Analysis of Clinical Features of Patients with Depressive Disorder

Biljana Iliev, Irina Pavlovska


Depression is a mental disorder with a wide range of changes in mental functions, primarily affectivity, and is manifested by dysphoric mood and reductive changes in cognitive, conative and other psychic dynamisms, with the presence of psychosomatic disorders and suicidal thoughts.There is always a triad of symptoms involved: alteration of affectivity, anhedonia and low energy with fatigue, but in it’s clinical picture there are other symptoms, such as guilt and powerlessness, obsession with “ black thoughts “ with loss of self – confidence, with hopelessness, loss of apetite, and weight loss with insomnia or hypersomnia present and more frequent thoughts of death because of worthlessness in life.Severe depressive disorder is not a homogenous mental disorder but a complex of clinical fenomena with subtypes, it is a series of special syndromes or clinical forms arranged continuously from lower to highest intensity of psychopathological clinical signs with or without psychoticisam to a high degree of risk for suicide. Severe depression also occurs as a comorbid illness with other mental illnesses and usually gets a chronic course.The Report of the World Health Organization from 2015 can be concluded that the Republic of Northern Macedonia has not submitted data on the prevalence and incidence of Severe Depressive Disorder. The presented data on a global level indicate that in the world and in the Balkan 7.5 % of patients are treated in hospital.

Keywords: Severe depression, suicidal thoughts and attempts, comorbidities, hospitalizations.

DOI: 10.7176/JHMN/92-01

Publication date:August 31st 2021

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