The American Psychiatric Publishing Textbook of Mood Disorders Editorial Board Pedro L. Delgado, M.D. Husseini K. Manji, M.D. Professor and Chairman, Department of Psychiatry; As- Laboratory of Molecular Pathophysiology, National In- sociate Dean for Faculty Development, School of Medi- stitute of Mental Health, Bethesda, Maryland cine, The University of Texas Health Sciences Center at A. John Rush, M.D. San Antonio, San Antonio, Texas Professor and Vice-Chairman for Research; Betty Jo Hay Ellen Frank, Ph.D. Distinguished Chair in Mental Health; Rosewood Cor- Professor of Psychiatry and Psychology, Department of poration Chair in Biomedical Science, Department of Psychiatry, University of Pittsburgh School of Medicine, Psychiatry, The University of Texas Southwestern Medi- Western Psychiatric Institute and Clinic, Pittsburgh, cal Center, Dallas, Texas Pennsylvania Alan F. Schatzberg, M.D. Mark S. George, M.D. Kenneth T. Norris, Jr., Professor and Chairman, Depart- Distinguished Professor of Psychiatry, Radiology, and ment of Psychiatry and Behavioral Sciences, Stanford Neurology; Director, Brain Stimulation Laboratory and University School of Medicine, Stanford, California Center for Advanced Imaging Research, Medical Univer- Dan J. Stein, M.D., Ph.D. sity of South Carolina, Charleston, South Carolina Professor and Chair, Department of Psychiatry, Univer- David J. Kupfer, M.D. sity of Cape Town, Cape Town, South Africa Thomas Detre Professor and Chair, Department of Psy- chiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania The American Psychiatric Publishing Textbook of Mood Disorders EDITED BY DAN J. STEIN, M.D., PH.D. DAVID J. KUPFER, M.D. ALAN F. SCHATZBERG, M.D. Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Association. Copyright © 2006 American Psychiatric Publishing, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 09 08 07 06 05 5 4 3 2 1 First Edition Typeset in Adobe’s Frutiger and Janson Text. American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data The American Psychiatric Publishing textbook of mood disorders / edited by Dan J. Stein, David J. Kupfer, Alan F. Schatzberg.-- 1st ed. p. ; cm. Includes bibliographical references and index. ISBN 1-58562-151-X (hardcover : alk. paper) 1. Affective disorders. [DNLM: 1. Mood Disorders. WM 171 A5115 2005] I. Title: Textbook of mood disorders. II. Stein, Dan J. III. Kupfer, David J., 1941- IV. Schatzberg, Alan F. V. American Psychiatric Publishing. RC537.A545 2005 616.85'27--dc22 2005008198 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Contents Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii P A R T 1 Symptomatology and Epidemiology Dan J. Stein, M.D., Ph.D., Section Editor 1 Historical Aspects of Mood Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Michael H. Stone, M.D. 2 Classification of Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Daniel N. Klein, Ph.D., Stewart A. Shankman, Ph.D., and Brian R. McFarland, M.A. 3 Epidemiology of Mood Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Renee D. Goodwin, Ph.D., M.P.H., Frank Jacobi, Ph.D., Antje Bittner, Dipl.Psych., and Hans-Ulrich Wittchen, Ph.D. 4 Global Burden of Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Philip S. Wang, M.D., Dr.P.H., and Ronald C. Kessler, Ph.D. 5 Rating Scales for Mood Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Mary Amanda Dew, Ph.D., Galen E. Switzer, Ph.D., Larissa Myaskovsky, Ph.D., Andrea F. DiMartini, M.D., and Marianna I. Tovt-Korshynska, M.D., Ph.D. P A R T 2 Pathogenesis of Mood Disorders Pedro L. Delgado, M.D., Section Editor 6 Neurochemistry of Mood Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Pedro L. Delgado, M.D., and Francisco A. Moreno, M.D. 7 Psychoneuroendocrinology of Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Stuart N. Seidman, M.D. 8 Cognitive Processing Models of Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Bruce K. Christensen, Ph.D., C.Psych., Colleen E. Carney, Ph.D., C.Psych., and Zindel V. Segal, Ph.D., C.Psych. 9 Social Perspectives on Mood Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 David R. Williams, Ph.D., M.P.H., and Harold W. Neighbors, Ph.D. 10 Evolutionary Explanations for Mood and Mood Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Randolph M. Nesse, M.D. P A R T 3 Investigating Mood Disorders Husseini K. Manji, M.D., Section Editor 11 Anatomical Pathology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179 Grazyna Rajkowska, Ph.D. 12 Molecular and Cellular Neurobiology of Severe Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Jaskaran B. Singh, M.D., Jorge A. Quiroz, M.D., Todd D. Gould, M.D., Carlos A. Zarate Jr., M.D., and Husseini K. Manji, M.D. 13 Brain Imaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 Helen S. Mayberg, M.D. 14 Genetics of Bipolar and Unipolar Disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235 Wade Berrettini, M.D., Ph.D. P A R T 4 Somatic Interventions for Mood Disorders Mark S. George, M.D., Section Editor 15 Tricyclics, Tetracyclics, and Monoamine Oxidase Inhibitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 William Zeigler Potter, M.D., Ph.D., Robert A. Padich, Ph.D., Matthew V. Rudorfer, M.D., and K. Ranga Rama Krishnan, M.B., Ch.B. 16 Selective Serotonin Reuptake Inhibitors and Newer Antidepressants. . . . . . . . . . . . . . . . . . . . . . . . 263 Richard C. Shelton, M.D., and Natalie Lester, B.S. 17 Lithium and Mood Stabilizers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281 Paul E. Keck Jr., M.D., and Susan L. McElroy, M.D. 18 Antipsychotic Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 Stephen M. Strakowski, M.D., and Richard C. Shelton, M.D. 19 Targeting Peptide and Hormonal Systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305 Stuart N. Seidman, M.D. 20 Electroconvulsive Therapy and Transcranial Magnetic Stimulation. . . . . . . . . . . . . . . . . . . . . . . . . . 317 Mitchell S. Nobler, M.D., and Harold A. Sackeim, Ph.D. 21 Vagus Nerve Stimulation and Deep Brain Stimulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337 Mark S. George, M.D., Ziad Nahas, M.D., Daryl E. Bohning, Ph.D., F. Andrew Kozel, M.D., M.S., Berry Anderson, R.N., Chiwen Mu, M.D., Ph.D., Jeffrey Borckardt, Ph.D., and Xiangbao Li, M.D. P A R T 5 Psychotherapy of Mood Disorders Ellen Frank, Ph.D., Section Editor 22 Cognitive-Behavioral Therapy for Depression and Dysthymia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353 Edward S. Friedman, M.D., and Michael E. Thase, M.D. 23 Interpersonal Psychotherapy for Depression and Dysthymic Disorder . . . . . . . . . . . . . . . . . . . . . . . 373 John C. Markowitz, M.D. 24 Psychoanalytic and Psychodynamic Psychotherapy for Depression and Dysthymia . . . . . . . . . . . . . 389 Glen O. Gabbard, M.D., and Tanya J. Bennett, M.D. 25 Psychotherapy for Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405 Holly A. Swartz, M.D., Ellen Frank, Ph.D., and David J. Kupfer, M.D. 26 Psychotherapy for Depression in Children and Adolescents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 421 V. Robin Weersing, Ph.D., and David A. Brent, M.D. P A R T 6 Integrative Management of Mood Disorders A. John Rush, M.D., Section Editor 27 Guidelines for the Treatment of Major Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439 A. John Rush, M.D. 28 Guidelines for the Treatment of Bipolar Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 463 David J. Muzina, M.D., and Joseph R. Calabrese, M.D. 29 Understanding and Preventing Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485 J. John Mann, M.D., and Dianne Currier, Ph.D. 30 Suicide in Children and Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497 Cynthia R. Pfeffer, M.D. 31 Medication Combination and Augmentation Strategies in the Treatment of Major Depression. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 509 Pierre Blier, M.D., Ph.D. P A R T 7 Subtypes of Mood Disorders Alan F. Schatzberg, M.D., Section Editor 32 Seasonal Affective Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 527 Joshua Z. Rosenthal, M.D., and Norman E. Rosenthal, M.D. 33 Atypical Depression, Dysthymia, and Cyclothymia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 547 Jonathan W. Stewart, M.D., Frederic M. Quitkin, M.D., D.M.Sc., and Carrie Davies, B.S. 34 Psychotic Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 561 Benjamin H. Flores, M.D. and Alan F. Schatzberg, M.D. 35 Pediatric Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 573 Graham J. Emslie, M.D., Taryn L. Mayes, M.S., Beth D. Kennard, Psy.D., and Jennifer L. Hughes, B.A. 36 Geriatric Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 603 Steven P. Roose, M.D., and D.P. Devanand, M.D. P A R T 8 Additional Perspective on Mood Disorders David J. Kupfer, M.D., Section Editor 37 Depression in Primary Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 623 Susan Bentley, D.O., and Wayne J. Katon, M.D. 38 Depression in Medical Illness (Secondary Depression). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 639 Robert Boland, M.D. 39 Mood Disorders and Substance Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 653 Edward Nunes, M.D., Eric Rubin, M.D., Ph.D., Kenneth Carpenter, Ph.D., and Deborah Hasin, Ph.D. 40 Depression and Personality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 673 Shirley Yen, Ph.D., Meghan E. McDevitt-Murphy, Ph.D., and M. Tracie Shea, Ph.D. 41 Depression and Gender. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 687 Susan G. Kornstein, M.D., and Diane M.E. Sloan, Pharm.D. 42 Depression Across Cultures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 699 Laurence J. Kirmayer, M.D., and G. Eric Jarvis, M.D., M.Sc. 43 Mood Disorders and Sleep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 717 Daniel J. Buysse, M.D., Anne Germain, Ph.D., Eric A. Nofzinger, M.D., and David J. Kupfer, M.D. Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 739 Contributors Berry Anderson, R.N. Joseph R. Calabrese, M.D. Clinical Research Nurse, Medical University of South Carolina, Professor of Psychiatry and Co-Director, Bipolar Disorders Across Charleston, South Carolina the Life Cycle Interventions and Services Research Center, Case University School of Medicine, University Hospitals of Cleveland, Tanya J. Bennett, M.D. Cleveland, Ohio Staff Psychiatrist, Eating Disorders Program, Menninger Clinic; Instructor in Psychiatry, Baylor College of Medicine, Colleen E. Carney, Ph.D., C.Psych. Houston, Texas Research Associate, Duke University Medical Center, Durham, North Carolina Susan Bentley, D.O. National Research Service Award Primary Care-Psychiatry Fel- Kenneth Carpenter, Ph.D. low, Department of Psychiatry and Behavioral Sciences, Uni- Assistant Professor of Clinical Psychology in Psychiatry, Columbia versity of Washington School of Medicine, Seattle, Washington University, Department of Psychiatry, New York State Psychiatric Institute, New York, New York Wade Berrettini, M.D., Ph.D. Karl E. Rickels Professor of Psychiatry and Director, Center for Bruce K. Christensen, Ph.D., C.Psych. Neurobiology and Behavior, University of Pennsylvania School Head, Neuropsychology Lab, and Assistant Professor of Psychi- of Medicine, Philadelphia, Pennsylvania atry, Centre for Addiction and Mental Health, Clarke Site, Uni- versity of Toronto, Toronto, Ontario, Canada Antje Bittner, Dipl.Psych. Research Associate, Institute of Clinical Psychology and Psycho- Dianne Currier, Ph.D. therapy, Technische Universität Dresden, Dresden, Germany Staff Associate, Department of Psychiatry, Columbia University, New York, New York Pierre Blier, M.D., Ph.D. Endowed Chair, Mood Disorders Research, Institute of Mental Carrie Davies, B.S. Health Research, Royal Ottawa Hospital; Professor, Depart- Research Assistant, New York State Psychiatric Institute, New ments of Psychiatry and Cellular and Molecular Medicine, Uni- York, New York versity of Ottawa, Ottawa, Ontario, Canada Pedro L. Delgado, M.D. Daryl E. Bohning, Ph.D. Professor and Chairman, Department of Psychiatry, and Associate Professor of Radiology, Medical University of South Carolina, Dean for Faculty Development, School of Medicine, the Univer- Charleston, South Carolina sity of Texas Health Sciences Center at San Antonio, San Antonio, Texas Robert Boland, M.D. Associate Professor of Psychiatry and Human Behavior, Brown D.P. Devanand, M.D. Medical School, Providence, Rhode Island Professor of Clinical Psychiatry and Neurology, College of Phy- sicians and Surgeons, Columbia University; and Co-Director, Jeffrey Borckardt, Ph.D. Memory Disorders Center, New York State Psychiatric Insti- Instructor, Department of Psychiatry, Medical University of South tute, New York, New York Carolina, Charleston, South Carolina Mary Amanda Dew, Ph.D. David A. Brent, M.D. Professor of Psychiatry, Psychology, and Epidemiology; Direc- Academic Chief, Child and Adolescent Psychiatry, and Profes- tor, Clinical Epidemiology Program; and Associate Director, sor of Psychiatry, Pediatrics, and Epidemiology, Western Psy- Advanced Center for Interventions and Services Research for chiatric Institute and Clinic, University of Pittsburgh School of Late Life Mood Disorders, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Medicine and Medical Center, Pittsburgh, Pennsylvania Daniel J. Buysse, M.D. Andrea F. DiMartini, M.D. Professor of Psychiatry, Clinical Neuroscience Research Center, Associate Professor, Department of Psychiatry, University of Pitts- Department of Psychiatry, University of Pittsburgh School of burgh School of Medicine and Medical Center, Pittsburgh, Penn- Medicine, Pittsburgh, Pennsylvania sylvania ix
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