Low Mood Flashcards
The guidelines to diagnose an individual on the spectrum of low mood to depression are set out by the American Psychiatric Association (APA), as set down in the Diagnostic and Statistical Manual of Mental orders and depression (DSM5) for a major depressive episode. In order for a patient to be diagnosed with depression, they must have a loss of interest or pleasure in their daily activities, but for how long?
1 - >2 days
2 - >2 weeks
3 - >2months
4 - >2 years
2 - >2 weeks
The guidelines to diagnose an individual on the spectrum of low mood to depression are set out by the American Psychiatric Association (APA), as set down in the Diagnostic and Statistical Manual of Mental orders and depression (DSM5) for a major depressive episode. In order for a patient to be diagnosed with depression, they must have a loss of interest or pleasure in their daily activities for more than 2 weeks. There must be a change in an individuals mood compared to what?
1 - baseline/normal mood for the patient
2 - families current mood
3 - social circle mood
4 - patients mood at last GP appointment
1 - baseline/normal mood for the patient
The guidelines to diagnose an individual on the spectrum of low mood to depression are set out by the American Psychiatric Association (APA), as set down in the Diagnostic and Statistical Manual of Mental orders and depression (DSM5) for a major depressive episode. In order for a patient to be diagnosed with depression, they must have a loss of interest or pleasure in their daily activities for more than 2 weeks and have a change in mood that is different from baseline. What else must be affected?
1 - impaired social and occupational only
2 - impaired educational and occupational only
3 - impaired social and educational only
4 - impaired social, educational and occupational only
4 - impaired social, educational and occupational only
The guidelines to diagnose an individual on the spectrum of low mood to depression are set out by the American Psychiatric Association (APA), as set down in the Diagnostic and Statistical Manual of Mental orders and depression (DSM5) for a major depressive episode. In order for a patient to be diagnosed with depression, they must have how many of the following 3 criteria:
- loss of interest or pleasure in their daily activities for > 2 weeks
- change in an individuals mood compared to what?
- impaired social, educational and occupational only
1 - just 1
2 - 2 of 3
3 - all 3
3 - all 3
Criteria for if a patient is depressed, that GPs use us set out by what guidelines?
1 - Mini-Mental Health Exam
2 - American Psychiatric Associations (APA) Manual of Mental orders and depression (DSM5)
3 - Mini-COG
4 - Cognitive Impairment Test
2 - American Psychiatric Associations (APA) Manual of Mental orders and depression (DSM5)
In order for a patient to be diagnosed with anxiety, they must have excessive worry and/or anxiety most days relating to a number of events and/or activities, such as school or work. How long must this continue for before a diagnosis of generalised anxiety disorder is given?
1 - >6 days
2 - >6 weeks
3 - >6 months
4 - >6 years
3 - >6months
Are men or women more likely to be diagnosed with anxiety and/or depression?
- women
- twice as likely
Which groups of people are more likely to suffer with depression and/or anxiety?
1 - rich, unemployed and chronic conditions
2 - alcoholics, unemployed and chronic conditions
3 - poor, unemployed and chronic conditions
4 - poor, employed in unhappy careers and chronic conditions
3 - poor, unemployed and chronic conditions
The majority of patients with depression and/or anxiety are diagnosed and treated where?
1 - tertiary centres
2 - hospitals
3 - primary care
4 - care homes
3 - primary care
- described as a primary care disorder
Why is a biopsychological assessment useful when trying to diagnose a patient with depression and/or anxiety?
1 - assessment of biological function
2 - assessment of social function
3 - assessment of psychological function
4 - assessment of biological, social and psychological function together
4 - assessment of biological, social and psychological function together
- depression and/or anxiety can affect multiple factors
What are questionnaires Patient Health Questionnaire-9, HAD-D and Beck Depression questionnaires used for?
1 - tests used to assess a patients anxiety and depression
2 - tests to assess back pain
3 - tests to as cognitive state of mind
4 - tests used to assess social support and coping strategies
1 - used to assess a patients anxiety and depression
The Patient Health Questionnaire-9 is a useful questionnaire used in primary care to assess if a patient is depressed. There are 9 questions, and each can be scored between 0 and 3, ranging from
- not at all = a score of 0
- several days = a score 1
- more than half the days = score of 2
- nearly every days = score of 3
The score ranges from 0 to 27. A score greater than what has a sensitivity of 88% for being able to detect a major depressive disorder?
1 - >5
2 - >10
3 - >15
4 - >20
2 - >10
Management of anxiety and depression is based on the stepped-care-model. What is this model?
1 - intervention should be intense to cure the patient
2 - intervention should be least intrusive as possible for the severity of the illness
3 - intervention should incorporate the biopsychological model
4 - intervention should include pharmaceuticals
2 - intervention should be least intrusive as possible for the severity of the illness
What intervention has the most extensive evidence base for effectively treating patients with depression and/or anxiety?
1 - medications alone
2 - medications combined with social support groups
3 - cognitive behavioural therapy (CBT)
4 - social support groups
3 - cognitive behavioural therapy (CBT)
What is the most common medication used for anxiety and depression?
1 - Citalopram (selective serotonin re-uptake inhibitor = SSRI)
2 - Amitriptyline (Tricyclic)
3 - Rasagiline (Monoamine oxidase B inhibitors)
4 - Entacapone (COMT inhibitors)
1 - Citalopram (selective serotonin re-uptake inhibitor = SSRI)
