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  • Volume 3
  • Number 1
  • January 2005

EDITORIAL

CLINICAL SYNTHESIS

REVIEW

Publication date: 01 January 2005

Pages14–24

Major depression is one of the most common psychiatric disorders, with lifetime prevalence rates of over 15%. Recent research provides new insights on which brain regions are affected in the disorder, underlying biological mechanisms, and possible novel ...

https://doi.org/10.1176/foc.3.1.14

Publication date: 01 January 2005

Pages27–33

This patient management exercise is designed to test your comprehension of material presented in this issue of FOCUS as well as your ability to evaluate, diagnose, and manage clinical problems. Answer the questions below, to the best of your ability, on ...

https://doi.org/10.1176/foc.3.1.27

INFLUENTIAL PUBLICATION

Publication date: 01 January 2005

Pages61–68

Objective: This study examined the extent to which individuals with a lifetime diagnosis of recurrent unipolar disorder endorse experiencing manic/hypomanic symptoms over their lifetimes and compared their reports with those of patients with bipolar I ...

https://doi.org/10.1176/foc.3.1.61

Publication date: 01 January 2005

Pages69–75

Objective: The authors investigated the impact of medical comorbidity on the acute phase of antidepressant treatment in subjects with major depressive disorder. Method: A total of 384 outpatients meeting DSM-III-R criteria for major depressive disorder ...

https://doi.org/10.1176/foc.3.1.69

Publication date: 01 January 2005

Pages76–82

Objective: Studies on the course of major depressive disorder (MDD) among elderly persons are limited to short periods of follow-up, seldom provide comparisons with younger cohorts, and raise other methodological concerns. Methods: Utilizing 15 years of ...

https://doi.org/10.1176/foc.3.1.76

Publication date: 01 January 2005

Pages83–97

Objective: Major depression is a multifactorial disorder with many etiologic variables that are interrelated through developmental pathways. The authors used structural equation modeling to generate a developmental model for the etiology of major ...

https://doi.org/10.1176/foc.3.1.83

Publication date: 01 January 2005

Pages98–105

Objective: The authors provide a detailed clinical description of minor depression: its symptoms, level of disability, stability, and relationship to patient and family history of major depressive disorder. Method: Rigorous criteria for minor depression, ...

https://doi.org/10.1176/foc.3.1.98

Publication date: 01 January 2005

Pages106–113

Objective: This observational study examined the effectiveness of somatic antidepressant treatments as administered in the community. Method: The study group consisted of 285 subjects with an intake diagnosis of major depressive disorder who had entered ...

https://doi.org/10.1176/foc.3.1.106

Publication date: 01 January 2005

Pages114–121

A number of studies have demonstrated comparable benefits of psychosocial interventions and pharmacologic treatments in subgroups of patients with mood disorders. The two treatment modalities are often combined in clinical practice. However, concerns ...

https://doi.org/10.1176/foc.3.1.114

Publication date: 01 January 2005

Pages122–130

Background: About 30% of psychiatric out-patients with major depression demonstrate partial remission. Aims: To explore whether the addition of cognitive therapy (CT) had any differential effect on residual symptoms or social adjustment. Method: Patients ...

https://doi.org/10.1176/foc.3.1.122

Publication date: 01 January 2005

Pages136–139

Objective: This study examined the effects of maintenance treatment for late-life depression on social adjustment. The authors hypothesized that elderly patients recovering from depression would have better social adjustment with medication and ...

https://doi.org/10.1176/foc.3.1.136

Publication date: 01 January 2005

Pages140–145

Depression and hopelessness are risk factors for suicide. The purpose of this study was to examine the extent of suicidal ideation and hopelessness in outpatients with treatment-resistant depression (TRD) and to study the impact of suicidal ideation and ...

https://doi.org/10.1176/foc.3.1.140

Publication date: 01 January 2005

Pages146–155

Studies have examined hippocampal function and volume in depressed subjects, but none have systematically compared never-treated first-episode patients with those who have had multiple episodes. We sought to compare hippocampal function, as assessed by ...

https://doi.org/10.1176/foc.3.1.146

Publication date: 01 January 2005

Pages156–160

In a prospective-longitudinal study of a representative birth cohort, we tested why stressful experiences lead to depression in some people but not in others. A functional polymorphism in the promoter region of the serotonin transporter (5-HTT) gene was ...

https://doi.org/10.1176/foc.3.1.156

Publication date: 01 January 2005

Pages161–169

Objective: To investigate how residual symptoms from an index episode of major depressive disorder may be associated with recurrence, the authors conducted a trial involving four maintenance treatment approaches and examined 1) whether the level and ...

https://doi.org/10.1176/foc.3.1.161

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