User:Treyler42/sandbox

Minor depressive disorder research (Assignment 4)

One issue: The article does not have any current information on minor depressive disorder or recent history on it, such as that it is not listed in the new DSM-5.

Two references: 1. Xavier, F. M., Ferraza, M. P., et al. (2002). `Minor depression' disorder in the oldest-old: Prevalence rate, sleep patterns, memory function and quality of life in elderly people of Italian descent in Southern Brazil. International Journal of Geriatric Psychiatry, 17(2), 107-116. 2. Fils, J. M., Penick, E. C., Nickel, E. J., Othmer, E., DeSouza, C., Gabrielli, W. F., & Hunter, E. E. (2010). Minor versus major depression: A comparative clinical study. Journal of Clinical Psychology, 12(1), e1-e7.

Questions/Comments: 1. Even though this disorder is very similar to dysthymia, there is still new information on this disorder and more of a history on it with how it's not included in the DSM-5, so it should be enough to add more substance to this article. 2. Can we use the DSM-IV as a resource for information? Cdunn808 (talk) 22:26, 21 February 2016 (UTC)

Problem: One problem I see with the article is that it really doesn’t give much about the history of the topic. There is likely a timeline for the recognition of this particular disorder. We could look at articles that first discuss the disorder or how the definition may have changed in prior DSM.

References: Klier, C. M., Geller, P. A., & Neugebauer, R. (2000). Minor depressive disorder in the context of miscarriage. Journal of affective disorders, 59(1), 13-21. Lee, A. M. (2011). Minor Depressive Disorder. In Encyclopedia of Clinical Neuropsychology (pp. 1633-1634). Springer New York.

Questions: When figuring out which sources to use, is it okay if we use articles that refer to specific studies as long as they are peer-reviewed and published? Do you think it would be beneficial to do a History section in the article, to cover how it may have previously been defined or how it became a DSM disorder? --Treyler42 (talk) 06:19, 28 February 2016 (UTC)

Problem:I think just one clear problem with the article is that there is no visual aids. As we continue revamping this article I think it would be helpful, especially for the everyday user, to include pictures. Both for possibly a better understanding of the content and to make it more aesthetically pleasing.

References: -Garlow, S. J., Kinkead, B., Thase, M. E., Judd, L. L., Rush, A. J., Yonkers, K. A., . . . Rapaport, M. H. (2013). Fluoxetine increases suicide ideation less than placebo during treatment of adults with minor depressive disorder. Journal of Psychiatric Research, 47(9), 1199-1203. doi:10.1016/j.jpsychires.2013.05.025

Layous, K., Chancellor, J., Lyubomirsky, S., Lihong, W., & Doraiswamy, P. M. (2011). Delivering Happiness: Translating Positive Psychology Intervention Research for Treating Major and Minor Depressive Disorders. Journal of Alternative & Complementary Medicine, 17(8), 675-683. doi:10.1089/acm.2011.0139

Questions/Comments: -During our training we were taught that all sections of the articles should be given equal space on the page. I think it may be tough to do that, especially with history. We may have to limit the history so it is not too overbearing. - Secondly how important is it that we provide hyper links to other articles? Theodore.Folk (talk) 03:42, 29 February 2016 (UTC)

Problem: A problem I see with this article is that there is the Dysthymia article which in literature is considered Minor Depressive Disorder. I think finding information that is not in that article will be tricky as so we are not just writing that article all over again. Dysthymia was recently renamed Persistent Depressive Disorder in the DSMV 5. With all the name changes, I think finding sources will be tricky.

References: 1. Angst, J., Merikangas, K. (1997). The depressive spectrum: diagnostic classification and course. Journal of Affective Disorders. 45(1-2), 31-40. 2. Craighead, W., Miklowitz, D., Craighead, L. (2013). Psychopathology: History, Diagnosis, and Empirical Foundations, 2nd Edition. Hoboken, New Jersey: John Wiley & Sons, Inc.

Questions: Can we merge this article when we add our parts to it, into the Dysthymia article for further clarity? I especially wouldn’t want to be a newly diagnosed person trying to find more information, but cannot figure out why all the names exist. Or since this is the older term, and if we can do a history section, we can instead ask to include Minor Depressive Disorder as a term under the Dysthymia article and link it to our article? Likecalifornia (talk) 05:40, 29 February 2016 (UTC)

To-Do list

- Find out what the history of the disorder is Treyler42 (talk) 22:50, 18 March 2016 (UTC)

- Sift through the history for what is important and distinguish what should be added to the article and what is unnecessary Theodore.Folk (talk) 21:17, 21 March 2016 (UTC)

- Look for relevant pictures that could aid the article Theodore.Folk (talk) 21:17, 21 March 2016 (UTC)

- Divide up tasks Treyler42 (talk) 22:50, 18 March 2016 (UTC)

- Look for other articles that could be linked to in this article Treyler42 (talk) 22:50, 18 March 2016 (UTC)

- Look at how this disorder is viewed in different contexts Treyler42 (talk) 22:50, 18 March 2016 (UTC)

- Differentiate minor depressive disorder from dysthymic disorder Cdunn808 (talk) 18:33, 20 March 2016 (UTC)

- Include how minor depressive disorder has been included in DSM-IV but not in DSM-5 Cdunn808 (talk) 18:33, 20 March 2016 (UTC)

- Find other sections to include in the article besides just definition, history, and treatment. We should find other Wikipedia articles that are similar to our situation to see what they include. Likecalifornia (talk) 04:49, 21 March 2016 (UTC)

- On other article talk pages, we should start the conversation of adding in our article for background information. Likecalifornia (talk) 04:49, 21 March 2016 (UTC)

Outline

• I. Lead section (however it needs improvement) Treyler42 (talk) 22:50, 18 March 2016 (UTC)
  • a. Include a picture Cdunn808 (talk) 18:37, 20 March 2016 (UTC)
  • b. Include an info box Cdunn808 (talk) 18:37, 20 March 2016 (UTC)
• II. Definition Cdunn808 (talk) 18:37, 20 March 2016 (UTC)
  • a. Differentiation from dysthymia disorder Cdunn808 (talk) 18:37, 20 March 2016 (UTC)
    • 1. Or why the possible name change/simularities between the two. Likecalifornia (talk) 04:49, 21 March 2016 (UTC)
  • b. Differentiation from Major Depressive Disorder Likecalifornia (talk) 04:49, 21 March 2016 (UTC)
• III. History Cdunn808 (talk) 18:37, 20 March 2016 (UTC)
  • a. Discovery of Depression Likecalifornia (talk) 04:49, 21 March 2016 (UTC)
  • b. Separation of Major and Minor Depressive DisordersLikecalifornia (talk) 04:49, 21 March 2016 (UTC
  • c. Major players or contributors to Minor Depressive Disorder Theodore.Folk (talk) 21:26, 21 March 2016 (UTC)

• IV. Treatment (could use improvement) Treyler42 (talk) 22:50, 18 March 2016 (UTC)
  • a. The Treatment section could use some links to different articles, especially for the medications Theodore.Folk (talk) 21:26, 21 March 2016 (UTC)

References

Angst, J., Merikangas, K. (1997). The depressive spectrum: diagnostic classification and course. Journal of Affective Disorders. 45(1-2), 31-40. 2. Likecalifornia (talk) 04:55, 21 March 2016 (UTC)

Craighead, W., Miklowitz, D., Craighead, L. (2013). Psychopathology: History, Diagnosis, and Empirical Foundations, 2nd Edition. Hoboken, New Jersey: John Wiley & Sons, Inc. Likecalifornia (talk) 04:56, 21 March 2016 (UTC)

Fils, J. M., Penick, E. C., Nickel, E. J., Othmer, E., DeSouza, C., Gabrielli, W. F., & Hunter, E. E. (2010). Minor versus major depression: A comparative clinical study. Journal of Clinical Psychology, 12(1), e1-e7. Cdunn808 (talk) 18:28, 20 March 2016 (UTC)

Garlow, S. J., Kinkead, B., Thase, M. E., Judd, L. L., Rush, A. J., Yonkers, K. A., . . . Rapaport, M. H. (2013). Fluoxetine increases suicide ideation less than placebo during treatment of adults with minor depressive disorder. Journal of Psychiatric Research, 47(9), 1199-1203. doi:10.1016/j.jpsychires.2013.05.025 Theodore.Folk (talk) 21:31, 21 March 2016 (UTC)

Klier, C. M., Geller, P. A., & Neugebauer, R. (2000). Minor depressive disorder in the context of miscarriage. Journal of affective disorders, 59(1), 13-21. Treyler42 (talk) 22:50, 18 March 2016 (UTC)

Layous, K., Chancellor, J., Lyubomirsky, S., Lihong, W., & Doraiswamy, P. M. (2011). Delivering Happiness: Translating Positive Psychology Intervention Research for Treating Major and Minor Depressive Disorders. Journal of Alternative & Complementary Medicine, 17(8), 675-683. doi:10.1089/acm.2011.0139 Theodore.Folk (talk) 21:31, 21 March 2016 (UTC)

Lee, A. M. (2011). Minor Depressive Disorder. In Encyclopedia of Clinical Neuropsychology (pp. 1633-1634). Springer New York.Treyler42 (talk) 22:50, 18 March 2016 (UTC)

Xavier, F. M., Ferraza, M. P., et al. (2002). `Minor depression' disorder in the oldest-old: Prevalence rate, sleep patterns, memory function and quality of life in elderly people of Italian descent in Southern Brazil. International Journal of Geriatric Psychiatry, 17(2), 107-116. Cdunn808 (talk) 18:28, 20 March 2016 (UTC)

Division of Tasks

- I could do all of the work for the lead section, including the consolidation of our personal lead sections, getting the picture, and working on the information box. I could ALSO work on Part C for section II in the outline (Definition) where I look at how this particular disorder is viewed in different contexts. There may be more than what I added in the outline, so I will look into that. I think that should take up a proportional amount of the tasks. Treyler42 (talk) 02:12, 22 March 2016 (UTC)

- I can work on the history section and why the DSM-5 didn't use the term. I'll also try and get a good section on the difference between minor and major depressive disorder. Cdunn808 (talk) 16:29, 22 March 2016 (UTC)

Lead Section - Trey DeJong

Minor Depressive Disorder is a milder form of Major Depressive Disorder in which at least two symptoms of depression are present for two or more weeks, while not meeting the full criteria for major depressive disorder. It is listed in the fourth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as an example of a Depressive Disorder Not Otherwise Specified.

Minor depressive disorder can occur in a single episode or recurring episodes. In order for minor depressive disorder recurring episodes to be diagnosed, there must be at least a two-month period between episodes with no symptoms of major depressive disorder present. It is also not to be confused with Dysthymia disorder. There are multiple approaches and applications of minor depressive disorder, such as in medicine and psychology, but it is generally viewed similarly throughout the different contexts.

Although depression has been documented for thousands of years, the current classifications were not defined until the 20th century. [We need to do a bit more research on this...but this sentence would mention when the line between major and minor depressive disorders was drawn, and who was primarily involved in this]. Although minor depressive disorder is not in the current DSM-V, it is still treated by many health professionals by the means of therapy and/or prescription antidepressants.

Lead Section - Connor Dunn

Minor depressive disorder, also known as minor depression, is a mood disorder that does not meet the full criteria for major depressive disorder but at least two depressive symptoms are present for two weeks. These symptoms can be seen in many different psychiatric and mental disorders, which can lead to more specific diagnoses of an individual's condition. However, some of the situations might not fall under specific categories listed in the Diagnostic and Statistical Manual of Mental Disorders. Minor depressive disorder is an example of one of these nonspecific diagnoses, as it is a disorder classified in the (DSM-IV-TR) under the category Depressive Disorder Not Otherwise Specified.

When considering if someone has a psychological disorder pertaining to depression, psychologists see if the person fits into the hierarchy of depression disorders, which starts with major depressive disorder, followed by Dysthymia, Adjustment disorder, and bereavement. If the person does not fall into any of these categories, the (DSM-IV-TR) labels them to have a Depressive Disorder Not Otherwise Specified.

A person is considered to have minor depressive disorder if he or she experiences 2 to 4 depressive symptoms, with one of them being either depressed mood or loss of interest or pleasure, during a 2-week period. The person must not have experienced the symptoms for 2 years and there must not a one specific event that caused the symptoms to arise.

When the (DSM-5) was released in 2013, the American Psychiatric Association (APA) dropped minor depressive disorder from list of depression disorders.

[Feedback] - Hey Connor, I really liked how you did the first paragraph, and when I was typing up mine it was hard not to copy yours because I thought it laid out the disorder very well. I thought the second paragraph seemed a little too in depth for the lead section since it really talks about what you outlined in the first paragraph. I think the third paragraph has a similar problem. If we use all this information in the lead, I am not sure what we will put in the definition area. That leads to my next point of sections. Currently, nothing in the lead section covers the history of the disorder besides it being listed in the DSMV-IV under the not specified area. I think because we compare it to other disorders so much, maybe our treatment coudl deal with how they are treated similarly and differently. Our lead section should also mention a little bit about the treatment though since we plan on including it the article. Likecalifornia (talk) 00:32, 31 March 2016 (UTC)

Lead Section - Calla Price

Minor depressive disorder, also known as minor depression, is a mood disorder that does not meet full criteria for major depressive disorder. Minor depressive disorder is categorized by having at least two depressive symptoms present for two weeks. Minor depressive disorder is not listed in the DSMV-5 directly, but rather the disorder is categorized under Depressive Disorder Not Otherwise Specified. Minor depressive disorder has been compared to Dysthymia. The disorder is defined differently in fields of medicine and psychology.

Depression has been well documented since ancient Greek times. Minor depressive disorder first appeared in the DSMV-IV when a separation between diagnosis of major and other depressive disorders occurred.

Treatment of minor depressive disorder includes therapy, anti-depressant medication, and combination treatment.

[Feedback] - I thought over all you did a pretty great job. The information is all very relevant and to the point. The brevity of the lead may be its short coming. Possibly a tad more information could be included as well as maybe some formatting changes with the last two sentences. Like all the others I think it is a good start, but we will all have to come together to include information that covers the entire article. Theodore.Folk (talk) 05:27, 31 March 2016 (UTC)

Lead Section - Teddy Folkerts

Minor depressive disorder is a less severe mood disorder that falls short of meeting the standards for major depressive disorder. Minor depressive disorder, is categorized in the Diagnostic and Statistical Manual of Mental Disorders as having at least two depressive symptoms present for a minimum of 2 weeks. depressive symptoms. Minor depressive disorder is listed in the (DSM-IV-TR) directly, but is included in the Depressive Disorder Not Otherwise Specified.When considering if someone has any sort of depression, psychologists quickly try and find where on the depression hierarchy they land, which starts with major depressive disorder, followed by Dysthymia, Adjustment disorder, and bereavement. If the person is unable to be diagnosed by any thus far, the (DSM-IV-TR) labels them as having a Depressive Disorder Not Otherwise Specified, possibly minor depressive disorder.

Minor depressive disorder first appeared in the DSMV-IV when a separation between diagnosis of major and other depressive disorders occurred. Though when the (DSM-5) was released in 2013, the American Psychiatric Association (APA) dropped minor depressive disorder from list of depression disorders.

[Feedback] - I thought you did a good job of including information that is interesting to the reader and establishes the importance of the article. However, the first few sentences are a bit jumbled and unclear. I think that this particular lead section can stand alone just fine, but there may be a few more things from the outline that could be added into the lead section. Good job! Treyler42 (talk) 20:29, 30 March 2016 (UTC)

Group's Lead Section (Assignment 7)

Minor depressive disorder, also known as minor depression, is a mood disorder that does not meet the full criteria for major depressive disorder but at least two depressive symptoms are present for two weeks. These symptoms can be seen in many different psychiatric and mental disorders, which can lead to more specific diagnoses of an individual's condition. However, some of the situations might not fall under specific categories listed in the Diagnostic and Statistical Manual of Mental Disorders. Minor depressive disorder is an example of one of these nonspecific diagnoses, as it is a disorder classified in the DSM-IV-TR under the category Depressive Disorder Not Otherwise Specified (DD-NOS). The classification of NOS depressive disorders is up for debate. Minor depressive disorder as a term was never an officially accepted term, but was listed in Appendix B of the DSM-IV-TR. This is the only version of the DSM that contains the term, as the prior versions and the most recent edition, DSM-5, does not mention it.

A person is considered to have minor depressive disorder if he or she experiences 2 to 4 depressive symptoms, with one of them being either depressed mood or loss of interest or pleasure, during a 2-week period. The person must not have experienced the symptoms for 2 years and there must not a one specific event that caused the symptoms to arise. Although not all cases of minor depressive disorder are deemed in need of treatment, some cases are treated similarly to major depressive disorder. This treatment includes cognitive behavioral therapy (CBT), anti-depressant medication, and combination therapy. A lot of research supports the notion that minor depressive disorder is an early stage of major depressive disorder, or that it is simply highly predictive of subsequent major depressive disorder.

- I pieced together the rough draft of the lead section Treyler42 (talk) 20:44, 14 April 2016 (UTC)
- I edited the lead section for grammar/clarity and introduced some citations cdunn808 (talk) 16:14, 15 April 2016 (UTC)

Main Article Development (Assignment 8)

Symptoms

Minor depressive disorder is very similar to major depressive disorder in the symptoms present. Generally, a person's mood is affected by thoughts and feelings of being sad or down on himself or herself or there's a loss of interest in nearly all activities. People can experience ups and downs in their life everyday where an event, action, stress or many other factors can affect that day's feelings. However, depression occurs when those feelings of sadness persist for longer than a few weeks.

A person is considered to have minor depressive disorder if he or she experiences 2 to 4 depressive symptoms during a 2-week period. The Diagnostic and Statistical Manual of Mental Disorders lists the major depressive symptoms. Depressed mood most of the day and/or loss of interest or pleasure in normal activities must be experienced by the individual to be considered to have minor depressive disorder. Without either of these two symptoms, the disorder is not classified as minor depressive disorder. Other depressive symptoms include significant weight loss or weight gain without trying to diet (an increase/decrease in appetite can provide clues as well), insomnia or hypersomnia, psychomotor agitation or psychomotor retardation, fatigue or loss of energy, and feelings of worthlessness or excessive guilt.

All of these signs can compound on each other to create the last major symptom group of minor depressive disorder: thoughts of death, suicidal thoughts, plans to commit suicide, or a suicide attempt. Cdunn808 (talk) 21:06, 1 May 2016 (UTC)

Minor depressive disorder differs from major depressive disorder in the number of symptoms present with 5 or more symptoms necessary for a diagnosis of major depressive disorder. Both disorders require either depressed mood or loss of interest or pleasure in normal activities to be one of the symptoms and the symptoms need to be present for two weeks or longer. Symptoms also must be present for the majority of the length of a day and present for a majority of the days in the two-week period. Diagnosis can only occur if the symptoms cause "clinically significant distress or impairment". Likecalifornia (talk) 05:30, 19 April 2016 (UTC)

Dysthymia consists of the same depressive symptoms, but it's main differentiable feature is its longer-lasting nature as compared to minor depressive disorder. Dysthymia was replaced in the DSM-5 by persistent depressive disorder, which combined dysthymia with chronic major depressive disorder.

Cdunn808 (talk) 22:08, 17 April 2016 (UTC)

Treatment

Treatment of minor depressive disorder has not been studied as extensively as major depressive disorder. Although there are often similarities in the treatments used, there are also differences in what may work better for the treatment of minor depressive disorder. Some third-party payers do not pay to cover treatment for minor depressive disorder.

The leading treatment techniques for minor depressive disorder are the use of antidepressants and therapy. Typically, patients with minor depression were treated by watchful waiting, prescribed antidepressants, and given brief supportive counseling, but Problem-Solving Treatment for Primary Care (PST-PC) is a Cognitive-Behavioral Therapy that has gained popularity. In one study, Problem-Solving Treatment for Primary Care (PST-PC) and Paroxetine, an antidepressant, were shown to be equally effective in significantly reducing symptoms. In another study, PST-PC was compared with the more typical care of the time and shown to reduce symptoms more quickly. Although the use of antidepressants has been widely used, not all agree that it is an appropriate treatment for some minor depression disorder settings.

Another alternative that has been researched is the use of St. John's wort (Hypericum perforatum). This herbal treatment has been studied by various groups with various results. Some studies show evidence of the treatment being helpful to treat minor depression, but others show that it does no better than the placebo. Treyler42 (talk) 18:11, 18 April 2016 (UTC)

History

At its core minor depressive disorder is the same illness as major depressive disorder with its symptoms being less pronounced. This ties its history closely to that of major depressive disorder. Depression in the past has largely been shrouded in mystery, as its causes and appropriate treatment were largely unknown. By the 1950's, it was clear that depression could be both a mental and largely physical disease, thus being able to be treated through both psychotherapy and medication. When the DSM-IV-TR was created and Major Depressive Disorder was spelled out more clearly, there still seemed to be an uncategorized range of depression. People in this category did not have a complete set of symptoms in order to be diagnosed with Major Depression, but still were undoubtedly depressed. The DSM-IV-TR solution to this uncatergorized range of depression was to create Depressive Disorder Not Otherwise Specified (NOS). This group of not specified disorders included minor depressive disorder. In the recent switch to the current DSM-5, minor depressive disorder was dropped from the list of depression disorders. Theodore.Folk (talk) 03:34, 19 April 2016 (UTC)

With the disappearance of minor depressive disorder from the DSM-5, there has been confusion between dysthymic disorder, persistent depressive disorder, and minor depressive disorder. Dysthymic disorder was a subsection in the DSM-IV-TR under mood disorders. In the DSM-5, dysthymia is relabeled as "Persistent Depressive Disorder (Dysthymia)". There are differences between persistent depressive disorder and minor depressive disorder including: length of symptom presence, the number of symptoms present, and recurrent periods. The diagnosis of minor depressive disorder has historically been harder to outline, which could have perhaps lead to the disappearance of the disorder. The DSM-IV-TR includes a statement detailing the difficulty of diagnosis, "symptoms meeting research criteria for minor depressive disorder can be difficult to distinguish from periods of sadness that are an inherent part of everyday life". Likecalifornia (talk) 05:21, 19 April 2016 (UTC)