Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0011570 (depression)
 172,036 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Standardized clinical interviews of 48 alcoholic patients consecutively admitted to an alcoholism treatment program revealed that 22 (46%) had suffered major depressive episodes. However, only two had the typical depressed affect at the time of the interview. Cyclic mood swings, panic attacks and hypomania were common, indicating that this was a heterogeneous group of depressed patients. The alcoholism tended to precede the onset of depression, which was then followed by the seeking of help, but the whole sequence developed over a few years, when the patients were in their early 20s. The depressed patients had more psychiatric, marital and legal difficulties than the nondepressed patients. There is a need for better definitions of affective disorders in alcoholic patients.
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PMID:Types of depression in alcoholic patients. 670 39

Alcoholic patients completed the Minnesota Multiphasic Personality Inventory (MMPI) while hospitalized for treatment and again after 4 years of follow-up. Those who remained abstinent and functioned well in the community for the 4-yr period were characterized during treatment by a significant elevation on the Depression (D) scale which decreased to normal ranges at follow-up. Those who continued to drink periodically over the 4-yr period had initial peaks on Psychopathy (Pd) and Hypomania (Ma) which were still elevated at follow-up. An intermediate group who were usually abstinent during the 4-yr period but had occasional relapses showed elevations on D and Pd during treatment with return to normal levels at follow-up.
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PMID:Four year MMPI changes in abstinent and drinking alcoholics. 675 20

By comparing MMPI profiles of sedative-dependent subjects during pentobarbital self-administration with comparable subjects during drug abstinence, the present study has found that self-administration tends to increase rather than decrease indicators of personal distress (MMPI scale scores). This finding agrees fully with other studies of drug effects on mood of drug-dependent subjects. (This finding should disturb only those who equate reinforcement with euphoria and other pleasurable states. Those familiar with the concept of reinforcement understand that reinforcement deals only with behavior and implies nothing about corresponding subjective states). Only scores on the Hypomania scale of the MMPI were found to correlate significantly with amount of daily drug intake, and this relationship occurred primarily in females. Scores on the Depression scale were correlated significantly with the daily pattern of drug-taking behavior. However, in neither case is it known whether the relationship reflects influences of personality factors on drug-taking behavior, or influences of drug-taking behavior on the obtained personality measures. Other research will be needed to answer this question. Clinically depressed individuals may constitute a special sub-group of subjects in which scores on many MMPI scales are related to daily amount of drug intake. Studies of human drug self-administration provide an excellent opportunity for more detailed research into these and other clinical research questions.
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PMID:Personality factors in human drug self-administration. 679 67

A 24-year-old woman with a unipolar depression had an augmented thyroid-stimulating hormone response to thyrotropin-releasing hormone (TRH), suggesting subclinical hypothyroidism. Desipramine produced rapid cycling between depression and hypomania. After discontinuation of the desipramine she was successfully treated with lithium and thyroid hormone replacement. We discuss the possible role of hypothyroidism in the etiology of tricyclic-induced rapid mood cycling, and suggest that the TRH test may help identify depressed patients predisposed to rapid mood cycling on tricyclics. The possibility that such patients respond to lithium and/or thyroid hormone replacement needs to be further investigated.
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PMID:Does subclinical hypothyroidism predispose to tricyclic-induced rapid mood cycles? 680 54

Recent concerns over high incidences of obesity among various American Indian tribes and groups have been ignored by the psychological literature. Relationships between obesity and MMPI and I-E Scale scores have been reported without regard for ethnicity. This study compared urbanized obese and non-obese American Indians and Caucasians on the Mini-Mult MMPI and I-E Scale (N = 160). Major findings included such results as the fact that the Indian sample had higher Hypomania scale scores than the Caucasian sample and that males had higher Depression and Hypochondriasis scale scores than females. Mini-Mult and I-E Scale scores were similar across weight conditions. These results are discussed in terms of the complexity of obesity in general as well as ethnic/cultural and sex difference factors.
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PMID:Obese and non-obese American Indian and Caucasian performance on the mini-mult MMPI and I-E scale. 684 27

Sixty adolescents, aged 13 to 16 years, hospitalized for major depression were studied prospectively, for three to four years to determine the utility of clinical, genetic, and pharmacologic response variables in predicting a bipolar course of illness. Bipolar outcome was observed in 20% of the cohort. Statistical analyses showed that bipolarity was predicted by (1) a depressive symptom cluster comprising rapid symptom onset, psychomotor retardation, and mood-congruent psychotic features; (2) a "loading" of affective disorder in the family pedigree, a family history of bipolar illness, and the presence of illness in three successive generations of the pedigree; and (3) pharmacologically induced hypomania. All predictors were shown to have high specificity for bipolar outcome, whereas pharmacologic hypomania and symptom cluster permitted the highest confidence of prediction, 100% and 80%, respectively. Even in juvenile depression, careful attention to clinical and biologic variables may aid in the predictive differentiation of meaningful diagnostic subtypes.
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PMID:Bipolar illness in adolescents with major depression: clinical, genetic, and psychopharmacologic predictors in a three- to four-year prospective follow-up investigation. 709 88

In a two-year period, 186 patients were admitted from Heathrow Airport to the nearest psychiatric hospital. Affective illness was related to time zone change. Depression was diagnosed significantly more often on flights from east to west (P less than 0.012 east to west versus west to east; P less than 0.015 north to south combined with south to north versus east to west, Fisher's exact probability test, two tailed). Hypomania was inversely related to depression in an east to west comparison (P less than 0.025). No other associations with direction of travel were seen in other diagnoses. Ninety-three (50 per cent) were diagnosed as schizophrenic; 24 of these had been aimlessly wandering. Twenty patients had been admitted at least once before under similar circumstances. Schizophrenic patients from Heathrow constituted 20 per cent of the total number of schizophrenic patients admitted to the hospital during that period.
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PMID:Psychiatric morbidity and time zone changes: a study of patients from Heathrow airport. 709 91

The possible effects of clinical depression on intellectual function were investigated in unipolar and bipolar patients. Ninety-six hospitalized depressed patients completed the Wechsler Adult Intelligence Scale (WAIS) on admission and 34 were retested on remission. The high average full scale IQs found remained relatively stable throughout, consistent with earlier studies indicating a limited relationship between intellectual function and clinical severity of depression. No evidence was found for retarded psychomotor activity in bipolar groups or increased psychomotor activity in unipolar groups on three WAIS subtests of psychomotor function, but full scale IQ increased slightly in hypomania.
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PMID:Intellectual function in primary affective disorder. 710 55

50 manic-depressive patients with rapid cycles received lithium for more than 1 year, during depression they received antidepressant drugs. Response was poor in 36, partial in 6, and good in 8. 21 of the poor responders were persuaded to endure depression without antidepressants; anxiolytics were allowed, 15 stabilized after the end of the untreated depression or after a few milder, shorter episodes; 4 improved partially; 2 were unchanged. 15 other rapid cycle patients started on lithium and stopped antidepressants at the same time. Response was good in 13, partial in 1, and poor in 1. Patients with a course of depression-hypomania (or mania)-free interval also responded poorly to prophylactic lithium when the depression was treated with antidepressants. They responded well when antidepressants were withdrawn. Antidepressants often cause or accentuate a switch from depression to hypomania or mania, and temporary refractoriness to lithium of the hypomania or mania. In this way lithium fails to prevent depression.
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PMID:Poor prophylactic lithium response due to antidepressants. 733 89

Connections between psychopathological symptoms and chronobiological factors are discussed in the light of a bipolar manic-depressive illness in a female patient suffering during several years from a cycle of 24 hours of depression alternating with one day of hypomania. The forty-eight hour periodic psychosis was evoked by a severe cerebral trauma. All over the world there is only a small number of patients with such regular psychotic cycles. They present a good opportunity to study a conceptual model of desynchronization in phasic psychiatric disorders implying the hypothesis of disturbance of the time structure of functions resulting in a psychotic state.
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PMID:[Persistent forty-eight hour cycle in a case of manic-depressive psychosis-chromopathological aspects (author's transl)]. 738 91


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