The early--late onset distinction in DSM-III-R dysthymia.
DSM-III-R recently introduced early-late and primary-secondary subtypes of dysthymia. The present study explored the validity of the DSM-III-R early-late onset distinction by comparing early- and late-onset primary dysthymics on demographic, clinical and familial variables and short-term outcome. Compared to the late-onset dysthymics, the early-onset group had higher lifetime rates of superimposed major depressive episodes and anxiety disorders, had sought treatment significantly more frequently, had a higher rate of major affective disorders in first-degree relatives, and exhibited higher levels of depression throughout the course of a 6-month follow-up study. These data provide preliminary support for the validity of the DSM-III-R early-late onset distinction in dysthymia.
D000328:Adult; D001008:Anxiety Disorders / Q000145:classification; D001714:Bipolar Disorder / Q000145:classification; D002908:Chronic Disease; D003866:Depressive Disorder / Q000145:classification* / Q000235:genetics / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011379:Prognosis; D011569:Psychiatric Status Rating Scales