Affective Disorders Flashcards
1
Q
What are mood disorders?
A
- disorders of mental status and function, altered mood being the core feature
- states of depression and elevated mood-mania
- primary problem or consequence of other illness e.g. dementia
- most common group of mental disorders
2
Q
What is the ICD-10?
A
International Classification of Disease 10th Ed.- WHO
- F30- manic episode
- F31- bipolar affective disorder
- F32- depressive episode
- F33- recurrent depressive disorder
- F34- persistant mood (affective) disorder
- F38- other mood (affective) disorder
- F39- unspecified mood (affective) disorder
3
Q
What are the psychological symptoms of depressive illness?
A
- change in mood
- depression
- anxiety
- perplexity
- anhedonia
- change in thought content
- guilt
- hopelessness
- worthlessness
- neurotic symptomology
- ideas of reference
- delusions + hallucinations
4
Q
What are the physical symptoms of depressive illness?
A
- change in bodily function
- sleep- fatigue
- constipation
- appetite- weight loss
- libido
- energy
- pain
- change in psychomotor functioning
- agitation
- retardation
5
Q
What are the social symptoms of depressive illness?
A
- loss of interests
- irritability
- apathy
- withdrawal, loss of confidence, indecisive
- loss of concentration, registration + memory
6
Q
What is the ICD-10 criteria for depression?
A
- ≥ 2 weeks
- no hypomanic/manic episodes in lifetime
- not result of; psychoactive substance, organic mental disorder
- if psychotic symptoms/stupor = severe depression with psychotic symptoms
- must exclude other psychotic conditions
7
Q
What is the ICD-10 criteria for depression somatic syndrome?
A
- anhedonia
- lack of emotional reactions
- wake 2 hrs before normal time
- depression worse in morning
- objective evidence of; psychomotor agitation/retardation
- loss of appetite, weight loss
- loss of labido
8
Q
What is the ICD-10 criteria for mild depression?
A
- general criteria
- 2 or more of:
- abnormal depressed mood, most of day, almost everyday, for 2 weeks, largely uninfluenced by circumstance
- anhedonia
- dec. energy/inc. fatigue
- (to reach 4 added criteria):
- dec. confidence/self esteem
- guilt/self reproach
- suicdal thoughts/behaviour
- agitation/retardation
- sleep disturbance
- appetite change
9
Q
What is the ICD-10 criteria for moderate depression?
A
- general criteria
- 2 or more of:
- abnormal depressed mood, most of day, almost everyday, for 2 weeks, largely uninfluenced by circumstance
- anhedonia
- dec. energy/inc. fatigue
- (to reach 6 added criteria):
- dec. confidence/self esteem
- guilt/self reproach
- suicdal thoughts/behaviour
- agitation/retardation
- sleep disturbance
- appetite change
10
Q
What is the ICD-10 criteria for severe depression?
A
- general criteria
- 2 or more of:
- abnormal depressed mood, most of day, almost everyday, for 2 weeks, largely uninfluenced by circumstance
- anhedonia
- dec. energy/inc. fatigue
- (to reach 4 added criteria):
- dec. confidence/self esteem
- guilt/self reproach
- suicdal thoughts/behaviour
- agitation/retardation
- sleep disturbance
- appetite change
11
Q
What are the differential daignoses for depression?
A
- normal reaction to life event
- SAD
- dysthymia
- cyclothymia
- bipolar
- stroke, tumour, dementia
- hypothyroidism, Addison’s, hyperparathyroidism
- influenza, glandular fever, hepatitis, HIV/AIDS
- drugs
12
Q
What are the different types of treatment for depression?
A
- antidepressants
- psychological treatment
- CBT
- IPT
- indivdual dynamic psychotherapy
- family therapy
- physical treatments
- ECT
- psychosurgery
- DBS
- VNS
13
Q
What are different tools for measuring depression?
A
- SCID (Structured Clinical Interview for DSM disorders)
- SCAN (schedules for Clinical Assessment in Neuropsychiatry)
14
Q
What is mania?
A
- feeling/mood from near-normal experience to life-threatening illness
- similarities to mental affects of stimulant drugs
- form of pathological innapropriate elevated mood
15
Q
What are the ICD-10 categories of mania?
A
- F30.0- hypomania
- F30.1- mania without psychotic symptoms
- F30.2- mania with psychotic symptoms
- F30.8- other manic episode
- F30.9- manic episode, unspecified
