Recurrent brief depressive disorder reinvestigated : a community sample of adolescents and young adults

Background. This article presents prospective lower bound estimations of findings on prevalence, incidence, clinical correlates, severity markers, co-morbidity and course stability of threshold and subthreshold recurrent brief depressive disorder (RBD) and other mood disorders in a community sample of 3021 adolescents. Method. Data were collected at baseline (age 14-17) and at two follow-up interviews within an assessment was based on the Munich Composite observation period of 42 months. Diagnostic International Diagnostic Interview (M-CIDI). Results. Our data suggest that RBD is a prevalent (2(.)6%) clinical condition among depressive disorders (21(.)3 %) being at least as prevalent as dysthymia (2(.)3 %) in young adults over lifetime. Furthermore, RBD is associated with significant clinical impairment sharing many features with major depressive disorder (MDD). Suicide attempts were reported in 7(.)8 % of RBD patients, which was similar to MDD (11(.)9 %). However, other features, like gender distribution or co-morbidity patterns, differ essentially from MDD. Furthermore, the lifetime co-occurrence of MDD and RBD or combined depression represents a severe psychiatric condition. Conclusions. This study provides further independent support for RBD as a clinically significant syndrome that could not be significantly explained as a prodrome or residual of major affective disorders.