Psychiatric disease in the twenty-first century: The case for subcortical ischemic depression.


Journal Article (Review)

The current approach to psychiatric diagnoses involves identifying symptom clusters that fit a specific syndrome. Although this approach has facilitated the field's development, advances in genetics and neuroimaging raise the question of how causality may fit into the diagnostic process. One approach would be a two-axial system, wherein clinical presentation is on one axis and putative risk factors are on the other. This approach applies to subcortical ischemic depression (SID), a diagnosis corresponding to the "vascular depression" hypothesis. Subcortical ischemic depression affects clinical presentation, long-term outcomes, and response to antidepressant therapy, arguing that it is a valid diagnostic entity worth further study.

Full Text

Duke Authors

Cited Authors

  • Taylor, WD; Steffens, DC; Krishnan, KR

Published Date

  • December 15, 2006

Published In

Volume / Issue

  • 60 / 12

Start / End Page

  • 1299 - 1303

PubMed ID

  • 17014829

Pubmed Central ID

  • 17014829

International Standard Serial Number (ISSN)

  • 0006-3223

Digital Object Identifier (DOI)

  • 10.1016/j.biopsych.2006.05.028


  • eng

Conference Location

  • United States