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Thus in our sample, three groups of depressive experience were formed: the non-depressed group, the intermediate group comprising patients who were depressed but not MDD (without consideration of the categories of depression), and the MDD group.
One-hundred and twenty-six patients were depressed (mean age 16.4/sd 1.9; 32 males, 94 girls), 139 patients had a depressive experience but no MDD (mean age 16.6 (sd 1.8); 45 males; 94 girls) and 137 patients were not depressed (mean age 16.7 (sd2.1); 48 males, 89 girls).
The manic depressive experience emerges through an excess of energies and passions - rage, sorrow, joy, horror - or their confounding absence.
Mood elevation was strongly associated with depressive experience assessed either as threshold scores on the General Health Questionnaire (Goldberg and Williams 1988) or more specifically with depressive episodes, assessed with the Patient Health Questionnaire (Kroenke et al. 2001).
We took the MDD form as the most severe form of depressive experience [ 4, 24].
The hypothesis was that the nature of the depressive experience would differ in intensity (quantitatively), but not in kind (qualitatively), in individuals with mild versus severe depression.
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Conclusions: Interpersonal impairment is a stable feature of depression, a significant challenge to treatment, and may reflect underlying vulnerability to the onset, and recurrence, of depressive experiences.
The use of the Depressive Experiences Questionnaire (DEQ) to measure self-criticism was also problematic as this scale was designed to measure self-critical depression and includes items about depression.
"It's about a depressive experiencing the tropics through virtual reality," says Barclay, while Greem describes it simply as a "mysterious, scary thing".
There are problems in differential diagnosis because depressive experiences vary from individual to individual.
Further exploration of this model via monitoring of brain function during depressive experiences and therapy may help provide more detail for this model and move it towards greater completeness.
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