Depression

Question 1

major depressive episode

Answer 1

“People Who Are Depressed Cry And Feel So Sad”
>2 weeks
1) depressed mood OR anhedonia
2) 4 additional symptoms:

psychomotor
worthless
anhedonia
depressed
concentration
appetite
fatigue
sleep (SPECIFIC - middle of the night awakening, early morning awakening)
suicidal

Question 2

epidemiology

Answer 2

onset in early 20s, lifetime prevalence 17% (women 20-25%; men 7-12%)

Question 3

persistent depressive disorder/dysthymic disorder

Answer 3

1) “chronic depression”, depressed mood for >2 years, never w/o symptoms for 2 months
2) two additional symptoms:

"who, cry and feel so sad"
low self-esteem (worthless)
concentration
appetite
fatigue
sleep
hopelessness (suicide)

Question 4

major depressive disorder

Answer 4

major depressive episode without mania/hypomania
subtypes: psychotic, melancholic, anxious, seasonal, atypical, peripartum, catatonia

increased risk with 1st degree relative, events (loss, trauma, stress)

Question 5

persistent depressive disorder/dysthymic disorder

Answer 5

1) “chronic depression”, depressed mood for >2 years, never w/o symptoms for 2 months
2) two additional symptoms:

who, cry and feel so sad
low self-esteem (worthless)
concentration
appetite
fatigue
sleep
hopelessness (suicide)

Question 6

treatment

Answer 6

anti-depressants, termination of episode + 6 months following;
antipsychotics, ECT if depression with psychotic features