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Many patients with dysthymic disorders also have associated comorbid disorders. A detailed history will provide insight into the comorbidity profile, cross-sectionally and developmentally. Dysthymic disorder should be addressed clinically, as it may cause long-term chronic unhappiness and poor quality of life for the patient. Dysthymic disorder DD is a chronic mood disorder.

The depressive mood in DD is generally less intense but more chronic than in major depressive disorder MDD. Dysthymic disorder is characterized by a chronically depressed mood that occurs for most of the day more days than not for at least two years. Individuals with DD describe their mood as "sad" or "down in the dumps.

In children, mood may be irritable rather than depressed, and the required minimum duration is one year, according to DSM-IV. In many adult patients, a general history review discloses that many DD symptoms started in early childhood, continued into adolescence and became further established in adulthood.

The literature provides support for similarities between the symptomatology, comorbidity profile and negative impact on the individual and family in both child and adult forms of DD Goodman et al. The few epidemiological studies on DD have reported a prevalence of 0.