Definisi
Depresi merupakan satu masa terganggunya
fungsi manusia yang berkaitan dengan alam
perasaan yang sedih dan gejala penyertanya,
termasuk perubahan pada pola tidur dan nafsu
makan, psikomotor, konsentrasi, anhedonia,
kelelahan, rasa putus asa dan tak berdaya, serta
gagasan bunuh diri (Kaplan et al., 2007)
Major
depressive
episodes
(MDEs)
are
characteristic of pure MDD (unipolar depression),
occur frequently in patients with bipolar disorder (
Angst et al., 2011)
Epidemiologi
Gangguan depresi berat, paling sering terjadi,
dengan prevalensi seumur hidup sekitar 15
persen. Perempuan dapat mencapai 25%. Sekitar
10% perawatan primer dan 15% dirawat di rumah
sakit. Pada anak sekolah didapatkan prevalensi
sekitar 2%. Pada usia remaja didapatkan
prevalensi 5% dari komunitas memiliki gangguan
depresif berat (Ismail et al., 2010)
Insidensi
1.
2.
3.
4.
Jenis Kelamin
Usia
Status Perkawinan
Sosialekonomi dan budaya
MDD vs MDE
MDD RECURRENT
Presence of two or more major
depressive episodes (each
separated by at least 2 months
in which criteria are not met for
a major depressive episode.)
The major depressive episodes
are not better accounted for by
schizoaffective disorder and are
not superimposed on
schizophrenia, schizophreniform
disorder, delusional disorder, or
psychotic disorder not otherwise
specified.
There has never been a manic
episode, a mixed episode, or a
hypomanic episode
Kunci
Mood
nonreaktif,
anhedonia,
kehilangan
dan
retardasi
pada
pagi
Dengan
gambaran
atipikal
buta
Mood
reaktif,
terlalu
banyak
tidur,
makan
psikotik
Dengan
psikotik
gambaran
sensitive
pada
penolakan interpersonal
Halusinasi atau waham
Depresi katatonik
Dengan
gambaran
katatonik
Katalepsi,
katatonik,
negativism,
mutisme,
mannerism,
echolalia,
Depresi kronik
Gambaran kronis
Gangguan
afektif
Musiman
musiman
Depresi postpartum
Postpartum
At least five of the following symptoms have been present during the same 2-week
period and represent a change from previous functioning: at least one of the
symptoms is either 1) depressed mood or 2) loss of interest or pleasure.
1. Depressed mood most of the day, nearly every day, as indicated either by
subjective report (e.g., feels sad or empty) or observation made by others (e.g.,
appears tearful)
2. Markedly diminished interest or pleasure in all, or almost all, activities most of
the day, nearly every day (as indicated either by subjective account or
observation made by others)
3. Significant weight loss when not dieting or weight gain (e.g., a change of more
than 5% of body weight in a month), or decrease or increase in appetite nearly
every day
4. Insomnia or hypersomnia nearly every day
5. Psychomotor agitation or retardation nearly every day (observable by others, not
merely subjective feelings of restlessness or being slowed down)
6. Fatigue or loss of energy nearly every day
7. Feelings of worthlessness or excessive or inappropriate guilt (which may be
delusional) nearly every day (not merely self-reproach or guilt about being sick)
8. Diminished ability to think or concentrate, or indecisiveness, nearly every day
(either by subjective account or as observed by others)
9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation
without a specific plan, or a suicide attempt or specific plan for committing suicide
Daftar Pustaka
American Psychiatric Association. Practice Guideline for the Treatment of Patients
With Major Depressive Disorder (MDD). 3rd Edition. American Psychiatric
Association, 2010. Available at: http://
alerecares.com/pl/MultiSiteIncludes/PDF/pdfs/Depression%20Guideline%20Summ
ary%2003-11.pdf
. Accessed on Sept 17, 2015.
Angst J, Azorin JM, Bowden CL et al. Prevalence and Characteristics of
Undiagnosed Bipolar Disorders in Patients With a Major Depressive Episode, 2011.
Arch Gen Psy. Aug 2011;68(8): 791-9.
Grohol, JM. 2013. Major Depressive Episode Symptoms. Available at:
http://psychcentral.com/disorders/major-depressive-episode-symptoms/. Accessed
on Sept 17, 2015.
Ismail RI, Siste K. Gangguan depresi. Dalam : Elvira SD, Hadisukanto G. Buku Ajar
Psikiatri. Balai Penerbit Fakultas Kedokteran Universitas Indonesia. Jakarta;
2010.h.209 22.
Naudin M, Carl T, Surguladze S et al. Perceptive Biases in Major Depressive
Episode, 2014. Plos One. Feb 2014; 9(2): 1-8.
Sadock BJ, Sadock VA. Kaplan & Sadocks Synopsis of Psychiatry. Behavior
Sciences/Clinical Psychiatry. 10th ed. Lipincott Williams & Wilkins, 2007, p.527-30.