Ch. 5 Mood Disorders Flashcards
1
Q
DSM-5-TR criteria for major depressive disorder
A
- sad mood or loss of interest and pleasure (anhedonia)
at least 5 symptoms total - symptoms are present nearly everyday, most of the day, for at least two weeks
- distinct and more severe than a normative response to a significant loss
- episodic: episodes of depression that dissipate over time
- recurrent
2
Q
symptoms of MDD
A
- sleeping (too much / too little)
- psychomotor retardation or agitation
movements are too slow / too fast - poor appetite and weight loss or increases appetite and weight gain
- loss of energy
- feelings of worthlessness or excessive guilt
- difficulty concentrating, thinking, or making decisions
- recurrent thoughts of death or suicide
not chronic
3
Q
DSM-5-TR criteria for persistent depressive disorder
A
- depressed mood at least two years (1 for children / adolescents)
- plus two
- symptoms do not clear for more than two months
- bipolar disorders are not present
4
Q
symptoms of PDD
A
- poor appetite or overeating
- sleeping too much or too little
- low energy
- poor self-esteem
- trouble concentrating or making decisions
ADHD - feelings of hopelessness
5
Q
etiology of depression
A
- depression is common
- 2X as common for women; 3X as common among those in poverty
- prevalence varies across cultures
- symptoms vary across cultures
6
Q
depression is common
A
- lifetime prevalence: 16.2% MDD; 5% depressed for 2+ years
- coming from within oneself
7
Q
depression for women / poverty
A
- more diagnosed in women
- poverty: growing up in it; their reality and everything revolves around this status
8
Q
depression across cultures
A
- MDD: 6.5% in China; 21% in France
- cultural factors play important roles in depression rates
- may not be appropriate to display
- somatic symptoms (pain, fatigue)
- Racial / Ethnic minorities in the US face a lot of stressors
9
Q
depression age of onset
A
early 20s; substantial decrease over past 50 years
10
Q
depression comorbidity
A
- 5-30% with MDD experience PDD
- 60% with MDD will meet criteria for anxiety disorder at some point
11
Q
bipolar disorders
A
- severity and duration of mania defining feature of:
Bipolar I, Bipolar II, and cyclothymia (emotional ups / downs) - mania
- episode of depression (not required for BP I)
12
Q
mania
A
state of intense elation, irritability, or activation
- hypomania – less time, usually no significant impairment
13
Q
DSM-5-TR criteria for manic & hypomanic disorders
A
- elevated / irritated mood
- abnormally increased activity / energy
- personal stress & functional impairment
- plus 3 others (4 if irritable)
- symptoms present daily, for most of the day
14
Q
symptoms of manic & hypomanic disorders
A
- increased goal-directed activity or psychomotor agitation
- rapid speech
- racing thoughts
- decreased need for sleep (differentiation between drug use)
- increased self-esteem / grandiosity
- distractibility
- excessive involvement in risky behaviors
15
Q
mania symptom criteria
A
- symptom duration at least one week, require hospitalization, or include psychosis
- significant distress or functional impairment
- physiology shows differences in bodily wear and tear
