0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Letter to the Editor   |    
Disguised Depression Deserves a Diagnosis
Nada L. Stotland, M.D., M.P.H.
Am J Psychiatry 2010;167:867-867. doi:10.1176/appi.ajp.2010.10030391
View Author and Article Information
Chicago, Ill.

The author reports no financial relationships with commercial interests.

Accepted April , 2010.

Copyright © American Psychiatric Association

To the Editor: Dr. Wakefield et al. (1) examined the impact of clinical significance criteria for major depression on the occurrence of false positives. I have a related but different concern. While I am not aware of any data on the frequency with which this occurs, we all know of tragic incidents in which people who manifest no outward signs of depression commit suicide. Not all of these individuals are depressed, but some are. Some high-functioning people are able to present a completely normal face to the world, kiss their mates and children goodbye in the morning, smile at their co-workers, complete their tasks, and then take an overdose or hang themselves. How will we and DSM-5 address the reality of very depressed people who exhibit no outward signs of social withdrawal, inability to concentrate (though they may feel they cannot), changes in appetite (though they may have no appetite), loss of energy, or sadness?

Wakefield  JC;  Schmitz  MF;  Baer  JC:  Does the DSM-IV clinical significance criterion for major depression reduce false positives? Evidence from the National Comorbidity Survey Replication.  Am J Psychiatry 2010; 167:298—304
[CrossRef] | [PubMed]
 
References Container
+

References

Wakefield  JC;  Schmitz  MF;  Baer  JC:  Does the DSM-IV clinical significance criterion for major depression reduce false positives? Evidence from the National Comorbidity Survey Replication.  Am J Psychiatry 2010; 167:298—304
[CrossRef] | [PubMed]
 
References Container
+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 15.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 15.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 20.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 20.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 20.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles