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Minor depression and functional impairment

A Jaffe1, J Froom, N Galambos

  • 1Department of Family Medicine, Stony Brook Health Sciences Center, State University of New York-Stony Brook.

Archives of Family Medicine
|December 1, 1994
PubMed
Summary
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Minor depression significantly impacts functional status, including feelings, pain, and social activities. This study highlights distinct impairment patterns in minor depression compared to major depressive disorder.

Area of Science:

  • Psychiatry
  • Family Medicine
  • Clinical Psychology

Background:

  • Minor depression presents diagnostic challenges.
  • Understanding its impact on functional status is crucial for effective treatment.

Purpose of the Study:

  • To describe a method for assessing minor depression.
  • To evaluate its effects on functional status, co-morbidity, seasonality, and demographics.

Main Methods:

  • A survey of 302 patients in a university-based family practice.
  • Utilized the Inventory to Diagnose Depression and modified Dartmouth COOP Functional Assessment Charts.
  • Defined minor depression as depressed mood or anhedonia plus one other symptom.

Main Results:

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  • 15.6% of patients had minor depression.
  • Minor depression was associated with increased impairment in feelings, pain, and social activities.
  • Major depression showed greater impairment in daily activities, feelings, lung disease, and seasonality.

    • Conclusions:

    • Minor depression is linked to significant functional disability.
    • Seasonality is present in minor depression, more pronounced in major depression.
    • Patients with minor depression exhibit a distinct pattern of impairment compared to major depressive disorder.