Dépression

Question 1

where does depression rank in terms of causes of global disability

Answer 1

it is the SECOND leading cause of global disability

Question 2

mixed features are found in what % of those diagnosed with MDE

Answer 2

up to 1/3

Question 3

mixed depressive episodes are more common in what population

Answer 3

younger people

Question 4

why do we care about indicating whether someone has a mixed depressive episode

Answer 4

tend to be more severe

carry higher risk for suicide

*specifier is controversial

Question 5

how does perinatal maternal depression affect children

Answer 5

associated with multiple adverse outcomes in children i.e:

increased problems with emotional regulation

internalizing disorders

behavioural disorders

hyperactivity

reduced social competence

insecure attachment

adolescent depression

negative effects on cognitive development

Question 6

the CANMAT Depression Guidelines recommends screening for depression under what circumstances?

Answer 6

do it in primary and secondary care settings in individuals with risk factors when there are available resources and services for subsequent diagnostic assessment and management

Question 7

what % of people presenting with MDD in a given year also have GAD

Answer 7

25%

Question 8

what % of people with MDE have a chronic episode that has lasted over 2 years

Answer 8

26.5%

(and 15.1% have chronic course during 3 year follow up)

Question 9

list 4 strategies to help improve treatment adherence in those with MDD

Answer 9

patient education

supported self management

collaborative care

discuss early and monitor frequently

Question 10

list clinical factors that may be considered risk factors for depression and thus prompt screening for depression

Answer 10

hx of depression

family history of depression

psychosocial adversity

high users of the medical system

chronic medical conditions

other psych conditions

times of hormonal change