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Am J Psychiatry 1988; 145:815-819
Copyright © 1988 by American Psychiatric Association
The epidemiology of dysthymia in five communities: rates, risks, comorbidity, and treatment
MM Weissman, PJ Leaf, ML Bruce and L Florio
Department of Epidemiology, College of Physicians and Surgeons, Columbia University, New York, NY 10032.
Data from a survey of five U.S. communities showed that dysthymia affected
approximately 3% of the adult population. It was more common in women under
age 65, unmarried persons, and young persons with low income and was
associated with greater use of general health and psychiatric services and
psychotropic drugs. Dysthymia had a high comorbidity with other psychiatric
disorders, particularly major depression; only about 25%-30% of cases occur
over a lifetime in the absence of other psychiatric disorders. The findings
suggest that although the onset and highest risk periods of major
depression and bipolar disorder are in young adulthood, a residual state of
dysthymia occurs in middle and old age.
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