Mood & Affect

Question 1

How is affect described?

Answer 1

Described in terms of appropriateness, stability, intesnsity & congruence

Question 2

appropriate affect

Answer 2

Congruent w/ immediate situation

Question 3

inappropriate affect

Answer 3

Not related to immediate situation

Question 4

full range affect

Answer 4

Shows range of emotional response appropriate to situation or conversation

Question 5

stable affect

Answer 5

Resistant to sudden changes when there is no provocation in the environment

Question 6

labile affect

Answer 6

Shifts suddenly in a way that cannot be understood in the context of the situation

Question 7

elevated affect

Answer 7

Extreme elation not necessarily related to immediate situation

Question 8

depressed affect

Answer 8

Despondency not necessarily related to immediate situation

Question 9

overreactive affect

Answer 9

Appropriate to situation, but out of proportion to immediate situation

Question 10

blunted affect

Answer 10

Response to immediate situation is dulled

Question 11

flat affect

Answer 11

There are no visible cues to person’s emotions

Question 12

Diagnostic tests r/t mood disorders

Answer 12

Tests to rule out any underlying medical conditions that could mimic a mood disorder:

• Thyroid function tests (disorder could mimic a mood disorder)
• Electrolyte panel, UA, toxicology to rule out substance abuse
• LFTS - b/c antidepressants are metabolized in liver

Question 13

Screening tools for older adults possibly experiencing a mood disorder?

Answer 13

• GDS

- CDS (Cornell Depression Scale) –> Screening for older adults w/ severe cognitive impairments

Question 14

Screening tools for children possibly experiencing a mood disorder?

Answer 14

• CESD-DC (Center for Epidemiological Studies Depression Scale)
• CDI-2 (Children’s Depression Inventory 2) - 7-17 yrs

Question 15

Screening tools for adults possibly experiencing a mood disorder?

Answer 15

• Beck Depression Inventory - 10 min
• CESD-R (Center for Epidemiological Studies Depression Scale Revised) - Useful for a wide age range, including older adults
• MDQ (Mood Disorders Questionnaire) - Bipolar disorder screening, also available for adolescents

Question 16

Screening tools for postpartum women possibly experiencing depression?

Answer 16

• Edinburgh Postnatal Depression Scale

- Beck’s Postpartum Depression Predictors Inventory-Revised (PDPI-R)