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Early identification and intervention in depressive disorders: Towards a clinical staging model

Version 2 2024-06-05, 11:27
Version 1 2021-05-14, 09:32
journal contribution
posted on 2024-06-05, 11:27 authored by SE Hetrick, AG Parker, IB Hickie, R Purcell, Alison YungAlison Yung, PD McGorry
Background: Depressive disorders are common and associated risks include the onset of secondary disorders, substance use disorders, impairment in social and occupational functioning, and an increase in suicidality. As the onset often occurs in youth, there is a clear imperative for early identification and intervention to ameliorate, if not prevent, associated distress. Methods: An extensive search of relevant databases and an ancestry search was undertaken. Results: There is a limited but growing body of literature on this topic that is discussed in relation to a clinical staging model, which may prove to be a useful framework for identifying where an individual lies along the continuum of the course of a depressive illness thus allowing interventions to be matched for that stage. The identification of a subsyndromal and prodromal stage of depressive disorders provides early intervention opportunities. Conclusions: It is argued that a clinical staging heuristic may increase the number of those treated early, which may in turn delay or prevent onset, reduce severity, or prevent progression in the course of depressive disorders.

History

Journal

Psychotherapy and Psychosomatics

Volume

77

Pagination

263-270

Location

Switzerland

ISSN

0033-3190

eISSN

1423-0348

Language

English

Publication classification

C1.1 Refereed article in a scholarly journal

Issue

5

Publisher

KARGER