caa a22 4500 469121645 CHVBK 20180323133140.0 cr unu---uuuuu 170328e19920201xx s 000 0 eng 10.1007/BF02246241 doi (NATIONALLICENCE)springer-10.1007/BF02246241 Differentiation between major and minor depression [Elektronische Daten] [M. Philipp, C. Delmo, R. Buller, H. Schwarze, P. Winter, W. Maier, O. Benkert] Though the concept of Major Depression was generated by clinicians using depressed inpatients as models, a polydiagnostic study in 600 psychiatric inpatients with heterogenous psychological disturbances revealed that all six competing operational definitions of Major Depression (including DSM-III-R and ICD-10) were too restrictive to serve as a general concept of depression. Another polydiagnostic study in 500 primary care outpatients showed that more than two-thirds of all non-chronic depressed cases were below the severity threshold of Major Depression: these patients are classified as Depression Not Otherwise Specified (NOS) by DSM-III-R. Loosening of the over-restrictive time criteria would broaden the concept of Major Depression so as to meet the requirements of a general concept of depression, while the definition of Minor Depression below the threshold of Major Depression would add to a reduction of cases of NOS Depression by more than 80%. For the evaluation of antidepressant drugs in out-patient samples, we propose that patients with these modified definitions of Major and Minor Depression be included, provided they meet a minimum severity criterion of 13 or more points on the Hamilton Depression Scale; four-fifths of the modified Major Depression group and one-third of the Minor Depression group do in fact meet this criterion. Springer-Verlag, 1992 Major Depression nationallicence Minor Depression nationallicence Operational diagnosis nationallicence ICD-10 nationallicence DSM-III-R nationallicence Philipp M. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut Delmo C. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut Buller R. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut Schwarze H. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut Winter P. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut Maier W. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut Benkert O. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut Psychopharmacology Springer-Verlag 106(1992-02-01), S75-S78 0033-3158 106<S75 1992 106 213 https://doi.org/10.1007/BF02246241 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02246241 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Philipp M. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut NATIONALLICENCE 700 1- Delmo C. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut NATIONALLICENCE 700 1- Buller R. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut NATIONALLICENCE 700 1- Schwarze H. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut NATIONALLICENCE 700 1- Winter P. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut NATIONALLICENCE 700 1- Maier W. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut NATIONALLICENCE 700 1- Benkert O. Department of Psychiatry, Psychiatrische Klinik der Universität Mainz, Untere Zahlbacher Strasse 8, W-6500, Mainz, Germany aut NATIONALLICENCE 773 0- Psychopharmacology Springer-Verlag 106(1992-02-01), S75-S78 0033-3158 106<S75 1992 106 213 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer