Branding/Logomark minus Citation Combined Shape Icon/Bookmark-empty Icon/Copy Icon/Collection Icon/Close Copy 7 no author result Created with Sketch. Icon/Back Created with Sketch. Match!

‘Subthreshold’ mental disorders: A review and synthesis of studies on minor depression and other ‘brand names’

Published on Apr 1, 1999in British Journal of Psychiatry 7.23
· DOI :10.1192/bjp.174.4.288
Harold Alan Pincus61
Estimated H-index: 61
(APA: American Psychological Association),
Wendy W. Davis18
Estimated H-index: 18
(APA: American Psychological Association),
Laurie E. McQueen4
Estimated H-index: 4
(APA: American Psychological Association)
Cite
Abstract
BACKGROUND Subthreshold conditions (i.e. not meeting full diagnostic criteria for mental disorders in DSM-IV or ICD-10) are prevalent and associated with significant costs and disability. Observed more in primary care and community populations than in speciality settings, varying conceptualisations have been applied to define these conditions. AIMS To examine definitional issues for subthreshold forms of depression (e.g. minor depression) and to suggest future directions for research and nosology in psychiatry and primary care. METHOD A Medline search was conducted. The relevant articles were reviewed with regard to specific categories of information. RESULTS Studies applied a myriad of names and definitions for subthreshold depression with varying duration, symptom thresholds and exclusions. Prevalence rates also vary depending upon the definitions, settings and populations researched. CONCLUSIONS Future research needs to apply methodological and intellectual rigour and systematically consider a broader clinical and nosological context. In addition, collaboration between psychiatry and primary care on research and clinical issues is needed.
  • References (49)
  • Citations (214)
Cite
References49
Newest
James J. Hudziak54
Estimated H-index: 54
(WashU: Washington University in St. Louis),
Andrew C. Heath111
Estimated H-index: 111
(WashU: Washington University in St. Louis)
+ 6 AuthorsRichard D. Todd67
Estimated H-index: 67
(WashU: Washington University in St. Louis)
ABSTRACT Objective In an attempt to validate the current DSM-IV criteria for attention-deficit/hyperactivity disorder (ADHD) in females and to determine whether symptoms are continuously distributed or categorically discrete, the authors performed factor and latent class analysis on ADHD symptom data from a large general population of adolescent female twins (1,629 pairs). Method A structured diagnostic assessment of DSM-IV ADHD was completed with at least one parent of 1,629 pairs by telephone....
229 Citations Source Cite
Published on Mar 1, 1997in General Hospital Psychiatry 3.22
Michael S. Klinkman25
Estimated H-index: 25
(UM: University of Michigan)
Abstract A considerable body of knowledge now exists in the area of depressive disorders in primary care. Primary care clinicians appear to identify less than half of patients with major depressive disorder and adequately treat only a portion of those they identify. However, recent research suggests that identification and treatment of depressive disorders in primary care is a far more complex process than previously assumed. The presence of significant differences in patient expectations, the p...
247 Citations Source Cite
Published on Oct 1, 1996in Archives of General Psychiatry
Mark Olfson90
Estimated H-index: 90
,
W. Eugene Broadhead12
Estimated H-index: 12
+ 4 AuthorsRoger G. Kathol34
Estimated H-index: 34
Background: The authors define 6 groups of subthreshold psychiatric symptoms that do not meet the full criteria for a DSM-IV Axis I disorder and examine the clinical significance of these symptoms in an outpatient primary care sample. Methods: The subjects were 1001 adult primary care patients in a large health maintenance organization. Data on sociodemographic characteristics and functional impairment, including scores on the Sheehan Disability Scale, were collected at the time of the medical v...
194 Citations Source Cite
Frank deGruy20
Estimated H-index: 20
,
Harold Pincus1
Estimated H-index: 1
September 1995 marked the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Primary Care Version (DSMIV-pC).l This manual, the result of a 5-year collaboration among leaders in mental health and primary care fields, is published by the American Psychiatric Association as an official task force report. The following organizations formally participated in the development process by recommending participants and providing resources: American Academy of Family...
12 Citations Source Cite
Published on Jan 1, 1996in General Hospital Psychiatry 3.22
Melissa Hance1
Estimated H-index: 1
(WashU: Washington University in St. Louis),
Robert M. Carney67
Estimated H-index: 67
(WashU: Washington University in St. Louis)
+ 1 AuthorsJudith A. Skala13
Estimated H-index: 13
(WashU: Washington University in St. Louis)
Little is known about the course and outcome of depression in patients with coronary heart disease, despite its prevalence and effect on medical prognosis. A series of 200 patients undergoing diagnostic cardiac catheterization and coronary angiography were administered a psychiatric diagnostic interview. Seventeen percent were diagnosed with a current major depressive episode, and another 17% with a current minor depressive episode. Ninety percent of those patients who consented to follow-up com...
215 Citations Source Cite
Published on May 17, 1995in Journal of Affective Disorders 4.08
Murray B. Stein111
Estimated H-index: 111
(UM: University of Manitoba),
Peter Kirk2
Estimated H-index: 2
(UM: University of Manitoba)
+ 2 AuthorsMary Terepa1
Estimated H-index: 1
(UM: University of Manitoba)
Abstract To determine the prevalence and clinical significance of a mixed anxiety-depressive (MAD) syndrome in primary care, a two-stage sampling design was applied to 796 consecutive clinic attendees without known psychiatric illness. Among 78 systematically interviewed subjects, 10.3% ( n = 8) had a depressive disorder alone, 12.8% ( n = 10) had an anxiety disorder alone, 19.2% ( n = 15) had a comorbid anxiety and depressive disorder and 12.8% ( n = 10) had a combination of subsyndromal anxiet...
71 Citations Source Cite
Published on Feb 1, 1995in Archives of Family Medicine
Gregory E. Simon10
Estimated H-index: 10
,
Michael VonKorff37
Estimated H-index: 37
450 Citations Source Cite
Published on Jan 1, 1995in American Journal of Psychiatry 13.65
Cathy D. Sherbourne70
Estimated H-index: 70
,
Kenneth B. Wells86
Estimated H-index: 86
+ 3 AuthorsLewis L. Judd52
Estimated H-index: 52
Objective: The authors examined the clinicalsignificance ofdepressive symptoms below the threshold for depressive disorder in outpatient samples. Method: The subjects were 775 adult patients with current depressive disorder, 1,420 patients with subthreshold depression, and 1,767 hypertensive patients with and without depression, all ofwhom were visiting the offices of mental health specialists and general medical care providers in three U.S. cities. Data on demographic characteristics, severity ...
170 Citations Source Cite
Published on Jan 1, 1995in American Journal of Psychiatry 13.65
Martin B. Keller116
Estimated H-index: 116
(Butler Hospital),
Daniel N. Klein72
Estimated H-index: 72
(Butler Hospital)
+ 8 AuthorsDeborah B. Marin30
Estimated H-index: 30
(Butler Hospital)
Objective: The DSM-IV mood disorders field trial, a multisite collaborative study, was designed to explore the reliability of a course-based diagnostic classification system for major depression, evaluate the symptom criteria for dysthymia, and explore the need for additional diagnostic categories for milder forms of mood disorder (e.g., minor and recurrent brief depression). Method : Five hundred twenty-four depressed subjects were recruited from inpatient, outpatient, and community settings at...
199 Citations Source Cite
Cited By214
Newest
Published on Oct 1, 2018in International Journal of Eating Disorders 3.52
Trine Tetlie Eik‐Nes1
Estimated H-index: 1
(Nord-Trøndelag Hospital Trust),
Julie Horn5
Estimated H-index: 5
(Nord-Trøndelag Hospital Trust)
+ 3 AuthorsSigrid Bjørnelv7
Estimated H-index: 7
(Nord-Trøndelag Hospital Trust)
1 Citations Source Cite
Published on Aug 18, 2018in World Journal of Biological Psychiatry 4.04
Siegfried Kasper76
Estimated H-index: 76
(Medical University of Vienna),
Walter E. Müller62
Estimated H-index: 62
(Goethe University Frankfurt)
+ 3 AuthorsAngelika Dienel13
Estimated H-index: 13
AbstractObjectives: Silexan is a lavender oil preparation available in 80-mg capsules. Here we review clinical trials investigating its anxiolytic efficacy, safety and tolerability in humans, as well as preclinical investigations supporting this therapeutic use.Methods: Besides three selected publications reporting preclinical investigations, seven clinical trials are included, of which five had a treatment duration of 6 or 10 weeks. Primary outcome measure was the HAM-A total score reduction, w...
3 Citations Source Cite
Published on Aug 1, 2018in Journal of Affective Disorders 4.08
Estee M. Hausman (SBU: Stony Brook University), Roman Kotov36
Estimated H-index: 36
(SBU: Stony Brook University)
+ 3 AuthorsDaniel N. Klein72
Estimated H-index: 72
(SBU: Stony Brook University)
Abstract Background Anxious youth are at increased risk for later depressive disorders, but not all anxious youth develop depression. Sequential comorbidity models emphasize shared risk factors and anxiety sequelae, but some anxious youth who later develop depression may have risk factors that are relatively specific to depression, in addition to a liability to anxiety. We examined several variables that appear relatively specific to risk for depression—the personality traits of low positive aff...
Source Cite
Published on Jun 1, 2018in Social Psychiatry and Psychiatric Epidemiology 3.15
Yuying Sun2
Estimated H-index: 2
(HKU: University of Hong Kong),
Jette Möller19
Estimated H-index: 19
(KI: Karolinska Institutet)
+ 3 AuthorsYvonne Forsell42
Estimated H-index: 42
(KI: Karolinska Institutet)
Purpose To identify how severity of depression predicts future utilization of psychiatric care and antidepressants.
2 Citations Source Cite
Published on May 17, 2018in Frontiers in Psychiatry 3.16
Marie Dorow3
Estimated H-index: 3
(Leipzig University),
Margrit Löbner5
Estimated H-index: 5
(Leipzig University)
+ 2 AuthorsSteffi G. Riedel-Heller49
Estimated H-index: 49
(Leipzig University)
Background: To date, little is known about treatment preferences for depression concerning new media. This study aims to (1) investigate treatment preferences for depression including internet-based interventions and (2) examine subgroup differences concerning age, gender and severity of depression as well as patient-related factors associated with treatment preferences. Methods: Data were derived from the baseline assessment of the @ktiv-trial. Depression treatment preferences were assessed fro...
3 Citations Source Cite
Published on May 1, 2018in Contemporary Clinical Trials 2.28
Olivia I. Okereke30
Estimated H-index: 30
(Harvard University),
Charles F. Reynolds102
Estimated H-index: 102
(University of Pittsburgh)
+ 6 AuthorsJoAnn E. Manson231
Estimated H-index: 231
(Harvard University)
Abstract Rationale Depression is a leading cause of disease burden and disability for older adults; thus, prevention is a priority. Biologic and observational data support potential mental health benefits of vitamin D and omega-3 fatty acids; however, it is unclear whether these supplements can prevent late-life depression. Design We describe the novel methodology of a large-scale study: VITAL-DEP (VITamin D and OmegA-3 TriaL-Depression Endpoint Prevention), an ancillary to the VITAL trial. Prim...
4 Citations Source Cite
Published on Feb 1, 2018in Journal of Affective Disorders 4.08
Satoshi Yokoyama3
Estimated H-index: 3
(Hiroshima University),
Yasumasa Okamoto30
Estimated H-index: 30
(Hiroshima University)
+ 7 AuthorsShigeto Yamawaki49
Estimated H-index: 49
(Hiroshima University)
Abstract Background Subthreshold depression is a risk factor for major depressive disorder, and it is known to have a negative impact on quality of life (QOL). Although behavioral activation, which is one type of cognitive behavioral therapy, is an effective psychological intervention for subthreshold depression, neural mechanisms of behavioral activation are unclear. Enhanced functional connectivity between default mode network (DMN) and the other regions has been demonstrated in participants w...
1 Citations Source Cite
Published on Jan 1, 2018in Journal of Affective Disorders 4.08
Sarira El-Den3
Estimated H-index: 3
(USYD: University of Sydney),
Timothy F. Chen35
Estimated H-index: 35
(USYD: University of Sydney)
+ 2 AuthorsClaire L. O'Reilly9
Estimated H-index: 9
(USYD: University of Sydney)
Abstract Background Consensus on a tool for depression screening among adults in primary healthcare (PHC) settings is lacking. This systematic review aimed to explore the psychometric properties of depression screening tools. Methods A systematic literature search composed of four terms (screening AND psychometric AND depression AND primary healthcare) was conducted in PubMed, EMBASE, PsycINFO and MEDLINE, between January 1995 through October 2015. Studies that aimed to psychometrically test a d...
8 Citations Source Cite
Published on Nov 27, 2017in Psychological Medicine 5.64
Katherine T. Foster9
Estimated H-index: 9
(UM: University of Michigan),
Brooke J. Arterberry6
Estimated H-index: 6
(UM: University of Michigan)
+ 2 AuthorsBrian M. Hicks40
Estimated H-index: 40
(UM: University of Michigan)
4 Citations Source Cite
Published on May 1, 2017in Health 1.48
Adam W.A. Geraghty15
Estimated H-index: 15
,
Miriam Santer13
Estimated H-index: 13
+ 5 AuthorsMichael Moore43
Estimated H-index: 43
(University of Southampton)
General practitioners are tasked with determining the nature of patients’ emotional distress and providing appropriate care. For patients whose symptoms appear to fall near the ‘boundaries’ of psychiatric disorder, this can be difficult with important implications for treatment. There is a lack of qualitative research among patients with symptoms severe enough to warrant consultation, but where general practitioners have refrained from diagnosis. We aimed to explore how patients in this potentia...
1 Citations Source Cite