Subthreshold depression - concept, operationalisation and epidemiological data. A scoping review

被引:42
作者
Volz, Hans-Peter [1 ]
Stirnweiss, Johanna [1 ]
Kasper, Siegfried [2 ]
Moeller, Hans-Juergen [3 ]
Seifritz, Erich [4 ]
机构
[1] Hosp Psychiat, Psychotherapy & Psychosomat Med Schloss Werneck, Werneck, Germany
[2] Med Univ Vienna, Ctr Brain Res, Vienna, Austria
[3] Ludwig Maximilian Univ Munich, Dept Psychiat & Psychotherapy, Munich, Germany
[4] Univ Zurich, Dept Psychiat & Psychosomat, Psychiat Hosp, Zurich, Switzerland
关键词
Subthreshold depression; subsyndromal depression; epidemiology; operationalisation; systematic review; SUBSYNDROMAL SYMPTOMATIC DEPRESSION; RANDOMIZED CONTROLLED-TRIAL; LATE-LIFE DEPRESSION; PRIMARY-CARE; MAJOR DEPRESSION; SUBCLINICAL DEPRESSION; PSYCHIATRIC-DISORDERS; BEHAVIORAL ACTIVATION; FUNCTIONAL IMPAIRMENT; OLDER-ADULTS;
D O I
10.1080/13651501.2022.2087530
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose: In diagnostic systems (e.g., DSM-5, ICD-10), depression is defined categorically. However, the concept of subthreshold depression (SD) has gained increasing interest in recent years. The purpose of the present paper was to review, based on a scoping review, the relevant papers in this field published between October 2011 and September 2020. Materials and methods: Of the 1,160 papers identified, 64 records could be included in further analysis. The scoping review was conducted using both electronic and manual methods. Results: The main result of the analysis is that the operationalisation criteria used are highly heterogeneous, which also leads to very heterogenous epidemiological data. Conclusions: Clear conclusions are not possible scrutinising the reported results. Most definitions seem to be arbitrary, with considerable overlap (e.g., between SD and minor depression). The review also revealed that the impact of SD on quality of life and related parameters appear to be in the range of the respective impact of major depression (MD) and therapeutic approaches might be helpful for SD and also for the prevention of conversion from SD to MD. Keeping the presented difficulties in mind, a proposal for the definition of SD is made in the present paper in order to facilitate the discussion leading to more homogeneous criteria.
引用
收藏
页码:92 / 106
页数:15
相关论文
共 97 条
[1]   Association of Depression with Sexual and Daily Activities: A Community Study of Octogenarian Men [J].
Almeida, Osvaldo P. ;
Yeap, Bu B. ;
Hankey, Graeme J. ;
Golledge, Jonathan ;
Flicker, Leon .
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2015, 23 (03) :234-242
[2]   From depressive symptoms to depressive disorders: the relevance of thresholds [J].
Ayuso-Mateos, Jose L. ;
Nuevo, Roberto ;
Verdes, Emese ;
Naidoo, Nirmala ;
Chatterji, Somnath .
BRITISH JOURNAL OF PSYCHIATRY, 2010, 196 (05) :365-371
[3]   A comparative study, of nonspecific depressive symptoms and minor depression regarding functional impairment and associated characteristics in primary care [J].
Backenstrass, M ;
Frank, A ;
Joest, K ;
Hingmann, S ;
Mundt, C ;
Kronmüller, KT .
COMPREHENSIVE PSYCHIATRY, 2006, 47 (01) :35-41
[4]   Prevalence of subthreshold forms of psychiatric disorders in persons making suicide attempts in Hungary [J].
Balázs, J ;
Bitter, I ;
Lecrubier, Y ;
Csiszér, N ;
Ostorharics, G .
EUROPEAN PSYCHIATRY, 2000, 15 (06) :354-361
[5]   Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk [J].
Balazs, Judit ;
Miklosi, Monika ;
Kereszteny, Agnes ;
Hoven, Christina W. ;
Carli, Vladimir ;
Wasserman, Camilla ;
Apter, Alan ;
Bobes, Julio ;
Brunner, Romuald ;
Cosman, Doina ;
Cotter, Padraig ;
Haring, Christian ;
Iosue, Miriam ;
Kaess, Michael ;
Kahn, Jean-Pierre ;
Keeley, Helen ;
Marusic, Dragan ;
Postuvan, Vita ;
Resch, Franz ;
Saiz, Pilar A. ;
Sisask, Merike ;
Snir, Avigal ;
Tubiana, Alexandra ;
Varnik, Airi ;
Sarchiapone, Marco ;
Wasserman, Danuta .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2013, 54 (06) :670-677
[6]   The impact of clinical significance criteria on subthreshold depression prevalence rates [J].
Baumeister, H. ;
Morar, V. .
ACTA PSYCHIATRICA SCANDINAVICA, 2008, 118 (06) :443-450
[7]   Subthreshold Depression Needs A Prime Time In Old Age Psychiatry? A Narrative Review Of Current Evidence [J].
Biella, Marina Maria ;
Borges, Marcus Kiiti ;
Strauss, Jason ;
Mauer, Sivan ;
Martinelli, Jose Eduardo ;
Aprahamian, Ivan .
NEUROPSYCHIATRIC DISEASE AND TREATMENT, 2019, 15 :2763-2772
[8]   Likelihood of depressive symptoms in US older adults by prescribed opioid potency: National Health and Nutrition Examination Survey 2005-2013 [J].
Brooks, Jessica M. ;
Petersen, Curtis ;
Kelly, Stephanie M. ;
Reid, Manney C. .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2019, 34 (10) :1481-1489
[9]   Preventing Depression in Adults With Subthreshold Depression: Health-Economic Evaluation Alongside a Pragmatic Randomized Controlled Trial of a Web-Based Intervention [J].
Buntrock, Claudia ;
Berking, Matthias ;
Smit, Filip ;
Lehr, Dirk ;
Nobis, Stephanie ;
Riper, Heleen ;
Cuijpers, Pim ;
Ebert, David .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2017, 19 (01)
[10]   Effect of a Web-Based Guided Self-help Intervention for Prevention of Major Depression in Adults With Subthreshold Depression A Randomized Clinical Trial [J].
Buntrock, Claudia ;
Ebert, David Daniel ;
Lehr, Dirk ;
Smit, Filip ;
Riper, Heleen ;
Berking, Matthias ;
Cuijpers, Pim .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (17) :1854-1863