Is recurrent brief depression an expression of mood spectrum disorders in young people? Results of a large community sample.
The clinical relevance of Recurrent Brief Depression (RBD) has not received sufficient attention to date and continues to represent a controversial issue. The present study was carried out in a community sample to evaluate the lifetime prevalence of RDB, the degree of comorbidity, as well as possible risk factors. Subjects from a community survey in Sardinia (Italy) were randomly selected from registers of a rural, an urban and a mining area (n=1040, 461 males, 579 females). Interviews were carried out by physicians using the Italian version of the Composite International Diagnostic Interview Simplified which had been modified for the purpose of this study. Lifetime prevalence of RBD was 7.6%; 5.8% in males, 9% in females. Subjects aged 18 to 24 years presented higher frequencies (13.8%, OR 2.2) than those aged 25 or over. Comorbidity with Major Depression was particularly frequent. RBD was furthermore associated with suicide attempts and substance abuse, thereby constituting an effective health problem. Further epidemiological and clinical studies of RBD are warranted in order to develop specific treatments and prevention strategies.
Carta
Mauro Giovanni
MG
Division of Psychiatry, Department of Public Health University of Cagliari, Via Liguria 13, 09127, Cagliari, Italy. mgcarta@tiscali.it
Altamura
Alberto Carlo
AC
Hardoy
Maria Carolina
MC
Pinna
Federica
F
Medda
Stefania
S
Dell'Osso
Liliana
L
Carpiniello
Bernardo
B
Angst
Jules
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003625:Data Collection / Q000379:methods; D003866:Depressive Disorder / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000150:complications*; D016017:Odds Ratio; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011897:Random Allocation; D012008:Recurrence; D012042:Registries; D015203:Reproducibility of Results