Communication and psychiatric diagnosis: Tales of depressive moods from two contexts
Abstract
Study of communication in the psychiatric diagnostic process requires an examination of the disease constructs guiding this process. Concepts of disorder, when viewed as communicationally constituted, are based on and give rise to assumptions about the nature of clinically useful information. Such assumptions, in turn, serve to structure the role of communication in the process of clinical evaluation. This claim was explored in a study that compared clinical judgments and multiple-time-point self-reports about three depressive mood states (i.e., sadness, irritability, and anhedonia) for seven adolescents diagnosed as clinically depressed according to criteria in the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.[DSM-III-R]; American Psychiatric Association, 1987).
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There were clear discrepancies between patients' reporting of symptoms during the week and their recall of these symptoms at the end of the week.
“There were clear discrepancies between patients' reporting of symptoms during the week and their recall of these symptoms at the end of the week.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Mokros (1993)
Seven adolescents diagnosed with a major depressive episode by an experienced clinician were still considered depressed a week later based on the clinician's ratings of their recalled symptoms.
“Seven adolescents were diagnosed with a major depressive episode by an experienced clinician. A week later all patients were still considered depressed, based on the clinician's ratings of their recalled symptoms.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Mokros (1993)
Mokros found that depressed adolescents were not necessarily more likely than controls to report sadness and irritability in real-time, yet they were more likely to report these symptoms retrospectively.
“Mokros (1993) found that depressed adolescents were not necessarily more likely than controls to report sadness and irritability in real-time, yet they were more likely to report these symptoms retrospectively.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Mokros (1993)
Mokros found that, compared to healthy controls, depressed adolescents were more likely to report anhedonia retrospectively than in real-time.
“Mokros (1993) found that, compared to healthy controls, depressed adolescents were also more likely to report anhedonia retrospectively than in real-time”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Mokros (1993)
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Ecological momentary assessment of mood disorders and mood dysregulation
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- Authors
- Mokros, H. B.
- Corresponding author
- Mokros, Hartmut B.
- Venue
- Health Communication
- Publisher
- Informa UK Limited
- Published
- 1993-04
- Volume
- 5
- Issue
- 2
- Pages
- 113-127
- ISSN
- 1041-0236 (ISSN-L)
- 1532-7027
- OpenAlex
- W1968305510
- Cited by
- 21
- References
- 33
- Citations by year
- 2023: 4 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 1 · 2015: 1 · 2014: 2 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Communication (publishedVersion)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- psychiatric diagnosis, clinical communication, depressive mood, sadness, irritability, anhedonia, adolescent depression, clinical judgment, self-report, DSM-III-R
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