Dysthymia: nosology, systematics, clinical and social significance: а literature review

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Abstract

The issues of nosology, systematics, and clinical and social significance of dysthymia are a serious problem of modern medicine. Dysthymia significantly contributes to the structure of depressive disorders. Although its symptoms are mild, the disease is associated with high risks of disability, concomitant health problems, and mortality. There is no established system of classifying and diagnosing chronic mild depression. This review presents epidemiological data, historical review, and nosology, along with the assessment of persistent depressive disorder. Full-text articles and fragments of monographs selected by keywords in the databases Scopus, Web of Science, MEDLINE, RSCI, Psychiatrist, ScienceDirect were used for research.

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About the authors

Irina Y. Mashkova

Evdokimov Moscow State University of Medicine and Dentistry

Author for correspondence.
Email: mashkovairina2018@gmail.com
ORCID iD: 0000-0002-4342-671X
SPIN-code: 5929-7530

MD, Associate Professor

Russian Federation, Moscow

Natalya N. Osipova

Evdokimov Moscow State University of Medicine and Dentistry

Email: natinen@yandex.ru
ORCID iD: 0000-0002-8034-4457
SPIN-code: 7532-4382

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Moscow

Galina A. Aleshkina

Evdokimov Moscow State University of Medicine and Dentistry

Email: aleshkina-ga@yandex.ru
ORCID iD: 0000-0002-8872-9810
SPIN-code: 7477-8598

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Nicolay I. Beglyankin

Evdokimov Moscow State University of Medicine and Dentistry

Email: begnik@yandex.ru
ORCID iD: 0000-0002-4690-3972
SPIN-code: 7740-2176

MD, Cand. Sci. (Med.), Professor

Russian Federation, Moscow

Jaroslav M. Slavgorodsky

Evdokimov Moscow State University of Medicine and Dentistry

Email: makarovai2010@yandex.ru
ORCID iD: 0000-0001-7007-9293
SPIN-code: 7434-6017

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Moscow

References

  1. Bardenshtein LM. Khronicheskie depressii: distimiya. Rossiiskii meditsinskii zhurnal (Medical Journal of the Russian Federation, Russian Journal). 2012;5:32–34. (In Russ).
  2. Bardenshtein LM. Klinika dinamika i terapiya distimii. In: Aleksandrovskii YuA, Bardenshtein LM, Avedisova AS. Psikhofarmakoterapiya pogranichnykh psikhicheskikh rasstroistv. Moscow: GEOTAR-Meditsina; 2000. P. 136–162. (In Russ).
  3. Bartolomucci A, Leopardi R. Stress and depression: preclinical research and clinical implications. PLoS One. 2009;4(1):e4265. doi: 10.1371/journal.pone.0004265
  4. Baune B. Conceptual challenges of a tentative model of stress-induced depression. PLoS One. 2009;4(1):e4266. doi: 10.1371/journal.pone.0004266
  5. Tinland A, Boyer L, Loubière S, et al. Victimization and posttraumatic stress disorder in homeless women with mental illness are associated with depression, suicide, and quality of life. Neuropsychiatr Dis Treat. 2018;14:2269–2279. doi: 10.2147/ndt.s161377
  6. Osipova NN, Dmitrieva EV, Beglyankin NI, Bardenshteĭn LM. Predictors of suicidal behaviour in adolescents with depressive disorders. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2019;119(1–2):28–33. (In Russ). doi: 10.17116/jnevro20191191228
  7. Chiu E. Epidemiology of depression in the Asia Pacific region. Australas Psychiatry. 2004;12(Suppl.):S4–10. doi: 10.1111/j.1039-8562.2004.02099.x
  8. Murphy JA, Byrne GJ. Prevalence and correlates of the proposed DSM-5 diagnosis of chronic depressive disorder. J Affect Disord. 2012;139(2):172–180. doi: 10.1016/j.jad.2012.01.033
  9. Tuithof M, Ten Have M, van Dorsselaer S, et al. Course of subthreshold depression into a depressive disorder and its risk factors. J Affect Disord. 2018;241:206–215. doi: 10.1016/j.jad.2018.08.010
  10. Chong MY, Tsang HY, Chen CS, et al. Community study of depression in old age in Taiwan: prevalence, life events and socio-demographic correlates. Br J Psychiatry. 2001;178(1):29–35. doi: 10.1192/bjp.178.1.29
  11. Vandeleur CL, Fassassi S, Castelao E, et al. Prevalence and correlates of DSM-5 major depressive and related disorders in the community. Psychiatry Res. 2017;250:50–58. doi: 10.1016/j.psychres.2017.01.060
  12. Sorokina OYu, Volel BA. Neurotic depression: the problem of nosological qualification. Psikhiatriya. 2019;81:6–19. (In Russ). doi: 10.30629/2618-6667-2019-81-6-19
  13. Benazzi F. Chronic depression: a case series of 203 outpatients treated at a private practice. J Psychiatry Neurosci. 1998;23(1):51–55.
  14. Ildirli S, Şair YB, Dereboy F. Persistent depression as a novel diagnostic category: results from the Menderes depression study. Noro Psikiyatr Ars. 2015;52(4):359–366. doi: 10.5152/npa.2015.7589
  15. Markowitz JC, Moran ME, Kocsis JH, Frances AJ. Prevalence and comorbidity of dysthymic disorder among psychiatric outpatients. J Affect Disord. 1992;24(2):63–71. doi: 10.1016/0165-0327(92)90020-7
  16. Bolis CL, Licinio J, editors. Public health aspects of dysthymia in the field of neuroscience [Internet]. World Health Organization, 2000 [cited 2022 Aug 8]. Available from: https://apps.who.int/iris/handle/10665/66283.
  17. Blanco C, Okuda M, Markowitz JC, et al. The epidemiology of chronic major depressive disorder and dysthymic disorder: results from the national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry. 2010;71(12):1645–1656. doi: 10.4088/JCP.09m05663gry
  18. Riolo SA, Nguyen TA, Greden JF, King CA. Prevalence of depression by race/ethnicity: findings from the national health and nutrition examination survey III. Am J Public Health. 2005;95(6):998–1000. doi: 10.2105/AJPH.2004.047225
  19. Rubio JM, Markowitz JC, Alegría A, et al. Epidemiology of chronic and nonchronic major depressive disorder: results from the national epidemiologic survey on alcohol and related conditions. Depress Anxiety. 2011;28(8):622–631. doi: 10.1002/da.20864
  20. Leader JB, Klein DN. Social adjustment in dysthymia, double depression and episodic major depression. J Affect Disord. 1996;37(2–3):91–101. doi: 10.1016/0165-0327(95)00076-3
  21. Angst J, Gamma A, Rössler W, et al. Long-term depression versus episodic major depression: results from the prospective Zurich study of a community sample. J Affect Disord. 2009;115(1–2):112–121. doi: 10.1016/j.jad.2008.09.023
  22. Satyanarayana S, Enns MW, Cox BJ, Sareen J. Prevalence and correlates of chronic depression in the Canadian community health survey: mental health and well-being. Can J Psychiatry. 2009;54(6):389–398. doi: 10.1177/070674370905400606
  23. Krepelin E. Vvedenie v psikhiatricheskuyu kliniku. 3-e izd. Moscow: BINOM. Laboratoriya znanii; 2009. (In Russ).
  24. Krechmer E. Stroenie tela i kharakter. Moscow: Akademicheskii Proekt; 2015. (In Russ).
  25. Piatnitskiĭ NIu. The notion of psychopathic personalities in Kurt Schneider’s concept. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2019;119(2):66–75. (In Russ). doi: 10.17116/jnevro201911902166
  26. Gannushkin PB. Klinika psikhopatii: ikh statika, dinamika, sistematika. Moscow: Yurait, 2022. (In Russ).
  27. Angst J, Perris C. Zur Nosologie endogener Depressionen. Vergleich der Ergebnisse zweier Untersuchungen. Arch Psychiatr Nervenkr (1970). 1968;210(4):373–86. (In German). doi: 10.1007/BF00342013
  28. Tellenbach H. Der Typus melancholicus Kinetische Typologie: Methode der Wesenserschließung des Typus melancholicus. Melancholie. Berlin, Heidelberg GmbH: Springer-Verlag; 1976. (In German).
  29. Volkel H. Neurotische Depression. Ein Beitrag zur Psychopathologie und Klinik. Stuttgart: Thieme; 1959. (In German).
  30. May MA. Critical Reappraisal of the Concept of Neurotic Depression. Akiskal HS, Cassano GB, editors. Dysthymia and the spectrum of chronic depressions. New York: Guilford press; 1997.
  31. Kessing LV. Endogenous, reactive and neurotic depression – diagnostic and long-term outcome. Psychopathology. 2004;37(3):124–130. doi: 10.1159/000078611
  32. Lakosina ND, Trunova MM. Nevrozy, nevroticheskie razvitiya lichnosti i psikhopatii: klinika i lechenie. Moscow: Meditsina; 1994. (In Russ).
  33. Psikhicheskie rasstroistva (razdel V Mezhdunarodnoi statisticheskoi klassifikatsii boleznei, travm i prichin smerti 9-go peresmotra, adaptirovannyi dlya ispol'zovaniya v SSSR) [Internet]. Moscow; 1983 [cited 2022 Aug 8]. Available from: https://psychiatr.ru/download/1486?view=1&name=%D0%9C%D0%9A%D0%91-9_%D0%9F%D1%81%D0%B8%D1%85%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%B8%D0%B5_%D1%80%D0%B0%D1%81%D1%81%D1%82%D1%80%D0%BE%D0%B9%D1%81%D1%82%D0%B2%D0%B0.pdf. (In Russ).
  34. Foran HM, Vivian D, O’Leary KD, et al. Risk for Partner Victimization and Marital Dissatisfaction Among Chronically Depressed Patients. J Fam Viol. 2012;27:75–85. doi: 10.1007/s10896-011-9404-2
  35. Garanyan NG. Depressiya i lichnost': obzor zarubezhnykh issledovaniĭ. Chast' I. Sotsial'naya i klinicheskaya psikhiatriya. 2009;19(1):79–89. (In Russ).
  36. Garanyan NG. Depressiya i lichnost': obzor zarubezhnykh issledovanii. Chast' II. Sotsial'naya i klinicheskaya psikhiatriya. 2009;19(3):82–90. (In Russ).
  37. Borisova OA. Osobennosti domanifestnykh sostoyaniĭ bol'nykh affektivnym psikhozom [dissertation]. Moscow; 1988. (In Russ).
  38. Bannikov GS. Rol' lichnostnykh osobennosteĭ v formirovanii struktury depressii i reaktsiĭ dezadaptatsii [dissertation]. Moscow; 1998. Available from: http://mniip-repo.ru/view_statiy.php?id=1418. Accessed: 08.08.2022. (In Russ).
  39. Tsirkin SYu. Diagnostika i sistematika lichnostnykh tipov. Sotsial'naya i klinicheskaya psikhiatriya. 1999;9(3):81–84. (In Russ).
  40. Kronmuller K, Backenstrass M, Kocherscheidt K, et al. Typus melancholicus personality type and the five-factor model of personality. Psychopathology. 2002;35(6):327–334. doi: 10.1159/000068596
  41. Akiskal HS, Chen E, Davis G, et al. Borderline: An adjective still in search of a noun. J Clin Psychiatry. 1985;46(2):41–48.
  42. Akiskal HS. Temperament and depression: Impact on subtyping major depression. Medscape coverage of American Psychiatric Association. 153rd Annual Meeting; 2000.
  43. Weissman MM, Klerman GL. The chronic depressive in the community: unrecognized and poorly treated. Comp Psychiatry. 1977;18(6):523–532. doi: 10.1016/s0010-440x(97)90002-x
  44. Akiskal HS, King D, Rosenthal TL, et al. Chronic depressions: Part 1. Clinical and familial charac-teristics in 137 probands. J Affect Disord. 1981;3(3):297–315. doi: 10.1016/0165-0327(81)90031-8
  45. Akiskal HS. Personality as a mediating variable in the pathogenesis of mood disorders: Implications for theory, research and prevention. Depressive illness: Prediction of course and outcome. In: Helgason T, Daly J, editors. Berlin, Heidelberg GmbH: Springer-Verlag; 1988.
  46. Akiskal HS. Description of the bipolar spectrum. Psychopharmacol Bull. 2008;40(4):99–115.
  47. Diagnostic and Statistical Manual of Mental Disorders, 3rd edition (DSM-III). Washington, DC: American Psychiatric Publishing; 1980.
  48. Levkovitz Y, Tedeschini E, Papakostas GI. Efficacy of antidepressants for dysthymia: a meta-analysis of placebo-controlled randomized trials. J Clin Psychiatry. 2011;72(4):509–514. doi: 10.4088/JCP.09m05949blu
  49. Kazakovtsev BA, Golland VB, editors. Psikhicheskie rasstroistva i rasstroistva povedeniya (F00–F99). Klass V MKB-10, adaptirovannyĭ dlya ispol'zovaniya v Rossiiskoĭ Federatsii. Moscow: Prometei; 1998. (In Russ).
  50. Kazakovtsev BA, Golland VB, editors. Psikhicheskie rasstroistva i rasstroistva povedeniya (F00–F99). Psikhiatricheskii tezaurus. Klass V MKB-10, adaptirovannyi dlya ispol'zovaniya v Rossiiskoi Federatsii. Saint Petersburg: SPbMAPO; 2003. (In Russ).
  51. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th edition. Arlington, VA: American Psychiatric Publishing; 2013.
  52. Parker G, Malhi GS. Persistent Depression: Should Such a DSM-5 Diagnostic Category Persist? Can J Psychiatry. 2019;64(3):177–179. doi: 10.1177/0706743718814429
  53. Klein DN. Persistent Depressive Disorder: Commentary on Parker and Malhi. Can J Psychiatry. 2020;65(1):16–18. doi: 10.1177/0706743719860823
  54. Rhebergen D, Beekman AT, de Graaf R, et al. The three-year naturalistic course of major depressive disorder, dysthymic disorder and double depression. J Affect Disord. 2009;115(3):450–459. doi: 10.1016/j.jad.2008.10.018
  55. Klein DN, Shankman SA, Lewinsohn PM, et al. Family study of chronic depression in a community sample of young adults. Am J Psychiatry. 2004;161(4):646–653. doi: 10.1176/appi.ajp.161.4.646
  56. Sang W, Li Y, Su L, et al. A comparison of the clinical characteristics of Chinese patients with recurrent major depressive disorder with and without dysthymia. J Affect Disord. 2011;135(1–3):106–110. doi: 10.1016/j.jad.2011.06.051
  57. Mondimore FM, Zandi PP, MacKinnon DF, et al. Familial aggregation of illness chronicity in recurrent, early-onset major depression pedigrees. Am J Psychiatry. 2006;163(9):1554–1560. doi: 10.1176/ajp.2006.163.9.1554
  58. Klein DN. Classification of depressive disorders in the DSM-V: proposal for a two-dimension system. J Abnorm Psychol. 2008;117(3):552–560. doi: 10.1037/0021-843X.117.3.552
  59. First M, Gaebel W, Maj M, et al. An organization- and category-level comparison of diagnostic requirements for mental disorders in ICD-11 and DSM-5. World Psychiatry. 2021;20(1):34–51. doi: 10.1002/wps.20825
  60. Smulevich AB, Dubnitskaia EB. A dimensional rhythmological model of depression. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2010;110(1):4–10. (In Russ).
  61. Krasnov VN. Present-day changes in mental disorders diagnostic and classification principles. Sotsial'naya i klinicheskaya psikhiatriya. 2018;28(1):58–61. (In Russ).
  62. Schramm E, Klein DN, Elsaesser M, et al. Review of dysthymia and persistent depressive disorder: history, correlates, and clinical implications. Lancet Psychiatry. 2020;7(9):801–812. doi: 10.1016/S2215-0366(20)30099-7
  63. Bardenshtein LM, Piven' BN. Komorbidnye formy psikhicheskikh zabolevanii. Moscow: OOO RIF «Stroimaterialy»; 2008. (In Russ).
  64. Piven BN. Comorbid forms of mental disorders and the ICD-11. Sotsial'naya i klinicheskaya psikhiatriya. 2014;24(4):69–72. (In Russ).
  65. Zimmerman M, Kerr S, Kiefer R, et al. What is anxious depression? Overlap and agreement between different definitions. Journal Psychiatr Res. 2019;109:133–138. doi: 10.1016/j.jpsychires.2018.11.028
  66. Rosellini AJ, Bourgeois ML, Correa J, et al. Anxious distress in depressed outpatients: prevalence, comorbidity, and incremental validity. J Psychiatr Res. 2018;103:54–60. doi: 10.1016/j.jpsychires.2018.05.006
  67. Alfimova MV, Lapin IA, Aksenova EV, Mel'nikova TS. Effect of anxiety on cognitive functions in depressive syndrome. Sotsial'naya i klinicheskaya psikhiatriya. 2017;27(1):5–12. (In Russ).
  68. Ponizovskiy PA, Gofman AG. Depression in alcohol addicted patients. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2015;115(7):146–150. (In Russ). doi: 10.17116/jnevro201511571146-150
  69. Rybakova KV, Rybakova TG, Neznanov NG, Eryshev OF. Effect of comorbid depression on the development and course of alcohol dependence. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2013;113(6–2):27–32. (In Russ).
  70. Varfolomeeva YuE. Subdepressivnye sostoyaniya pri alkogolizme. Independent Psychiatric Journal. 2011;1:21–23. (In Russ).
  71. Bardenshtein LM, Molodetskikh AV, Mozhginskii YuB. Alkogolizm, narkomanii i drugie psikhicheskie i povedencheskie rasstroistva, svyazannye s upotrebleniem psikhoaktivnykh veshchestv. Moscow: GEOTAR-Media; 2015. (In Russ).
  72. Ivanets NN, Lavrinenko OV, Maksimova TN. Klinicheskie osobennosti depressivnykh rasstroistv, oslozhnennykh zloupotrebleniem alkogolem. Sotsial'naya i klinicheskaya psikhiatriya. 2016;26(2):55–59. (In Russ).
  73. Bardenshtein LM, Torchinov AM, Umakhanova MM, Kharkharova MA. Klinicheskaya tipologiya depressivnykh rasstroistv u zhenshchin v perimenopauzal'nom periode. Allergology and immunology. 2005;6(2):269–275. (In Russ).
  74. Torchinov AM, Bardenshtein LM, Umakhanova MM, Kharkharova MA. Sovremennye aspekty depressivnykh rasstroistv u zhenshchin v perimenopauze. Zhurnal Rossiiskogo obshchestva akusherov-ginekologov. 2006;3:34–38. (In Russ).
  75. Dovzhenko TV, Il'ina NA, Grodnitskaya EE, et al. Anxiety and depression in women of reproductive age with polycystic ovary syndrome. Sotsial'naya i klinicheskaya psikhiatriya. 2015;25(4):31–37. (In Russ).
  76. Smulevich AB, Medvedev VE, Frolova VI. Ritmy depressii pri somaticheskikh (dermato- i kardiologicheskikh) zabolevaniyakh. Psikhicheskie rasstroistva v obshchei meditsine. 2008;1:22–25. (In Russ).
  77. Stepanova EA. Depressii pri ishemicheskoi bolezni serdtsa [dissertation]. Moscow; 2011. Available from: https://medical-diss.com/medicina/depressii-pri-ishemicheskoy-bolezni-serdtsa. Accessed: 08.08.2022. (In Russ).
  78. Veltishchev DYu, Zeltyn AE, Seravina OF, Romanenko SG. The anxiety-depressive spectrum disorders in patients with larynx diseases. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2015;115(5):15–19. (In Russ). doi: 10.17116/jnevro20151155115-19
  79. Moiseycheva OV, Stepanov IL. Clinico-psychopatological picture of depression with regard for previous exacerbations of physical disorders. Sotsial'naya i klinicheskaya psikhiatriya. 2020;30(3):31–36. (In Russ).
  80. Chen M, Jiang Q, Zhang L. The prevalence of bipolar disorder in autoimmune disease: a systematic review and meta-analysis. Ann Palliat Med. 2021;10(1):350–361. doi: 10.21037/apm-20-2293
  81. Stepanov IL, Moiseycheva OV. The role of clinical-psychopatological and the course characteristics of depressive conditions in patients with history of somatic disorders for evaluation of their social functioning. Sotsial'naya i klinicheskaya psikhiatriya. 2014;24(3):12–17. (In Russ).
  82. Farmer A, Korszun A, Owen MJ, et al. Medical disorders in people with recurrent depression. Br J Psychiatry. 2008;192(5):351–355. doi: 10.1192/bjp.bp.107.038380
  83. Holahan CJ, Pahl SA, Cronkite RC, et al. Depression and vulnerability to incident physical illness across 10 years. J Affect Disord. 2010;123(1–3):222–229. doi: 10.1016/j.jad.2009.10.006
  84. Poole L, Steptoe A. Depressive symptoms predict incident chronic disease burden 10 years later: findings from the English Longitudinal Study of Ageing (ELSA). J Psychosom Res. 2018;113:30–36. doi: 10.1016/j.jpsychores.2018.07.009
  85. Koyanagi A, Köhler-Forsberg O, Benros ME, et al. Mortality in unipolar depression preceding and following chronic somatic diseases. Acta Psychiatr Scand. 2018;138(6):500–508. doi: 10.1111/acps.12899
  86. Bobrov AE, Starostina EG, Agamamedova IN, et al. Mental disorders in type 2 diabetes. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2021;121(7):22–30. (In Russ). doi: 10.17116/jnevro202112107122
  87. Triolo F, Harber-Aschan L, Belvederi Murri M, et al. The complex interplay between depression and multimorbidity in late life: risks and pathways. Mech Ageing Dev. 2020;192:111383. doi: 10.1016/j.mad.2020.111383
  88. Xu X, Mishra GD, Jones M. Depressive symptoms and the development and progression of physical multimorbidity in a national cohort of Australian women. Health Psychol. 2019;38(9):812–821. doi: 10.1037/hea0000738
  89. Birk JL, Kronish IM, Moise N, et al. Depression and multimorbidity: Considering temporal characteristics of the associations between depression and multiple chronic diseases. Health Psychol. 2019;38(9):802–811. doi: 10.1037/hea0000737
  90. Shmukler AB, Kibitov AO, Mazo GE, et al. Network analysis as a promising method for studing of genetic architecture of depression. Sotsial'naya i klinicheskaya psikhiatriya. 2020;30(4):69–75. (In Russ).
  91. Kas'yanov ED, Mazo GE, Kibitov AO. V poiskakh «nasledstvennykh» form depressii: klinicheskie, geneticheskie i biologicheskie podkhody. Sotsial'naya i klinicheskaya psikhiatriya. 2018;28(1):74–82. (In Russ).
  92. Rukavishnikov GV, Kibitov AO, Mazo G, Neznanov NG. Genetic comorbidity of depression and somatic disorders. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2019;119(1):89–96. (In Russ). doi: 10.17116/jnevro201911901189

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