Depression

Question 1

Major depression criteria (10)

Answer 1

• Pervasive depressed mood
• and or marked loss of interest or pleasure unexplained by personal circumstances, e.g., grief + 4 or more of the following:
• marked change in weight or appetite
• insomnia/hypersomnia nearly every day
• psychomotor agitation/retardation nearly every day
• fatigue/loss of energy nearly every day
• feelings of worthlessness, excessive/inappropriate guilt
• indecisiveness or diminished concentration
• feelings of hopelessness
• thoughts of death, suicidal ideation/attempt

Question 2

Impact of depression (4)

Answer 2

• occupation
• relationships
• ADLs - self-care
• Adherence to meds

Question 3

Contributing factors (7)

Answer 3

• Steroids
• ETOH/substance misuse
• Chronic pain
• Chronic physical illness, esp neurological (stroke, MS, MND, CIDP) - because sudden loss of fn/independence
• Social stressors/loneliness
• Loss of job
• financial stressors

Question 4

Protective factors (5)

Answer 4

• Family support
• Social network
• Religious beliefs
• Activity/purpose