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Hello. A concern of mine is, that in the lead section, toward the end of the first paragraph, the text reads, "...around 3.4% of people with major depression commit suicide...". Just a minor gripe here, but I think that since this is an actual medical condition, and it could be worded to better reflect that, something like, "...has about a 3.4% mortality rate, due to suicides...", with the appropriate link to Wikipedia's page on mortality rates. That way, there's also a little juicy nugget of factual content that wasn't there before. Thanks.

Not done: that would radically change the meaning. Mortality rate would be from all causes, while this statement is about a specific cause. Also, please see the article Mortality rate and note that there are several different kinds of mortality rate. Your statement appears not to relate to any of them. --Stfg (talk) 21:53, 1 November 2013 (UTC)[reply]

Reactivating request, because... - I had it wrong up there, silly me. What I meant was Case fatality rate.--A Goblet and Two Maidens (talk) 23:13, 1 November 2013 (UTC)[reply]

Not done: That does not address Stfg's concern about changing the meaning from the percentage who commit suicide to the percentage who die from all causes. Regards, Celestra (talk) 03:13, 2 November 2013 (UTC)[reply]

DSM5 manual has been out since Spring of 2013 for over half a year now, and this article needs to be updated and redrafted to maintain assessment. It is oriented almost exclusively to DSM-4 which is now defunct and superseded. This issue of DSM-5 updates is to become system-wide for Wikipedia during the coming months and is a current concern system-wide. At a minimum, each of these listed items should be addressed on this wikipage.

1) Material in section of "Drug and Alcohol Abuse" is outdated and needs to be updated to DSM-5 standards. Neurochemistry of drug dependency is substantially out of date.

2) DSM-5 protocols for clinical assessment must be incorporated to update outdated references to methods which are even now described as inferior to both ICD and DSM evaluation and assessment. Criteria set by DSM-5 must be given prominence as the most recent and comprehensive presentation of this material as presently absent on this wikipage which is at least ten years old and obsolete by DSM-5 standards.

3) Entire "DSM-4TR and ICD-10 criteria" section must be re-drafted to conform to the obsolescence of DSM-4TR and its replacement by DSM-5 for over six months now. This re-write should seriously assess the integration of this material with the clinical assessment section discussed in item#2 above on "Clinical Assessment". The DSM-5 must be given centrality of presentation for both criteria and assessment as the most current state of responsible medical evaluation at this point in time over six months after the publication of DSM-5. The issue of updates is well overdue to the responsible upkeep of this wikipage assessment.

4) The entire section include almost a half dozen outdated references to DSM-4TR which need to be converted to DSM-5 in order for the wikipage to be medically responsible and for the page to retain its assessment to Wikipedia standards. The entire section is obsolete in its current presentation.

5) Section on "subtypes" must be brought into conformity with DSM-5. All references to methodology must be updated to DSM-5, as well as being replaced by the methodology of DSM-5 as it differs from DSM-4 in crucial respects as described in the new manual for DSM-5.

6) Section on "Differential diagnosis" is lacking attention to template requests for citations already. The section is in desperate need of attention to personality disorders in general as they relate to the clinical diagnosis of depression. The brief discussion of manic-depressive disorder is woefully inadequate, and should be replaced by a comprehensive treatment of all three Clusters of personality disorders in relation to clinical depression. 40-60% of all cases diagnosed as depression are co-diagnosed with a diagnosis of one least one personality disorder. It is and continues to be neglectful of a article on depression to ignore such a broad demographic of suffering patients without including at least one responsible subsection in the Wikipedia article on depression.

7) Management section has unserviced templates requiring attention and outdated by DSM-5 standards. It must be updated to DSM-5 standards. The case of chronic suffering from this psychiatric malady must also be responsibly incorporated into the outdated Wikipedia article if its assessment status is to be maintained.

8) History section is somewhat prosaic and overwrought. The outdated references in the current outdated version of this wikipage made to DSM-4 can be re-assigned to this section if necessary since they must be removed from damaging the contents of the main portion of this wikipage. The DSM-5 has rendered all reference to the out of print DSM-4 as obsolete. BillMoyers (talk) 03:59, 24 December 2013 (UTC)[reply]

For starters, can you rewrite this sentence into something the average reader does not have to read three times to comprehend and source it? Cas Liber (talk · contribs) 04:34, 24 December 2013 (UTC)[reply]

The DSM is controversial. Check out [1] All new research is not based on it. For many conditions it has changed little from DSM4 to DSM5 Doc James (talk · contribs · email) (if I write on your page reply on mine) 05:01, 24 December 2013 (UTC)[reply]

Transitioning to DSM5 need not simultaneously involved making the article worse with incomprehensible prose and uncited text.[2] SandyGeorgia (Talk) 16:48, 24 December 2013 (UTC)[reply]

In accordance with WP:COMMONNAME and WP:NATURAL, should this article be renamed to "Depression"? I'm not aware of the medical literature, but depression is, both in colloquial language and according to a quick Google search I did, referring to Major Depressive disorder rather than Depression (mood) 99.199.53.49 (talk) 00:30, 3 February 2014 (UTC)[reply]

Love to but exactness trumps this - depression as used colloquially could also mean Adjustment disorder, bereavement, chronic dysthymia etc. Cas Liber (talk · contribs) 00:38, 3 February 2014 (UTC)[reply]

... isn't much use doi:10.1210/jc.2013-3450 JFW | T@lk 20:34, 6 March 2014 (UTC)[reply]

I have a student who would like to add information about how different cultures view and treat depression. She will post here her possible sources and wait to see if they are acceptable Greta Munger (talk) 15:40, 17 April 2014 (UTC)[reply]

Okay Doc James (talk · contribs · email) (if I write on your page reply on mine) 19:10, 17 April 2014 (UTC)[reply]

Proposal for Article Edits

I would like to begin the process of adding information regarding depression within specific cultures to this article. My plan is to make edits to the Society and Culture section and summarize how depression varies across cultures. Then I would like to include two sub-sections for Arab Cultures and Asian Cultures and present the current research on depression related to each culture.

I plan to use current, peer-reviewed journal articles and back these articles up with information from textbooks, encyclopedias, and other specialized texts. Below are the sources I intend to use for the revision of this article:

Books:

Andrews, L. W. (2010). Encyclopedia of depression. Santa Barbara, Calif.: Greenwood Press.

Bhugra, D. (2007). Textbook of cultural psychiatry. Cambridge: Cambridge University Press.

Cuéllar, I., & Paniagua, F. A. (2000). Handbook of Multicultural Mental Health: Assessment and Treatment of Diverse Populations. San Diego: Academic Press.

Gotlib, I. H., & Hammen, C. L. (2009). Handbook of depression (2nd ed.). New York: Guilford Press.

Gregg, G. S. (2005). The Middle East a cultural psychology. Oxford: Oxford University Press.

Herrman, H. S., & Maj, M. N. (2009). Focusing on Asia. Depressive disorders (3nd ed., ). Hoboken, NJ: Wiley.

Leong, F. T. (2007). Handbook of Asian American psychology (2nd ed.). Thousand Oaks, Calif.: Sage Publications.

Matsumoto, D. R. (2001). The handbook of culture & psychology. New York: Oxford University Press. Reinecke, M. A. (2002). Comparative treatments of depression. New York: Springer Pub.

Journal Articles:

Overview

Falicov, C. (2003). Culture, society and gender in depression. Journal Of Family Therapy, 25(4), 371-387. doi:10.1111/1467-6427.00256

• Contributions of gender, class, race to depression

Scott, J., & Dickey, B. (2003). Global burden of depression: The intersection of culture and medicine. British Journal Of Psychiatry, 183(2), 92-94. doi:10.1192/bjp.183.2.92

• Discusses the disease as a global burden and highlights the Longitudinal Investigation of Depression Outcomes (LIDO) project

Arab Cultures

Abou-Saleh, M. T., Karim, L., & Krymsky, M. (1998). The biology of depression in Arab culture. Nordic Journal Of Psychiatry, 52(2), 177-182. doi:10.1080/08039489850139067

• Study with Arab participants – biological markers of depression are consistent between Arab and Western populations

Asvat, Y., & Malcarne, V. L. (2008). Acculturation and depressive symptoms in Muslim university students: Personal-family acculturation match. International Journal Of Psychology, 43(2), 114-124. doi:10.1080/00207590601126668

• Study with Arab-Muslim students – highlights links between acculturation and symptoms of depression

Dwairy, M. (2009). Culture analysis and metaphor psychotherapy with Arab-Muslim clients. Journal Of Clinical Psychology, 65(2), 199-209. doi:10.1002/jclp.20568

• Therapy methods to use with Arab-Muslims

Hamdi, E., Amin, Y., & Abou-Saleh, M. T. (1997). Problems in validating endogenous depression in the Arab culture by contemporary diagnostic criteria. Journal Of Affective Disorders, 44(2-3), 131-143. doi:10.1016/S0165-0327(97)00037-2

• Study with Arab participants - highlights need for non-western treatment on depressed Arab patients

Sulaiman, S. Y., Bhugra, D., & De Silva, P. (2001). The development of a culturally sensitive symptom checklist for depression in Dubai. Transcultural Psychiatry, 38(2), 219-229. doi:10.1177/136346150103800205

• Study with Arab participants – identified symptoms of depression relevant to the culture

Walpole, S., McMillan, D., House, A., Cottrell, D., & Mir, G. (2013). Interventions for treating depression in Muslim patients: A systematic review. Journal Of Affective Disorders, 145(1), 11-20. doi:10.1016/j.jad.2012.06.035

• Highlights treatments for depression in Arab-Muslim patients

Chinese Cultures

Chae, D. H., Lee, S., Lincoln, K. D., & Ihara, E. S. (2012). Discrimination, family relationships, and major depression among Asian Americans. Journal Of Immigrant And Minority Health, 14(3), 361-370. doi:10.1007/s10903-011-9548-4

• Study with Asian-Americans – family support associated with lower depression

Gupta, A., Leong, F., Valentine, J. C., & Canada, D. D. (2013). A meta‐analytic study: The relationship between acculturation and depression among Asian Americans. American Journal Of Orthopsychiatry, 83(2-3), 372-385. doi:10.1111/ajop.12018

• Highlights links between acculturation and symptoms of depression

Kleinman, A. (2004). Culture and Depression. The New England Journal Of Medicine, 351(10), 951-953. doi:10.1056/NEJMp048078

• Symptoms of depression in Chinese people

Sangalang, C. C., & Gee, G. C. (2012). Depression and anxiety among Asian Americans: The effects of social support and strain. Social Work, 57(1), 49-60. doi:10.1093/sw/swr005

• Study with Asian participants – family support associated with decreased odds of depression

Sin, M., Jordan, P., & Park, J. (2011). Perceptions of depression in Korean American immigrants. Issues In Mental Health Nursing, 32(3), 177-183. doi:10.3109/01612840.2010.536611

• Depression is often unrecognized and untreated in minority immigrants

• Study with Korean participants – lacked understanding of depression

Wong, D., Xuesong, H., Poon, A., & Lam, A. (2012). Depression literacy among Chinese in Shanghai, China: A comparison with Chinese-speaking Australians in Melbourne and Chinese in Hong Kong. Social Psychiatry And Psychiatric Epidemiology, 47(8), 1235-1242. doi:10.1007/s00127-011-0430-4

• Study with Chinese participants in Shaghai – highlights lack of depression-related knowledge in Asian societies

Wong, Y., Kim, S., & Tran, K. K. (2010). Asian Americans’ adherence to Asian values, attributions about depression, and coping strategies. Cultural Diversity And Ethnic Minority Psychology, 16(1), 1-8. doi:10.1037/a0015045

• Adherence to Asian values linked with attributing depression to internal causes

• Reviews coping strategies

Yeung, A., Neault, N. N., Sonawalla, S. S., Howarth, S. S., Fava, M. M., & Nierenberg, A. A. (2002). Screening for major depression in Asian-Americans: A comparison of the Beck and the Chinese Depression Inventory. Acta Psychiatrica Scandinavica, 105(4), 252-257. doi:10.1034/j.1600-0447.2002.1092.x

• Study with Chinese participants – the Beck Depression Inventory and Chinese Depression Inventory have comparable effectiveness

Ayahmed17 (talk) 15:19, 18 April 2014 (UTC)[reply]

Good. You may find that, to do justice to the topic, you need to write more than can fit in this broad overview article. Consider starting a new article - Depression and culture or similar, summarising it here in one or two paragraphs, and linking to it in your summary. If you need any help with anything or have any queries, ask at WikiProject Medicine or ask me at my my talk page. If you want to start "Depression and culture" just click here and start typing. --Anthonyhcole (talk · contribs · email) 19:42, 18 April 2014 (UTC)[reply]

Please made sure you only use secondary sources per WP:MEDRS. If you are not sure what a secondary source is feel free to ping me for further explanation. Doc James (talk · contribs · email) (if I write on your page reply on mine) 20:54, 18 April 2014 (UTC)[reply]

Hello, I was reading the description of lithium as a treatment option under Antidepressants in the Management section of the page and I noticed there was very little written. I know there is another Wiki page devoted to talking about lithium as a medication and how it should be monitored, but for safety reasons, I thought this information was worth mentioning on this page as well. I am proposing that the following 2 sentences are added after the existing sentence discussing lithium as a treatment option:

There is a limited range of effective dosages of lithium.^[1] Anyone who considers taking lithium supplements should be monitored by a physician because overdoses can be fatal.

1. Nolen-Hoeksema, Susan. (2014) "Treatment of Mood Disorders". In (6th ed.) Abnormal Psychology p. 196. New York: McGraw-Hill. ISBN-13: 9780078035388.

Thank you. --EHatch (talk) 22:11, 18 April 2014 (UTC)[reply]

Hi EHatch. Could you possibly copy here the passage/s from Nolen-Hoeksema that you are relying on to support this? --Anthonyhcole (talk · contribs · email) 04:21, 19 April 2014 (UTC)[reply]