Clinical Depression Versus Distress Among Patients With Type 2 Diabetes: Not Just a Question of Semantics

Response to Fisher et al.

  1. Salvador Vale, MD
  1. From the Department of Investigation, Trinidad Laboratories, Mexico City, Mexico
  1. Address correspondence to Salvador Vale, Allori 35, Mexico DF. E-mail: svalemayorga{at}yahoo.com.mx

Fisher et al. (1) showed several ambiguities in the current meaning of depression. Individuals who feel saddened or unhappy by virtue of life's vicissitudes meet criteria for major depressive disorder (MDD) if these moods are associated with decreased energy or interest. Such imprecision is the result of a historical anomaly: In 1980, the Diagnostic and Statistical Manual of Mental Disorders (DSM)-III amalgamated a collection of depressive disorders and syndromes (2 …

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  1. doi: 10.2337/dc07-0536 Diabetes Care July 2007 vol. 30 no. 7 e73
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