TY - JOUR PY - 2011// TI - Effects of pharmaco- and psychotherapy in minor depressive disorders - Is there a clinical significance? JO - Nervenheilkunde A1 - Mergl, R. A1 - Schönknecht, P. A1 - Allgaier, A.-k. A1 - Henkel, V. A1 - Hegerl, U. SP - 902 EP - 907 VL - 30 IS - 11 N2 - In psychiatric practices, depressive syndromes going along with considerable impairment of psychosocial functioning and only partly fulfilling the diagnostic criteria of a depressive disorder according to ICD-10 or DSM-IV-TR are frequent phenomena. In this paper, relevant therapeutic aspects of minor depression will be presented and their clinical significance will be discussed. In view of the insufficient evidence base for a specific drug therapy or psychotherapy in patients with minor depression watchful waiting, unspecific counselling and support can be considered. Specific treatment like antidepressant drugs or psychotherapy must be taken into consideration in the case of the following factors: suicidality, previous suicide attempts, high psychological strain, previous depressive episodes or residual symptoms after an episode of major depression as well as family history of affective disorders. © Schattauer 2011.

Language: de

LA - de SN - 0722-1541 UR - http://dx.doi.org/10.1055/s-0038-1628444 ID - ref1 ER -