Irritable mood in adult major depressive disorder: results from the world mental health surveys - Département Méthodes quantitatives en santé publique Accéder directement au contenu
Article Dans Une Revue Depression and Anxiety Année : 2013

Irritable mood in adult major depressive disorder: results from the world mental health surveys

Jordi Alonso
  • Fonction : Auteur
Matthias Angermeyer
  • Fonction : Auteur
Evelyn Bromet
  • Fonction : Auteur
Giovanni de Girolamo
Peter de Jonge
  • Fonction : Auteur
Koen Demyttenaere
  • Fonction : Auteur
Silvia Florescu
  • Fonction : Auteur
Michael Gruber
  • Fonction : Auteur
Oye Gureje
Chiyi Hu
  • Fonction : Auteur
Yueqin Huang
Elie Karam
  • Fonction : Auteur
Robert Jin
  • Fonction : Auteur
Jean-Pierre Lépine
  • Fonction : Auteur
Daphna Levinson
  • Fonction : Auteur
Katie Mclaughlin
  • Fonction : Auteur
María Medina-Mora
  • Fonction : Auteur
Siobhan O'Neill
  • Fonction : Auteur
Yutaka Ono
  • Fonction : Auteur
José Posada-Villa
  • Fonction : Auteur
Nancy Sampson
  • Fonction : Auteur
Kate Scott
Victoria Shahly
  • Fonction : Auteur
Dan Stein
Maria Viana
  • Fonction : Auteur
Zahari Zarkov
  • Fonction : Auteur
Ronald Kessler

Résumé

Background: Although irritability is a core symptom of DSM-IV major depressive disorder (MDD) for youth but not adults, clinical studies find comparable rates of irritability between nonbipolar depressed adults and youth. Including irritability as a core symptom of adult MDD would allow detection of depression-equivalent syndromes with primary irritability hypothesized to be more common among males than females. We carried out a preliminary examination of this issue using cross-national community-based survey data from 21 countries in the World Mental Health (WMH) Surveys (n = 110,729). Methods: The assessment of MDD in the WHO Composite International Diagnostic Interview includes one question about persistent irritability. We examined two expansions of the definition of MDD involving this question: (1) cases with dysphoria and/or anhedonia and exactly four of nine Criterion A symptoms plus irritability; and (2) cases with two or more weeks of irritability plus four or more other Criterion A MDD symptoms in the absence of dysphoria or anhedonia. Results: Adding irritability as a tenth Criterion A symptom increased lifetime prevalence by 0.4% (from 11.2 to 11.6%). Adding episodes of persistent irritability increased prevalence by an additional 0.2%. Proportional prevalence increases were significantly higher, but nonetheless small, among males compared to females. Rates of severe role impairment were significantly lower among respondents with this irritable depression who did not meet conventional DSM-IV criteria than those with DSM-IV MDD. Conclusion: Although limited by the superficial assessment in this single question on irritability, results do not support expanding adult MDD criteria to include irritable mood.

Dates et versions

hal-03118724 , version 1 (22-01-2021)

Identifiants

Citer

Viviane Kovess-Masféty, Jordi Alonso, Matthias Angermeyer, Evelyn Bromet, Giovanni de Girolamo, et al.. Irritable mood in adult major depressive disorder: results from the world mental health surveys. Depression and Anxiety, 2013, 30 (4), pp.395-406. ⟨10.1002/da.22033⟩. ⟨hal-03118724⟩
65 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More