Chapter 8 - Mood

Question 1

What is the main characteristic of mood disorders

Answer 1

severe deviations in mood

Question 2

most diagnosed and severe depression

Answer 2

major depressive episode

Question 3

What is a Major depressive episode

Answer 3

extreme depressed mood state that lasts at least 2 weeks and includes cognitive symptoms and disturbed physical functions

Question 4

Average duration of depressive episode if untreated

Answer 4

4-9 months

Question 5

What is mania

Answer 5

exaggerated elation, joy or euphoria where extreme pleasure in found in every activity that lasts upwards of one week

Question 6

Common parts of mania

Answer 6

Irratibility, anxiety, depression

Question 7

Average duration of manic episode

Answer 7

3-4 months

Question 8

Hypomanic episode

Answer 8

less severe version of manic episode that only needs to last 4 days

Question 9

Major depressive disorder

Answer 9

presence of depression and absence of mania

Question 10

What is important to factor when choosing treatment and looking at course of disorder

Answer 10

Recurrence, family history

Question 11

How does recurrence change

Answer 11

20% after first year but rises to 40% after second

Question 12

median lifetime depressive episodes

Answer 12

4-7

Question 13

median duration of recurrent depressive episodes

Answer 13

4-5 months

Question 14

What is persistent depressive disorder

Answer 14

depressed mood lasting at least 2 years with less than 2 months symptom free

Question 15

Why is persistent more severe thant major

Answer 15

higher rates of comorbidity
less responsive to treatment
slower rates of improvement

Question 16

What is the most important distinction when diagnosing depression

Answer 16

chronicity

Question 17

What is peripartum onset

Answer 17

period of time just before or after giving birth

Question 18

prevalence of baby blues

Answer 18

40-80%

Question 19

Onset of major depressive

Answer 19

25 - 29

Question 20

median duration of persistant

Answer 20

5 years

Question 21

What is Bipolar disorder

Answer 21

tendency of manic episodes to alternate with major depressive episodes

Question 22

Difference between Bipolar I and II

Answer 22

Bipolar I - full manic
Bipolar II - hypomania

Question 23

What is Cyclothymic disorder

Answer 23

chronic alternation of mania and depression that doesn’t reach manic or major depressive

Question 24

How long does cyclothymic disorder need to be present for

Answer 24

2 years (1 in child)

Question 25

What is rapid cycling

Answer 25

move quickly in and out of episodes with a minimum of 4 a year

Question 26

what percent of patients experience rapid cycling

Answer 26

20-50%

Question 27

Onset of Bipolar

Answer 27

I - 15-18
II - 19-22
Acute

Question 28

Risk factors for Bipolar

Answer 28

living alone
divorced
no children
white
being either young (<35) or old (>75)
unemployed

Question 29

Cyclothymia onset

Answer 29

teens (12-14)