{"id":50,"date":"2009-09-22T22:46:11","date_gmt":"2009-09-22T22:46:11","guid":{"rendered":"http:\/\/therapiecognitive.com\/?p=50"},"modified":"2009-09-22T22:46:11","modified_gmt":"2009-09-22T22:46:11","slug":"comment-reconnaitre-un-trouble-depressif-majeur","status":"publish","type":"post","link":"https:\/\/therapiecognitive.com\/?p=50","title":{"rendered":"Comment reconna\u00eetre un trouble d\u00e9pressif majeur ?"},"content":{"rendered":"<p>Selon le DSM-IV (<em>Diagnostic and Statistical Manual of Mental Disorders &#8211; Fourth Edition<\/em>), on parle de <strong>trouble d\u00e9pressif majeur<\/strong> lorsqu&rsquo;une personne pr\u00e9sente <strong>au moins 5 parmi 9 sympt\u00f4mes<\/strong> pour une dur\u00e9e d&rsquo;<strong>au moins deux semaines, la plupart du temps<\/strong>, entrainant un <strong>changement dans le mode de fonctionnement habituel, <\/strong>l&rsquo;humeur triste et\/ou l&rsquo;anh\u00e9donie devant \u00eatre obligatoirement pr\u00e9sents:<\/p>\n<ul>\n<li><strong><em>Humeur triste<\/em><\/strong> (d\u00e9pressive): oppression, sans joie, parfois sans aucun sentiment per\u00e7u, le plus souvent pire le matin, avec chez les enfants et adolescents parfois une irritabilit\u00e9 accrue.<\/li>\n<li><strong><em>Anh\u00e9donie<\/em><\/strong> : diminution du plaisir ou de l&rsquo;int\u00e9r\u00eat pour toutes activit\u00e9s.<\/li>\n<li><strong><em>Modification involontaire du poids<\/em><\/strong> : prise ou perte de 5\u00a0% ou plus du poids habituel en un mois, modification r\u00e9cente de l&rsquo;app\u00e9tit<\/li>\n<li><strong><em>Troubles du sommeil<\/em><\/strong> : diminution (insomnie) ou augmentation (hypersomnie) du temps de sommeil<\/li>\n<li><strong><em>Troubles de la concentration et\/ou du processus de prise de d\u00e9cision<\/em><\/strong><\/li>\n<li><strong><em>Troubles du comportement<\/em><\/strong> : agitation ou ralentissement (bradypsychie) rapport\u00e9e par l&rsquo;entourage.<\/li>\n<li><strong><em>Asth\u00e9nie<\/em><\/strong> : sensation de fatigue ou de diminution d&rsquo;\u00e9nergie<\/li>\n<li><strong><em>Sentiments de culpabilit\u00e9<\/em><\/strong>: hypertrophi\u00e9s, souvent injustifi\u00e9s et li\u00e9s \u00e0 l&rsquo;auto-d\u00e9pr\u00e9ciation du patient.<\/li>\n<li><strong><em>Id\u00e9es noires<\/em><\/strong> : volont\u00e9 de mourir, id\u00e9es suicidaires actives, avec ou sans plan sp\u00e9cifique, finalement tentative de suicide.<\/li>\n<\/ul>\n<p>Le diagnotic de trouble d\u00e9pressif grave sera confirm\u00e9 par le m\u00e9decin qui proposera une strat\u00e9gie th\u00e9rapeutique adapt\u00e9e incluant notamment une th\u00e9rapie cognitivo-comportementale, utile non seulement dans les troubles d&rsquo;origine psychologique, mais aussi comme soutien dans les d\u00e9pressions d&rsquo;origine biologique (endog\u00e8nes).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Selon le DSM-IV (Diagnostic and Statistical Manual of Mental Disorders &#8211; Fourth Edition), on parle de trouble d\u00e9pressif majeur lorsqu&rsquo;une personne pr\u00e9sente au moins 5 parmi 9 sympt\u00f4mes pour une dur\u00e9e d&rsquo;au moins deux semaines, la plupart du temps, entrainant un changement dans le mode de fonctionnement habituel, l&rsquo;humeur triste et\/ou l&rsquo;anh\u00e9donie devant \u00eatre obligatoirement [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,13],"tags":[25,33,35,36,42,55,62,63,66,88,90,134,139,186,191],"class_list":["post-50","post","type-post","status-publish","format-standard","hentry","category-abc","category-troubles","tag-agitation","tag-anhedonie","tag-appetit","tag-asthenie","tag-bradypsychie","tag-concentration","tag-culpabilite","tag-depression","tag-dsm-iv","tag-humeur-triste","tag-idees-noires","tag-poids","tag-prise-de-decision","tag-trouble-depressif-majeur","tag-troubles-du-sommeil"],"_links":{"self":[{"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=\/wp\/v2\/posts\/50","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=50"}],"version-history":[{"count":0,"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=\/wp\/v2\/posts\/50\/revisions"}],"wp:attachment":[{"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=50"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=50"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapiecognitive.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=50"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}