Major Depressive Disorder Clinical Updates

Advances

Interactive Features

Depression

Pediatric Pearls: Cannabis and Depression in Adolescents

07/28/2022

After a check-up, the mother of a 16-year-old boy asks about the risks associated with cannabis use in adolescents. The mother commonly uses cannabis, and is curious about what effects it could have on her...

07/28/2022

major depression

Quick Quiz: First-Line Treatments for MDD

04/17/2019

With current guidelines in mind, which of the following is NOT classified as a first-line treatment option for major depressive disorder?

04/17/2019

major depression

major depression

Poll: Shorter Depression Treatment

08/29/2018

The FDA recently approved a shortened version of transcranial magnetic stimulation- called theta burst stimulation- for treatment-resistant major depressive disorder. How long do shortened sessions last? ...

08/29/2018

Major Depressive Disorder Snapshot

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For a period of at least 2 weeks, an individual maintains a depressed mood, which may involve feelings of guilt or worthlessness, lack of energy, poor concentration, appetite changes, agitation, sleep disturbances, or suicidal thoughts.

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clinical psychologists, psychiatrists, primary care physicians, emergency medicine, social workers

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One must have at least 5 symptoms from this list: depressed mood, inability to experience pleasure, feelings of guilt or worthlessness, lack of energy, poor concentration, appetite changes, agitation, sleep disturbances, or suicidal thoughts

For more perspective on major depression disorder, visit the Clinical Insights page

(continued) From that list, one of the symptoms must be a depressed mood or inability to experience pleasure in order to be diagnosed with MDD.

Ref: https://www.ncbi.nlm.nih.gov/books/NBK559078/

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The Patient Health Questionnaire-9 (PHQ-9): Used to quantify severity and assist in diagnosis of depression symptoms. PHQ-9 scores each of the DSM criteria of MDD as “0” (not at all) to “3” (nearly every day), providing a 0-27 severity score.

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Hamilton Rating Scale for Depression (HAM-D): clinician-administered depression rating scale commonly used to measure depression in adults. Of the 21 items on the scale, only the first 17 are used for scoring.

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(continued) Other tests include: Beck Depression Inventory, Zung Self-Rating Depression Scale, Geriatric Depression Scale, Center for Epidemiologic Studies-Depression Scale

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In 2021, an estimated 21 million adults in the United States had at least one major depressive episode, representing an estimated 8.3% of all U.S. adults.

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The US Preventive Services Task Force recommends that all adults—including those pregnant and postpartum—be screened for depression.

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The percentage of female high school students who experienced persistent feelings of sadness or hopelessness in 2021 was 57%, a record level and double the rate of males.

Research Summaries

Research Summary

Low Prevalence of Depression in Children from 2004 to 2019

01/18/2024

Jessica Ganga

Researchers evaluated the prevalence of depression disorders in pediatric patients to determine if there is a mental health impact on this age group.

01/18/2024

Research Summary

Research Summary

Association of Major Depression With Oral Contraceptive Pill Use

01/03/2024

Jessica Ganga

A team of researchers evaluated the connection between oral contraceptive pill use and the prevalence of major depression in women.

01/03/2024

Research summary

Research summary

USPSTF Recommendations on Screening for MDD, Suicide Risk in Adults

07/28/2023

Jessica Ganga

The USPSTF has updated its recommendations on screening adults for major depressive disorder (MDD) and suicide risk.

07/28/2023

Research Summary

ACP Updates MDD Treatment Guidelines

02/15/2023

The American College of Physicians updated its recommendations on pharmacologic and nonpharmacologic treatment options for adults with major depressive disorder.

02/15/2023

Electroconvulsive Therapy

Electroconvulsive Therapy Potentially a Better Option in Treating Major Depressive Episodes Than Ketamine

01/05/2023

Researchers conducted a systematic review to compare the treatment efficacy and safety of ketamine and electroconvulsive therapy.

01/05/2023

April 2024

Current Issue

April 2024

Volume 64

Issue 4

Sources:

https://www.ncbi.nlm.nih.gov/books/NBK559078/
https://www.nimh.nih.gov/health/statistics/major-depression
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13.
https://www.med.upenn.edu/cbti/assets/user-content/documents/Hamilton%20Rating%20Scale%20for%20Depression%20(HAM-D).pdf
Centers for Disease Control and Prevention. Youth behavior risk survey: data summary and trends report. Accessed March 31, 2023. https://www.cdc.gov/healthyyouth/data/yrbs/yrbs_data_summary_and_trends.htm