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Neurotic depression (dysthymia); Dysthymic disorder; Chronic depression; Depression - chronic
Dysthymia is a chronic type of depression in which a person's moods are regularly low. However, symptoms are not as severe as with major depression.
The exact cause of dysthymia is unknown. It tends to run in families. Dysthymia occurs more often in women than in men and affects up to 5% of the general population.
Many people with dysthymia have a long-term medical problem or another mental health disorder, such as anxiety, alcohol abuse, or drug addiction. About half of people with dysthymia will also have an episode of major depression at some point in their lives.
Dysthymia in the elderly is often caused by:
Institute for Clinical Systems Improvement. Health Care Guidelines: Major Depression in Adults in Primary Care. 11th ed. 2008.
Stewart JW. Treating depression with atypical features. J Clin Psychiatry. 2007;68:25-29.
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