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Early- versus Late-Onset Dysthymia: A Meaningful Clinical Distinction?
MedLine Citation:
PMID:  20049145     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In the current Diagnostic and Statistical Manual of Mental Disorders, dysthymic disorder is categorized as either early-onset or late-onset, based upon the emergence of symptoms before or after the age of 21, respectively. Does this diagnostic distinction have any meaningful clinical implications? In this edition of The Interface, we present empirical studies that have, within a single study, compared individuals with early-versus late-onset dysthymia. In this review, we found that, compared to those with late-onset dysthymia, early-onset patients are more likely to harbor psychiatric comorbidity both on Axis I and II, exhibit less psychological resilience, and have more prominent family loadings for mood disorders. These findings suggest that this distinction is meaningful and that the early-onset subtype of dysthymia is more difficult to effectively treat.
Authors:
Randy A Sansone; Lori A Sansone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychiatry (Edgmont (Pa. : Township))     Volume:  6     ISSN:  1555-5194     ISO Abbreviation:  Psychiatry (Edgmont)     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2010-01-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101484252     Medline TA:  Psychiatry (Edgmont)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  14-7     Citation Subset:  -    
Affiliation:
Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, Ohio, and Director of Psychiatry Education at Kettering Medical Center in Kettering, Ohio.
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