Reactive mood and atypical depression in psychiatrically hospitalized depressed adolescents

Authors

  • Kathleen M. Kaminski B.A.,

    1. Warren Wright Center for Adolescence at Northwestern Memorial Hospital, Northwestern University Medical School, Chicago, IL
    Search for more papers by this author
  • Dr. Michael W. Naylor M.D.,

    Corresponding author
    1. Warren Wright Center for Adolescence at Northwestern Memorial Hospital, Northwestern University Medical School, Chicago, IL
    • Northwestern Memorial Hospital, Institute of Psychiatry, 10 East, 320 E Huron St., Chicago, IL 60611
    Search for more papers by this author
  • Cheryl A. King Ph.D.,

    1. Adolescent Psychiatry Inpatient Program at the University of Michigan Medical Center, Ann Arbor, MI
    Search for more papers by this author
  • Neera Ghazuiddin M.D.

    1. Adolescent Psychiatry Inpatient Program at the University of Michigan Medical Center, Ann Arbor, MI
    Search for more papers by this author

Abstract

We undertook this study to determine the frequency of atypical depression and associated features in a sample of adolescents hospitalized for depression. One hundred and twenty-two consecutively admitted depressed adolescents were included in the study. Each adolescent was retrospectively assessed for the presence of atypical depression based on the DSM W Atypical Feature Specifier criteria (mood reactivity plus two of four associated symptoms: hypercharge, hypersomnia, leaden paralysis, and/or a pathological sensitivity to rejection). We found that 45% of the depressed adolescents displayed a reactive mood. Seven percent of our subjects met criteria for atypical depression. An additional 7% met criteria for probable atypical depression (reactive mood plus one associated feature). Subjects with atypical depression and probable atypical depression were significantly less depressed than those with nonreactive mood. Depression 3:176–181 (1995). © 1995 Wiley-Liss, Inc.

Ancillary