جمعیت عمومی - نشریه Ncbi

Background Data on the duration of Data on the duration of major depressive episodes (MDE) in the major depressive episodes (MDE) in the general population are sparse. Aims To assess the duration of MDE and To assess the duration of MDE and its clinical and socio-demographic its clinical and socio-demographic determinantsin a study group drawn from determinantsin a study group drawnfrom the general population with newly the general population with newly originated episodes of major depression. originated episodes of major depression. Method The Netherlands Mental Health Survey and Incidence Studyis a prospective epidemiological surveyin the prospective epidemiological surveyin the adult population ( adult population (n¼7076), using the Composite International Diagnostic Composite International Diagnostic Interview.Duration of MDE over 2 years was assessed with a Life Chart Interview. was assessed with a Life Chart Interview. Results The median duration of MDE was 3.0 months; 50% of participants was 3.0 months; 50% of participants recovered within 3 months, 63% within 6 months, 76% within12 months and nearly 20% had not recovered at 24 months. 20% had not recovered at 24 months. Determinants of persistence were Determinants of persistence were severity of depression and comorbid severity of depression and comorbid dysthymia. A recurrent episode predicted shorter duration. shorter duration. Conclusions Although half of those Although half of those affected with MDE recovered rapidly, the affected with MDE recovered rapidly, the riskof chronicity (duration 24 months or riskof chronicity (duration 24 months or more) was considerable.This underlines more) was considerable.This underlines the necessity of diagnosing and treating the necessity of diagnosing and treating those at risk.