Dysthymia

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Dysthymia
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For the genus of moth, see Dysthymia (moth).

Dysthymia (/dɪsˈθaɪmiǝ/ dihs-THIY-mee-uh),


also known as persistent depressive
disorder (PDD),[3] is a mental and behavioral
disorder,[5] specifically a disorder primarily of
mood, consisting of similar cognitive and
physical problems as major depressive
disorder, but with longer-lasting symptoms.[3]
[6][7] The concept was used by Robert Spitzer
as a replacement for the term "depressive
personality" in the late 1970s.[8]

Dysthymia

Other names Persistent depressive


disorder, dysthymic
disorder, chronic
depression[1]

Specialty Psychiatry, clinical


psychology

Symptoms Low mood, low self-


esteem, loss of
interest in normally
enjoyable activities,
low energy, pain
without a clear
cause[2]

Complications Self harm, suicide

Usual onset Normally early


adulthood

Causes Genetic,
environmental, and
psychological
factors[2]

Risk factors Family history, major


life changes, certain
medications, chronic
health problems,
substance use
disorders[2][3]

Treatment Counseling,
antidepressant
medication,
electroconvulsive
therapy[2]

Frequency 104 million (2015)[4]

In the Diagnostic and Statistical Manual of


Mental Disorders-IV (DSM-IV), dysthymia is a
serious state of chronic depression, which
persists for at least two years (one year for
children and adolescents). Dysthymia is not a
minor form of major depressive disorder, and
for some may be more disabling.[9]

As dysthymia is a chronic disorder, those with


the condition may experience symptoms for
many years before it is diagnosed, if diagnosis
occurs at all. As a result, they may believe that
depression is a part of their character, so they
may not even discuss their symptoms with
doctors, family members or friends. In the
DSM-5, dysthymia is replaced by persistent
depressive disorder.[3] This new condition
includes both chronic major depressive
disorder and the previous dysthymic disorder.
The reason for this change is that there was no
evidence for meaningful differences between
these two conditions.[10]

Signs and symptoms

Dysthymia characteristics include an extended


period of depressed mood combined with at
least two other symptoms which may include
insomnia or hypersomnia, fatigue or low
energy, eating changes (more or less), low
self-esteem, or feelings of hopelessness. Poor
concentration or difficulty making decisions
are treated as another possible symptom.
Irritability is one of the more common
symptoms in children and adolescents.[3][11][12]

Mild degrees of dysthymia may result in people


withdrawing from stress and avoiding
opportunities for failure. In more severe cases
of dysthymia, people may withdraw from daily
activities.[13] They will usually find little
pleasure in usual activities and pastimes.

Diagnosis of dysthymia can be difficult


because of the subtle nature of the symptoms
and patients can often hide them in social
situations, making it challenging for others to
detect symptoms. Additionally, dysthymia
often occurs at the same time as other
psychological disorders, which adds a level of
complexity in determining the presence of
dysthymia, particularly because there is often
an overlap in the symptoms of disorders.[14]

There is a high incidence of comorbid illness in


those with dysthymia. Suicidal behavior is also
a particular problem with those with
dysthymia. It is vital to look for signs of major
depression, panic disorder, generalised anxiety
disorder, alcohol and substance use disorders,
and personality disorder.[15]

Causes

Pathophysiology

Diagnosis

Prevention

Treatments

Epidemiology

See also

References

External links

Last edited 6 days ago by Opencooper

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