TY - JOUR
T1 - Introducing the concept of modern depression in Japan; An international case vignette survey
AU - Kato, Takahiro A.
AU - Shinfuku, Naotaka
AU - Fujisawa, Daisuke
AU - Tateno, Masaru
AU - Ishida, Tetsuya
AU - Akiyama, Tsuyoshi
AU - Sartorius, Norman
AU - Teo, Alan R.
AU - Choi, Tae Young
AU - Wand, Anne P.F.
AU - Balhara, Yatan Pal Singh
AU - Chang, Jane Pei Chen
AU - Chang, Rita Yuan Feng
AU - Shadloo, Behrang
AU - Ahmed, Helal Uddin
AU - Lerthattasilp, Tiraya
AU - Umene-Nakano, Wakako
AU - Horikawa, Hideki
AU - Matsumoto, Ryohei
AU - Kuga, Hironori
AU - Tanaka, Masuo
AU - Kanba, Shigenobu
N1 - Funding Information:
This study design was initially proposed during the NUS–JSPS joint seminar “Depression and Suicide; 21st Century Neuro-Psychopharmacology and Transcultural Differences in Asia” held in Singapore on December 2009. This survey was supported by the World Psychiatric Association Research Fund and a grant from Japan Foundation for Neuroscience and Mental Health (to T.A.K.).
PY - 2011/12
Y1 - 2011/12
N2 - Aim: Japanese psychiatrists have increasingly reported patients with depression that does not seem to fit the criteria of the ICD-10 and the DSM-IV, and which has recently been called modern type depression (MTD). We explored whether MTD is frequently seen in Japan and also in other countries, and if so, how patients with MTD are diagnosed and treated. Methods: The questionnaires, with two case vignettes (traditional type depression (TTD) and MTD), were sent to psychiatrists in Australia, Bangladesh, India, Iran, Japan, Korea, Taiwan, Thailand and the USA. Participants rated their opinions about each case's prevalence in their country, etiology, diagnosis, suicide risk, and treatment using Likert scales. Results: Out of 247 responses (123 from Japan and 124 from other countries), two hundred thirty-nine valid responses were received. MTD was recognized in all participating countries, and especially in urban areas. Generally, the factor of personality was regarded as the most probable cause of MTD. Whereas about 90% of Japanese psychiatrists applied the ICD/DSM criteria to TTD, only about 60% applied the criteria to MTD. Conclusion: Our results indicate that Japan's MTD seems to be occurring in many other countries, and that the present ICD/DSM criteria may not be sufficient to diagnose MTD. Therefore, it could be an important candidate for a new international diagnostic criterion as a subtype of depression. A clear diagnostic framework and consensus on the interventions to treat MTD would be valuable. Further clinical, psychopathological and international epidemiological studies are needed to confirm our preliminary findings of MTD.
AB - Aim: Japanese psychiatrists have increasingly reported patients with depression that does not seem to fit the criteria of the ICD-10 and the DSM-IV, and which has recently been called modern type depression (MTD). We explored whether MTD is frequently seen in Japan and also in other countries, and if so, how patients with MTD are diagnosed and treated. Methods: The questionnaires, with two case vignettes (traditional type depression (TTD) and MTD), were sent to psychiatrists in Australia, Bangladesh, India, Iran, Japan, Korea, Taiwan, Thailand and the USA. Participants rated their opinions about each case's prevalence in their country, etiology, diagnosis, suicide risk, and treatment using Likert scales. Results: Out of 247 responses (123 from Japan and 124 from other countries), two hundred thirty-nine valid responses were received. MTD was recognized in all participating countries, and especially in urban areas. Generally, the factor of personality was regarded as the most probable cause of MTD. Whereas about 90% of Japanese psychiatrists applied the ICD/DSM criteria to TTD, only about 60% applied the criteria to MTD. Conclusion: Our results indicate that Japan's MTD seems to be occurring in many other countries, and that the present ICD/DSM criteria may not be sufficient to diagnose MTD. Therefore, it could be an important candidate for a new international diagnostic criterion as a subtype of depression. A clear diagnostic framework and consensus on the interventions to treat MTD would be valuable. Further clinical, psychopathological and international epidemiological studies are needed to confirm our preliminary findings of MTD.
KW - Depression
KW - Dysthymia
KW - Shuchaku-kishitsu
KW - Typus dysthymicus
KW - Typus melancholicus
KW - Vignette
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U2 - 10.1016/j.jad.2011.06.030
DO - 10.1016/j.jad.2011.06.030
M3 - Article
C2 - 21782250
AN - SCOPUS:80052984996
SN - 0165-0327
VL - 135
SP - 66
EP - 76
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
IS - 1-3
ER -