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This finding is consistent with previous outpatient reports of patients with MDD.13,14 These patients tend to experience greater severity of depression and longer duration of illness, are slower and less likely to respond to therapy, and have increased risk for suicide.1519 Atypical depression is the most common depression subtype among depressed outpatients, accounting for 29%42% of cases.20 Atypical depression is characterized by nonmelancholic, reverse vegetative signssuch as oversleeping, overeating, rejection sensitivity, and reactive mood

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Research into predictive biomarkers could improve patient selection and treatment monitoring

& Kaiserman-Abramof, I