The epidemiology of psychiatrist-ascertained depression and DSM-III depressive disorders Results from the Eastern Baltimore Mental Health Survey Clinical Reappraisal

A. J. Romanoski, G. Nestadt, A. Merchant, P. R. McHugh, E. M. Gruenberg, C. H. Brown, R. Chahal

Research output: Contribution to journalArticlepeer-review

79 Scopus citations

Abstract

Psychiatrists used a semi-structured Standardized Psychiatric Examination method to examine 810 adults drawn from a probability sample of eastern Baltimore residents in 1981. Of the population, 5.9% was found to be significantly depressed. DSM-III major depression (MD) had a prevalence of 1.1% and 'non-major depression' (nMD), our collective term for the other depressive disorder categories in DSM-III, had a prevalence of 3.4%. The two types of depression differed by sex ratio, age-specific prevalence, symptom severity, symptom profiles, and family history of suicide. Analyses using a multiple logistic regression model discerned that both types of depression were influenced by adverse life events, and that nMD was influenced strongly by gender, marital status, and lack of employment outside the home. Neither type of depression was influenced by income, education, or race. This study validates the concept of major depression as a clinical entity. Future studies of the aetiology, mechanism, and treatment of depression should distinguish between these two types of depression.

Original languageEnglish (US)
Pages (from-to)629-655
Number of pages27
JournalPsychological medicine
Volume22
Issue number3
DOIs
StatePublished - Aug 1992

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

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