Depressive Disorders: Persistent Depressive Disorder

Question 1

Persistent Depressive Disorder (Criteria Overview)

Answer 1

A. Depression
B. Other depressive symptoms
C. Duration of remission
D. Duration of symptoms
E. Absence of manic/hypomanic episodes
F. Differential dx
G. Substances/medication use
H. Distress/impairment

Question 2

Criterion A

Answer 2

A. Depressed mood (or irritability) for most of the time for at least two years (1 year for children/adolescents)

Question 3

Criterion B

Answer 3

B. 2+ of the following symptoms

1. poor appetite/overeating
2. insomnia/hypersomnia
3. low energy/fatigue
4. low self-esteem
5. difficulty concentrating or making decisions
6. hopelessness

Question 4

Criterion C

Answer 4

C. Individual has never been without symptoms longer than 2 months at a time

Question 5

Criterion D

Answer 5

D. Criteria for major depressive disorder may be met continuously for two years

Question 6

Criterion E

Answer 6

E. Absence of manic/hypomanic episodes or cyclothymic disorder dx

Question 7

Criterion F

Answer 7

F. Not better explained by another dx

Question 8

Criterion G

Answer 8

G. Not due to substance or medication use

Question 9

Criterion H

Answer 9

H. Clinically significant distress or impair of functioning

Question 10

Specifiers

• 7 (general)
• 2 (remission)
• 2 (onset)
• 4 (co-occurrence)
• 3 (severity)

Answer 10

• with anxious distress
• with mixed features
• with melancholic features
• with atypical features
• with mood-congruent psychotic features
• with mood-incongruent psychotic features
• with peripartum onset
• in partial remission
• in full remission
• early onset
• late onset
• with pure dysthymic syndrome
• with persistent major depressive episode
• with intermittent major depressive episodes, with current episode
• with intermittent major depressive episodes, without current episode
• mild
• moderate
• severe