Depression Flashcards

1
Q

What is another name for affective disorders

A

Mood disorders

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2
Q

What are mood disorders

A

Disorders of mental status and function where altered mood is the core feature.

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3
Q

What can depression be a consequence of

A

Cancer, dementia, drug misuse or medical treatment (steroids), often related to co-morbidities

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4
Q

What condition is depression often associated with

A

Anxiety symptoms and anxiety disorders

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5
Q

ICD-10

A

International Classification of Disease 10th Edition - World Health Organisation

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6
Q

DSM-5

A

Diagnostic and Statistical Manual of Mental Disorders 5th Edition

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7
Q

Depression as a symptom

A

An emotion within the range of normal experience, severe or life-threatening

A systemic symptom with similarities to fatigue and pain

Not just the absnece of happiness but the presence of sadness

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8
Q

Depression as a syndrome

A

A constellation of symptoms and signs

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9
Q

Depression as a recurrent illness

A

Once a patient has had depression once they are more likely to get a recurrent depressive disorder

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10
Q

When does depression become abnormal?

A
  1. Persistence of symptoms
  2. Pervasiveness of symptoms
  3. Degree of impairment
  4. Presence of specific symptoms or signs
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11
Q

3 Spheres of symptoms of depressive disorders

A

Psychological
Physical
Social

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12
Q

Psychological sphere of depression (change in mood)

A

Change in mood (depression, anxiety, perplexity as in feeling overwhelmed, anhedonia (unable to experience in pleasure and interest in things that would normally be interesting to them)

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13
Q

Psychological sphere of depression (change in thought content)

A

Guilt, hopelessness, worthlessness, neurotic sympomatolgy, ideas of reference, delusions and hallucinations (if severe)

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14
Q

The Physical Sphere of depression (change in bodily function)

A

Fatigue, insomnia, reduced appetite (most common), reduced libido, constipation and pain

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15
Q

The physical sphere of depression (change in psychomotor functioning)

A

Agitation, retardation

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16
Q

The social sphere of depression

A

Loss of interests, irritability, apathy, withdrawal, loss of confidence, indecisive, loss of concentration, registration and memory

17
Q

Agitation (depression)

A

A state of restless overactivity, aimless or ineffective

18
Q

Stupor

A

A state of extreme retardation in which consciousness is intact. The patient stops moving, speaking, eating and drinking. The patient will be able to describe the experience.

19
Q

Criteria to be fulfilled (ICD-10) to be diagnosed with depression

A

Last for at least 2 weeks

No hypomanic or manic episodes in lifetime

Not attributable to psychoative substance use

If psychotic symptoms but exclude schizophrenia

20
Q

Depression ICD 10 somatic syndrome

A
Loss of interest or pleasure in activities 
Lack of emotional reactions
Waking 2 hours before normal time
Depression worse in the morning
Evidence of psychomotor agitation or retardation 
Marked loss of appetite
Weight loss
Marked loss of libido
21
Q

Mild depression at least two of (core symptoms of depression)

A

Depressed mood that is abnormal for most of the day everyday for the past two weeks

Loss of interest or pleasure

Decreased energy or increased fatigability

22
Q

Mild depression (addition from this list to give at least 4)

A

Loss of confidence or self-esteem

Unreasonable feelings of guilt

Recurrent thoughts of death by suicide

Decreased concentration

Agitation or retardation

Sleep disturbance of any sort

Change in appetite

23
Q

Moderate depression criteria

A

At least 2 of core symptoms, and additional 4 of additional features

24
Q

Severe depression criteria

A

All of core symptoms and an additional 5 from the list to give 8 all together

25
Q

Percentage of women who experience postnatal depression in 2 weeks after birth

A

75%

26
Q

In how many births does peurperal psychosis occur

A

1 in 500

27
Q

Differential diagnosis of depression

A

Normal reaction to life event
SAD
Dysthymia (below the criteria for diagnosis of depression)
Cyclothymia (below the criteria for the diagnosis of bipolar)
Bipolar
Stroke, tumour, dementia
Hypothyroidism, Addisons, hyperparathyroidism
Infections
Drugs

28
Q

Treatments of depression (antidepression)

A

Selective Serotonin Reuptake Inhibitors (SSRIs), Tricyclic antidepressants, Monamine Oxidase Inhibitors

29
Q

Treatments of depression (psychological treatments)

A

CBT, IPT, individual dynamic psychotherapy, family therapy

30
Q

Treatments of depression (physical therapies)

A

ECT, Psychosurgery, Deep brain stimulation, VNS

31
Q

Measurement tools in diagnosis of depression

A

SCID (Structured Clinical Interview for DSM disorders)

SCAN (Schedules for Clinical Assessment in Neuropsychiatry)