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Deficits in Psychological Well‐Being and Quality‐of‐Life in Minor Depression: Implications for DSM‐V
Andrew A. Nierenberg Mark Hyman Rapaport Pamela J. Schettler Robert H. Howland Juliana A. Smith Deidre Edwards Trisha Schneider David Mischoulon 《CNS Neuroscience & Therapeutics》2010,16(4):208-216
Objective: To examine deficits in psychological well‐being (PWB) and quality‐of‐life (QOL) in minor depressive disorder (Min D). Method: Ninety‐three subjects entering a treatment study for Min D were assessed using the QOL, Enjoyment and satisfaction questionnaire (Q‐LES‐Q), and the Psychological Well‐Being Scale (PWBS). Scores were compared with major depressive disorder (MDD) and normative community samples. Results: Even though subjects had mild depressive severity, Q‐LES‐Q total scores for the Min D sample averaged nearly two standard deviations below the community norm. Almost 40% of Min D cases had Q‐LES‐Q scores in the lowest 1% of the population. Responses to most Q‐LES‐Q items were closer to subjects with MDD than to community norms. Mean standardized PWB scores were extremely low for subscales of Environmental Mastery and Self‐Acceptance, low for Purpose in Life and Positive Relations with others, but within the normal range for Personal Growth and Autonomy. QOL and PWB measures had low correlations with depressive symptom severity, and scores were similar in the presence or absence of a prior history of MDD. Conclusions: Mild depressive symptoms with Min D are associated with major deficits in QOL and PWB measures of environmental mastery and poor self‐acceptance. Our findings suggest that diminished QOL and PWB may be intrinsic cognitive aspects of Min D with or without a history of MDD. It may be unnecessary in the DSM IV‐TR to exclude the diagnosis of Min D if a subject has had a past episode of MDD. ? Minor depression exists along a continuum of depression. ? Deficits in psychological well‐being and quality‐of‐life in minor depression are severe. ? No difference in these measures if minor depression existed with or without a history of major depression. 相似文献
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Distribution of Mini‐Mental State Examination scores among urban community‐dwelling older adults in Japan 下载免费PDF全文
Naoko Sakuma Chiaki Ura Fumiko Miyamae Hiroki Inagaki Kae Ito Hirotoshi Niikawa Mutsuo Ijuin Tsuyoshi Okamura Mika Sugiyama Shuichi Awata 《International journal of geriatric psychiatry》2017,32(7):718-725
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Empirically derived dimensional syndromes of self‐reported psychopathology: Cross‐cultural comparisons of Portuguese and US elders 下载免费PDF全文
Masha Y. Ivanova Thomas Achenbach Manuela Leite Vera Almeida Carlos Caldas Lori Turner Julie A. Dumas 《International journal of geriatric psychiatry》2018,33(5):695-702
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Validity of the three apathy items of the Geriatric Depression Scale (GDS‐3A) in measuring apathy in older persons 下载免费PDF全文
Anne Suzanne Bertens Margot W.M. de Waal Jessica C. Foster‐Dingley Wouter de Ruijter Jacobijn Gussekloo Roos C. van der Mast Anton J.M. de Craen 《International journal of geriatric psychiatry》2017,32(4):421-428
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Richard A. Pessagno DNP RN APN‐C CGP Diane Hunker PhD MBA RN 《Perspectives in psychiatric care》2013,49(3):202-209
PURPOSE: The purposes were to (a) provide an 8‐week, short‐term, psychotherapy group as a nonpharmacologic, evidence‐based intervention for first‐time mothers at risk for postpartum depression (PPD) and (b) determine if women's scores in the Edinburgh Postnatal Depression Scale changed after participation in the intervention. CONCLUSION: The women who participated in the short‐term group psychotherapy intervention experienced a decrease in their Edinburgh Postnatal Depression Scale scores, reducing their risk for PPD. PRACTICE IMPLICATIONS: Group psychotherapy is an effective, evidence‐based intervention to reduce the risk for PPD and should remain a current competency of psychiatric advanced practice nurses. 相似文献
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Xia Zhao Dan Zhang Menglian Wu Yang Yang Hui Xie Jihui Jia Yuqin Li Yonggang Su 《Psychogeriatrics》2019,19(6):584-590
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Self‐help memory training for healthy older adults in a residential care center: specific and transfer effects on performance and beliefs 下载免费PDF全文
Elena Cavallini Sara Bottiroli Emanuela Capotosto Rossana De Beni Giorgio Pavan Tomaso Vecchi Erika Borella 《International journal of geriatric psychiatry》2015,30(8):870-880