Lecture 7- Mood Disorders

Question 1

what does depressive unipolar mean?

Answer 1

you only feel one mood- depressed

Question 2

list the DSM 4 depressive unipolar disorders (2)

Answer 2

• major depressive disorder

- dysthymic disorder

Question 3

list the DSM 4 bipolar disorders (3)

Answer 3

• bipolar 1 disorder
• bipolar 2 disorder
• cyclothymic

Question 4

list the DSM 5 depressive disorders (4)

Answer 4

• disruptive mood dysregulation disorder
• Major depressive disorder
• persistent depressive disorder (dysthymia)
• premenstrual dysphoric disorder

Question 5

criteria for DSM 4 and 5 major depression

Answer 5

refer to slides

Question 6

criteria for persistent depressive disorder

Answer 6

refer to slides

Question 7

criteria for disruptive mood dysregulation disorder

Answer 7

refer to slides

Question 8

criteria for premenstrual dysphoric disorder

Answer 8

refer to slides

Question 9

what did DSM 4 mood disorders change to in DSM 5??

Answer 9

depressive disorders vs. bipolar and related disorders

Question 10

what did DSM 4 dysthymia change to in DSM 5?

Answer 10

persistent depressive disorder

Question 11

what was added to DSM 5 that wasn’t in DSM 4? (2)

Answer 11

disruptive mood dysregulation disorder and pre menstrual dysphoric disorder

Question 12

what are the subtypes of DSM 5 major depression (6)

Answer 12

• anxious distress
• seasonal pattern
• peripartum onset (postnatal depression)
• atypical features (weight gain, oversleep, rejection sensitivity)
• psychotic features
• malancholic features

Question 13

melancholic, psychotic and non melancholic subtypes assume different what?

Answer 13

symptoms, causation and treatment

Question 14

melancholic and psychotic subtypes are seen as what type of depression?

Answer 14

endogenous subtypes (biological) best treated with biological treatments

Question 15

what is the evidence that melancholic and psychotic subtypes are biological?

Answer 15

difference in severity rather than cause

Question 16

7 criteria for melancholic depression

Answer 16

• lack of reactivity/ total loss of pleasure
• distinct quality of mood
• mood worse in morning
• early morning awakening
• excessive guilt
• weight/ appetite loss
• marked psychomotor agitation or retardation

Question 17

what is the lifetime prevalence of MDD?

Answer 17

16.4%

Question 18

what is the percentage of one year prevalence of MDD in australia?

Answer 18

3-5%

Question 19

what has happened to the prevalence of MDD since the 50’s??

Answer 19

steady increase

Question 20

what is happening to the age of onset for MDD?

Answer 20

steady decrease

Question 21

what could be reasons for changes in MDD? (prevalence increase, age decrease)

Answer 21

• increased speed of change/ stress
• decreased social/ family support
• more acceptable to report symptoms
• overdiagnosis

Question 22

what is the gender imbalance ratio for MDD?

Answer 22

2:1

Question 23

when does the gender imbalance emerge and even out?

Answer 23

emerges during adolescence and evens out after 65