Multidimensional anatomy of 'modern type depression' in Japan

A proposal for a different diagnostic approach to depression beyond the DSM-5

Takahiro A. Kato, Ryota Hashimoto, Kohei Hayakawa, Hiroaki Kubo, Motoki Watabe, Alan Teo, Shigenobu Kanba

Research output: Contribution to journalReview article

23 Citations (Scopus)

Abstract

Japan's prototype of depression was traditionally a melancholic depression based on the premorbid personality known as shu¯chaku-kishitsu proposed by Mitsuzo Shimoda in the 1930s. However, since around 2000, a novel form of depression has emerged among Japanese youth. Called 'modern type depression (MTD)' by the mass media, the term has quickly gained popularity among the general public, though it has not been regarded as an official medical term. Likewise, lack of consensus guidelines for its diagnosis and treatment, and a dearth of scientific literature on MTD has led to confusion when dealing with it in clinical practice in Japan. In this review article, we summarize and discuss the present situation and issues regarding MTD by focusing on historical, diagnostic, psychosocial, and cultural perspectives. We also draw on international perspectives that begin to suggest that MTD is a phenomenon that may exist not only in Japan but also in many other countries with different sociocultural and historical backgrounds. It is therefore of interest to establish whether MTD is a culture-specific phenomenon in Japan or a syndrome that can be classified using international diagnostic criteria as contained in the ICD or the DSM. We propose a novel diagnostic approach for depression that addresses MTD in order to combat the current confusion about depression under the present diagnostic systems.

Original languageEnglish (US)
Pages (from-to)7-23
Number of pages17
JournalPsychiatry and Clinical Neurosciences
Volume70
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Anatomy
Japan
Depression
Modern Literature
Confusion
Mass Media
Internationality
Personality
Consensus
Guidelines

Keywords

  • atypical depression
  • depression
  • DSM-5
  • dysthymia
  • major depressive disorder
  • shu¯chaku-kishitsu

ASJC Scopus subject areas

  • Neuroscience(all)
  • Neurology
  • Clinical Neurology
  • Psychiatry and Mental health

Cite this

Multidimensional anatomy of 'modern type depression' in Japan : A proposal for a different diagnostic approach to depression beyond the DSM-5. / Kato, Takahiro A.; Hashimoto, Ryota; Hayakawa, Kohei; Kubo, Hiroaki; Watabe, Motoki; Teo, Alan; Kanba, Shigenobu.

In: Psychiatry and Clinical Neurosciences, Vol. 70, No. 1, 01.01.2016, p. 7-23.

Research output: Contribution to journalReview article

Kato, Takahiro A. ; Hashimoto, Ryota ; Hayakawa, Kohei ; Kubo, Hiroaki ; Watabe, Motoki ; Teo, Alan ; Kanba, Shigenobu. / Multidimensional anatomy of 'modern type depression' in Japan : A proposal for a different diagnostic approach to depression beyond the DSM-5. In: Psychiatry and Clinical Neurosciences. 2016 ; Vol. 70, No. 1. pp. 7-23.
@article{bea0976a2bfd47d5aa0bd3a9c445f44a,
title = "Multidimensional anatomy of 'modern type depression' in Japan: A proposal for a different diagnostic approach to depression beyond the DSM-5",
abstract = "Japan's prototype of depression was traditionally a melancholic depression based on the premorbid personality known as shu¯chaku-kishitsu proposed by Mitsuzo Shimoda in the 1930s. However, since around 2000, a novel form of depression has emerged among Japanese youth. Called 'modern type depression (MTD)' by the mass media, the term has quickly gained popularity among the general public, though it has not been regarded as an official medical term. Likewise, lack of consensus guidelines for its diagnosis and treatment, and a dearth of scientific literature on MTD has led to confusion when dealing with it in clinical practice in Japan. In this review article, we summarize and discuss the present situation and issues regarding MTD by focusing on historical, diagnostic, psychosocial, and cultural perspectives. We also draw on international perspectives that begin to suggest that MTD is a phenomenon that may exist not only in Japan but also in many other countries with different sociocultural and historical backgrounds. It is therefore of interest to establish whether MTD is a culture-specific phenomenon in Japan or a syndrome that can be classified using international diagnostic criteria as contained in the ICD or the DSM. We propose a novel diagnostic approach for depression that addresses MTD in order to combat the current confusion about depression under the present diagnostic systems.",
keywords = "atypical depression, depression, DSM-5, dysthymia, major depressive disorder, shu¯chaku-kishitsu",
author = "Kato, {Takahiro A.} and Ryota Hashimoto and Kohei Hayakawa and Hiroaki Kubo and Motoki Watabe and Alan Teo and Shigenobu Kanba",
year = "2016",
month = "1",
day = "1",
doi = "10.1111/pcn.12360",
language = "English (US)",
volume = "70",
pages = "7--23",
journal = "Psychiatry and Clinical Neurosciences",
issn = "1323-1316",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Multidimensional anatomy of 'modern type depression' in Japan

T2 - A proposal for a different diagnostic approach to depression beyond the DSM-5

AU - Kato, Takahiro A.

AU - Hashimoto, Ryota

AU - Hayakawa, Kohei

AU - Kubo, Hiroaki

AU - Watabe, Motoki

AU - Teo, Alan

AU - Kanba, Shigenobu

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Japan's prototype of depression was traditionally a melancholic depression based on the premorbid personality known as shu¯chaku-kishitsu proposed by Mitsuzo Shimoda in the 1930s. However, since around 2000, a novel form of depression has emerged among Japanese youth. Called 'modern type depression (MTD)' by the mass media, the term has quickly gained popularity among the general public, though it has not been regarded as an official medical term. Likewise, lack of consensus guidelines for its diagnosis and treatment, and a dearth of scientific literature on MTD has led to confusion when dealing with it in clinical practice in Japan. In this review article, we summarize and discuss the present situation and issues regarding MTD by focusing on historical, diagnostic, psychosocial, and cultural perspectives. We also draw on international perspectives that begin to suggest that MTD is a phenomenon that may exist not only in Japan but also in many other countries with different sociocultural and historical backgrounds. It is therefore of interest to establish whether MTD is a culture-specific phenomenon in Japan or a syndrome that can be classified using international diagnostic criteria as contained in the ICD or the DSM. We propose a novel diagnostic approach for depression that addresses MTD in order to combat the current confusion about depression under the present diagnostic systems.

AB - Japan's prototype of depression was traditionally a melancholic depression based on the premorbid personality known as shu¯chaku-kishitsu proposed by Mitsuzo Shimoda in the 1930s. However, since around 2000, a novel form of depression has emerged among Japanese youth. Called 'modern type depression (MTD)' by the mass media, the term has quickly gained popularity among the general public, though it has not been regarded as an official medical term. Likewise, lack of consensus guidelines for its diagnosis and treatment, and a dearth of scientific literature on MTD has led to confusion when dealing with it in clinical practice in Japan. In this review article, we summarize and discuss the present situation and issues regarding MTD by focusing on historical, diagnostic, psychosocial, and cultural perspectives. We also draw on international perspectives that begin to suggest that MTD is a phenomenon that may exist not only in Japan but also in many other countries with different sociocultural and historical backgrounds. It is therefore of interest to establish whether MTD is a culture-specific phenomenon in Japan or a syndrome that can be classified using international diagnostic criteria as contained in the ICD or the DSM. We propose a novel diagnostic approach for depression that addresses MTD in order to combat the current confusion about depression under the present diagnostic systems.

KW - atypical depression

KW - depression

KW - DSM-5

KW - dysthymia

KW - major depressive disorder

KW - shu¯chaku-kishitsu

UR - http://www.scopus.com/inward/record.url?scp=84957439464&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957439464&partnerID=8YFLogxK

U2 - 10.1111/pcn.12360

DO - 10.1111/pcn.12360

M3 - Review article

VL - 70

SP - 7

EP - 23

JO - Psychiatry and Clinical Neurosciences

JF - Psychiatry and Clinical Neurosciences

SN - 1323-1316

IS - 1

ER -