Accéder directement au contenu Accéder directement à la navigation
Article dans une revue

A study in the general population about sadness to disentangle the continuum from well-being to depressive disorders

Abstract : Sadness is both a common experience in general population and one of the main criteria of major depressive disorder (MDD). We tested the hypothesis of a depressive continuum using sadness as an intermediate experience between well-being and disorder. A French cross-sectional Mental Health survey in General Population interviewed 38,694 individuals. We examined prevalences and compared sociodemographic correlates and psychiatric disorders of individuals in 3 independent groups 1) MDD, 2) sadness without MDD, and 3) controls. The prevalence of sadness was of 29.8% in the whole sample and of 93% in subjects suffering from MDD (n = 4976). The "sadness" group shared the same sociodemographic patterns as the "MDD" group. All psychiatric disorders assessed (i.e. bipolar disorder, anxiety disorder, alcohol use disorder, psychotic disorder and suicide attempts) were significantly associated with both "sadness" and "MDD" groups compared to "controls". Individuals with sadness, compared to those with MDD, were significantly less likely to meet the criteria for all psychiatric disorders. MDD's sensitivity of sadness was 94,2%. Even though we used a quota sampling method, the sample was not strictly representative of the general population. Sadness validates the depressive continuum hypothesis, since it is more frequent in the general population than MDD itself and at the same time shares with MDD the same sociodemographic and clinical correlates. A gradual association from controls to MDD was observed for psychiatric comorbidities. Finally, the high sensitivity of sadness may suggest its use to screen at-risk individuals converting from well-being to full psychiatric disorders.
Type de document :
Article dans une revue
Liste complète des métadonnées
Contributeur : Lilloa Université de Lille Connectez-vous pour contacter le contributeur
Soumis le : mardi 21 avril 2020 - 11:56:27
Dernière modification le : jeudi 2 décembre 2021 - 11:04:03



Sarah Tebeka, Baptiste Pignon, Ali Amad, Yann Le Strat, Clara Brichant-Petitjean, et al.. A study in the general population about sadness to disentangle the continuum from well-being to depressive disorders. Journal of Affective Disorders, Elsevier, 2018, Journal of Affective Disorders, 226, pp.66-71. ⟨10.1016/j.jad.2017.08.085⟩. ⟨hal-02549218⟩



Consultations de la notice