Synonyms
Rejection sensitivity; Reversed vegetative symptoms
Definition
A form of depression that is characterized by the presence of mood reactivity (responsiveness to positive events) and two or more of the following: significant weight gain or an increase in appetite, hypersomnia, leaden paralysis (heavy, leaden feelings in arms or legs), and significant social/occupational impairment resulting from a long-term pattern of sensitivity to interpersonal rejection. Exclusionary criteria include “with melancholic” or “with catatonic” features during the same depressive episode.
Role of Pharmacotherapy
Depressive disorders, both unipolar and bipolar, are among the leading causes of disability worldwide. Given a relatively high prevalence rate in the general population, significant research to determine the etiology and pathophysiology of depressive disorders is key to identifying improved treatment and clinical outcomes.
DSM-5 described criteria for depressive disorders have not changed...
References
Davidson JRT (2007) A history of the concept of atypical depression. J Clin Psychiatry 68(3):10–15
Harald B, Gordon P (2012) Meta-review of depressive subtyping models. J Affect Disord 139:126–140
Henkel V, Mergl R, Allgaier AK, Kohnen R, Moller HJ, Hegerl U (2006) Treatment of depression with atypical features: a meta-analytic approach. Psychiatry Res 141:89–101
Lamers F, Vogelzangs N, Merikangas KR, de Jonge P, Beekman ATF, Penninx BWJH (2013) Evidence for a differential role of HPA-axis function, inflammation and metabolic syndrome in melancholic versus atypical depression. Mol Psychiatry 18:692–699
Liebowitz MR, Quitkin FM, Stewart JW, McGrath PJ, Harrison WM, Markowitz JS, Rabkin JG, Tricamo E, Goetz DM, Klein DF (1988) Antidepressant specificity in atypical depression. Arch Gen Psychiatry 45:129–137
O’Keane V, Frodl T, Dinan TG (2012) A review of atypical depression in relation to the course of depression and changes in HPA axis organization. Psychoneuroendocrinology 37:1589–1599
Rapaport MH (2007) Translating the evidence on atypical depression into clinical practice. J Clin Psychiatry 68(3):31–36
Stewart JW, McGrath PJ, Quitkin F, Klein DF (2009) DSM-IV Depression with atypical features: is it valid? Neuropsychopharmacology 34:2625–2632
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Perez-Parada, J. (2014). Atypical Depression. In: Stolerman, I., Price, L. (eds) Encyclopedia of Psychopharmacology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27772-6_7041-1
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DOI: https://doi.org/10.1007/978-3-642-27772-6_7041-1
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Publisher Name: Springer, Berlin, Heidelberg
Online ISBN: 978-3-642-27772-6
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