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Does bereavement-related first episode depression differ from other kinds of first depressions?

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Abstract

Background

It has never been investigated whether first depression differs in patients who have experienced bereavement compared to patients who have not.

Method

Patients discharged with a diagnosis of a single depressive episode from a psychiatric in- or outpatient hospital setting were consecutively sampled from the Danish Psychiatric Central Research Register. Patients participated in an extensive interview including the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and the Interview of Recent Life Events (IRLE).

Results

Among 301 patients with a first depression, 26 patients (4.7%) had experienced death of a first degree relative (parent, sibling, child) or a near friend, 163 patients (54.2%) had experienced other moderate to severe stressful life events and 112 patients had not experienced stressful life events in a 6 months period prior to the onset of depression. Patients who had experienced bereavement did not differ from patients with other stressful life events or from patients without stressful life events in socio-demographic variables or in the phenomenology of the depression, psychiatric comorbidity, family history or response to antidepressant treatment.

Conclusion

Bereavement-related first episode depression does not differ from other kinds of first depression.

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Acknowledgment

This study was supported by the Danish Research Councils (2052-03-0025).

Conflict of interest statement

Lars Vedel Kessing has been a speaker for Bristol-Myers Squibb, Eli Lilly, Lundbeck, AstraZenica, Pfizer, Wyeth, Servier and is a member of the advisory board for AstraZenica. Maj Vinberg has been a speaker for Eli Lilly, Wyeth, AstraZenica, Pfizer and is a member of the advisory board for AstraZenica Denmark. None of the authors have any conflicts of interest in connection with this work.

Author information

Correspondence to Lars Vedel Kessing.

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Kessing, L.V., Bukh, J.D., Bock, C. et al. Does bereavement-related first episode depression differ from other kinds of first depressions?. Soc Psychiat Epidemiol 45, 801–808 (2010). https://doi.org/10.1007/s00127-009-0121-6

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Keywords

  • Single depressive episode
  • Stressful life event
  • Bereavement
  • Melancholia
  • Depressive disorder