Substance or medication-induced depressive disorder: Difference between revisions
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{{CMG}} {{AE}} {{KS}} | {{CMG}} {{AE}} {{KS}} | ||
==Overview== | ==Overview== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*Primary [[depressive disorder]] | *Primary [[depressive disorder]] | ||
*Substance intoxication and withdrawal<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | *Substance intoxication and withdrawal<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
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'''''AND''''' | '''''AND''''' | ||
*B.There is evidence from the history, physical examination, or laboratory findings of both | *B.There is evidence from the history, physical examination, or laboratory findings of both (1)and(2): | ||
(1)and(2): | |||
:*1.The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication. | :*1.The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication. | ||
:*2.The involved substance/medication is capable of producing the symptoms in Criterion A. | :*2.The involved substance/medication is capable of producing the symptoms in Criterion A. | ||
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 | '''''AND''''' | ||
*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 | |||
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). | ||
Revision as of 18:08, 10 November 2014
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
- History of drug induced depression
- Higher family history of substance use disorders
- History of stressful life events
- Major depressive disorder
- Psychosocial stressors
- Specific type of medication[1]
Diagnostic Criteria
DSM-V Diagnostic Criteria for Substance/Medication-Induced Depressive Disorder [1]
| “ |
AND
AND
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). AND
AND
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. . |
” |