Are too many people diagnosed as 'depressed?'

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Omschrijving
Are too many people now diagnosed as having depression? Two experts give their views in this week’s BMJ. Professor Gordon Parker, a psychiatrist from Australia says the current threshold for what is considered to be ‘clinical depression’ is too low. He fears it could lead to a diagnosis of depression becoming less credible. It is, he says, normal to be depressed and points to his own cohort study which followed 242 teachers. Fifteen years into the study, 79% of respondents had already met the symptom and duration criteria for major, minor or sub-syndromal depression. He blames the over-diagnosis of clinical depression on a change in its categorisation, introduced in 1980. This saw the condition split into ‘major’ and ‘minor’ disorders. He says the simplicity and gravitas of ‘major depression’ gave it cachet with clinicians while its descriptive profile set a low threshold.

 

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Categorie: depressie

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