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[ 66] The NEMESIS study also found subthreshold expressions of depression and (hypo mania to be continuous with more clinical states and that they strongly predicted post baseline mood disorders.
Next, in-depth interviews were conducted with these key informants regarding whether the translated SRQ-20 items retained the original meaning and whether the local expressions of depression symptoms were used in the wording of the items.
The SRQ item 'Do you have trouble thinking clearly?' (item 8) was replaced by an item capturing 'thinking too much,' as our prior research into the expressions of depression by the local Baganda population had revealed that depression is often regarded as an illness of thoughts.
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Finally, the present findings point to the fact that sexual distress can be an expression of depression.
High risk studies including healthy relatives of patients with depression demonstrate that REM sleep alterations may precede the clinical expression of depression and may thus be useful in identifying subjects at high risk for the illness.
The high-risk family study is a powerful design that facilitates identification of early forms of expression of depression and premorbid vulnerability, risk, and protective factors that are important for defining prevention targets and program foci.
The centrality of the 'spirit' in the emotional and physical expression of depression was clear.
The expression of depression may differ according to cultural context [ 47].
A request for death may be an expression of fear, of being 'kept alive' by technological treatments, or an expression of depression, which could respond to treatment.
Expression of depression within the model of Kurunpa, placed distress within the direct healing realm of Ngangkari, whose primary repertoire involves the manipulation, centering, and diagnosis of spirit.
Including the important dimensions of therapeutic alliance and personality dimensions shaping the experience and expression of depression we also ascertain who benefits most from treatment.
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