Abstract

Although involutional melancholia is described with precision in the classical textbooks of psychiatry and has been maintained in the official nomenclature, it is uncommonly seen in current practice; some doubt has been expressed that it has ever existed as a distinct clinical entity. The evidence for its existence is reviewed and several explanations are offered for the apparent decline in the incidence of the involutional syndrome: among them, that the early use of effective therapy now prevents the full flowering of the characteristic symptomatology. A reinvestigation of this classical syndrome seems warranted.

Keywords

MelancholiaIncidence (geometry)PsychiatryDepression (economics)MedicinePsychologyClinical PracticePediatricsFamily medicine

MeSH Terms

AdultAnxietyBipolar DisorderBody WeightCatecholaminesDepressionDepressive DisorderMajorDiagnosisDifferentialElectroconvulsive TherapyEstrogensFactor AnalysisStatisticalFemaleGonadotropinsGuiltHormonesHumansHypochondriasisLibidoMaleMenopauseMiddle AgedPersonalityPersonality DisordersPsychoanalytic TheorySleep Initiation and Maintenance DisordersSuicide

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Publication Info

Year
1968
Type
review
Volume
124
Issue
11S
Pages
21-35
Citations
34
Access
Closed

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Cite This

Saul H. Rosenthal (1968). The Involutional Depressive Syndrome. American Journal of Psychiatry , 124 (11S) , 21-35. https://doi.org/10.1176/ajp.124.11s.21

Identifiers

DOI
10.1176/ajp.124.11s.21
PMID
4872232

Data Quality

Data completeness: 81%