Substance or medication-induced depressive disorder: Difference between revisions
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*C. The disturbance is not better explained by a [[depressive disorder]] that is not substance/medication-induced. Such evidence of an independent [[depressive disorder]] could include the following: | *C. The disturbance is not better explained by a [[depressive disorder]] that is not substance/medication-induced. Such evidence of an independent [[depressive disorder]] could include the following: | ||
:* The symptoms preceded the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute | :* The symptoms preceded the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g., about 1 month) after the cessation of acute withdrawal or severe intoxication; or there is other evidence suggesting the existence of an independent non-substance/medication-induced [[depressive disorder]] (e.g., a history of recurrent non-substance/medication-related episodes). | ||
withdrawal or severe intoxication; or there is other evidence suggesting the existence of an independent non-substance/medication-induced [[depressive disorder]] (e.g., a history of recurrent non-substance/medication-related episodes). | |||
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Revision as of 16:11, 13 November 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Overview
Differential Diagnosis
- Depressive disorder due to another medical condition
- Primary depressive disorder
- Substance intoxication and withdrawal[1]
Epidemiology and Demographics
Prevalence
The prevalence of substance or medication-induced depressive disorder is 260 per 100,000 (0.26%) of the overall population.[1]
Risk Factors
- Antisocial behavior
- Alcohol or drug use disorders
- Family history of substance use disorders
- History of drug induced depression
- History of stressful life events
- History of major depressive disorder
- Psychosocial stressors
- Specific type of medication
- Effavirenz
- High estrogen/Progesterone in OCP
- Interferon alpha
- Prednisone[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Substance/Medication-Induced Depressive Disorder [1]
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Note: This diagnosis should be made instead of a diagnosis of substance intoxication or substance withdrawal only when the symptoms in Criterion A predominate in the clinical picture and when they are sufficiently severe to warrant clinical attention. |
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