Portal de Periódicos da CAPES

Dysthymia in Clinical Practice

1995; Cambridge University Press; Volume: 166; Issue: 2 Linguagem: Inglês

10.1192/bjp.166.2.174

1472-1465

Hagop S. Akiskal, Jorge Alberto Costa e Silva, Allen Frances, Hugh L. Freeman, Martin B. Keller, Y.D. Lapierre, J J López Ibor, Eugene S. Paykel, M. Stabl,

Schizophrenia research and treatment

Background Dysthymia has been reconceptualised in recent years from a personality disorder to a chronic affective disorder. It is incorporated into both the DSM and ICD diagnostic systems. Method. The members of the WPA Dysthymia Working Group combined the results of their manual literature searches with a search using Medline. Results Available data are summarised under the headings of classification, epidemiology, validity, comorbidity, course and outcome, pharmacotherapy and psychotherapy. The coexistence of major depressive disorder, constituting ‘double depression’ is of particular importance. Conclusions Improved knowledge of this disorder has led to a more positive approach to treatment, in which antidepressants can usefully be complemented by psychosocial measures. A high proportion of cases remain unrecognised in most populations, leading to prolonged morbidity and distress, much of which is now treatable.