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Is Early-onset in Major Depression a Predictor of Specific Clinical Features with More Impaired Social Function?
Is Early-onset in Major Depression a Predictor of Specific Clinical Features with More Impaired Social Function?
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Is Early-onset in Major Depression a Predictor of Specific Clinical Features with More Impaired Social Function?
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Is Early-onset in Major Depression a Predictor of Specific Clinical Features with More Impaired Social Function?
Is Early-onset in Major Depression a Predictor of Specific Clinical Features with More Impaired Social Function?
Journal Article

Is Early-onset in Major Depression a Predictor of Specific Clinical Features with More Impaired Social Function?

2015
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Overview
Background: Early-onset major depressive disorder (MDD) (EOD) is often particularly malignant due to its special clinical features, accompanying impaired social function, protracted recovery time, and frequent recurrence. This study aimed to observe the effects of age onset on clinical characteristics and social function in MDD patients in Asia. Methods: In total, 547 out-patients aged 18-65 years who were from 13 study sites in five Asian countries were included. These patients had MDD diagnose according to the Diagnostic and Statistical Manual of Mental Disorders, 4 th Edition criteria. Clinical features and social function were assessed using Symptom Checklist-90-revised (SCL-90-R) and Sheehan Disability Scale (SDS). Quality of life was assessed by a 36-item Short-form Health Survey (SF-36). Analyses were performed using a continuous or dichotomous (cut-off: 30 years) age-of-onset indicator. Results: Early-onset MDD (EOD, <30 years) was associated with longer illness (P = 0.003), unmarried status (P < 0.001), higher neuroticism (P ≤ 0.002) based on the SCL-90-R, and more limited social function and mental health (P = 0.006, P = 0.007) based on the SF-36 and SDS. The impairment of social function and clinical severity were more prominent at in-patients with younger onset ages. Special clinical features and more impaired social function and quality of life were associated with EOD, as in western studies. Conclusions: EOD often follows higher levels of neuroticism. Age of onset of MDD may be a predictor of clinical features and impaired social function, allowing earlier diagnosis and treatment.
Publisher
Medknow Publications Pvt Ltd,Medknow Publications and Media Pvt. Ltd,Lippincott Williams & Wilkins Ovid Technologies,Beijing Huilongguan Hospital, Peking University Teaching Hospital, Beijing 100096, China%Key Laboratory of Mental Health, Ministry of Mental Health and Peking University Institute of Mental Health, Beijing 100191, China%Division of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China%Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand%Department of Psychiatry, Faculty of Medicine, Asan Medical Center, Seoul, Korea%Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia,Medknow Publications & Media Pvt Ltd,Wolters Kluwer