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Future Challenges for the Diagnosis and Management of Affective Disorders: From Preclinical Evidence to Clinical Trials

This special issue belongs to the section “Neuropsychiatry“.

Special Issue Information

Dear Colleagues,

The diagnosis and management of affective disorders have been influenced by new clinical and research evidence in recent decades. Alongside the monoamine hypothesis of mood disorders, new theories have been proposed including the role of glutamate, neuro-inflammation, genetic findings from large analyses consortia, etc. These biological achievements have led to new treatments based on physical therapies (e.g., magnetic stimulation) or pharmacological trials (e.g., esketmine). Moreover, the recent diagnostic classifications proposed by the DSM-5-TR and ICD-11 significantly modified criteria for mood disorders: e.g., the diagnosis of ‘mixed episode’ has been replaced by the clinical specifier of ‘mixed features’, the introduction of Complicated Grief as an independent disorder as well as the relevance of dimensions in psychopathology in the ICD-11.

These new trends and paradigms led to a broader clinical characterization of affective disorders including different factors related to patients (e.g., affective temperaments, chrono-types, seasonal patterns in mood disorders, mental pain, etc.), or to the therapeutic encounter and relationship (e.g., clinical decision making, psychoeducation, psychotherapies, etc.). Additionally, new biomarkers and biological tools, alongside the psychopathological rating scales, have been proposed for the diagnosis or phenotyping of affective disorders (e.g., interleukins, inflammation indices, neurotrophic factors, etc.). Particular attention has been paid to depression in special populations, such as the elderly or perinatal depression, focusing on the impact of illness on mothers’ health and newborn’s development. Not least, psychosocial interventions specifically conceived for mood disorders have been introduced alongside psycho-pharmacotherapies in order to increase the rate of recovery, patients’ empowerment, and improve the quality of life in the long-term outcome of illness as well as patients’ global functioning. All these themes will be addressed in the Special Issue named “Future Challenges for the Diagnosis and Management of Affective Disorders: from preclinical evidence to clinical trials”. Papers addressing biological aspects on affective disorders as well as those focused on novel diagnostic and therapeutic options are welcome.

Dr. Antonio Ventriglio
Dr. Mario Luciano
Prof. Dr. Andrea Fiorillo
Guest Editors

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Keywords

  • affective disorders
  • depression
  • bipolar disorders
  • mood disorders
  • biomarkers
  • psychosocial interventions
  • clinical characterization
  • perinatal depression
  • affective temperaments

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Brain Sci. - ISSN 2076-3425