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Assessment > Mood disorders and suicidality > Flashcards

Mood disorders and suicidality Flashcards

1
Q

Length of time a depressive episode must last in ICD 10 and ICD 11

A

2 weeks

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2
Q

ICD 11 requirements for a depressive episode

A

Period of depressed mood or diminished interest in activities
Most of the day, nearly every day
For at least two weeks
Accompanied by other symptoms such as difficulty concentrating, feelings of worthlessness, excessive guilt, hopelessness, recurrent thoughts of death or suicide, changes in energy or sleep, psychomotor agitation or retardation, and reduced energy or fatigue

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3
Q

DSM criteria for major depressive disorder

A 
Most of the day, nearly every day for at least two weeks
FIVE OR MORE OF
Depressed mood
Loss of interest
Change in weight or appetite
Change in sleep
Psychomotor retardation or agitation
Fatigue or loss of energy
Feelings of worthlessness or inappropriate guilt
Diminished cognition
Recurrent thoughts of death or suicide
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4
Q

Criterion A symptoms of depression in ICD 10

A

Depressed mood
Loss of interest and enjoyment
Reduced energy leading to fatiguability and decreased activity

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5
Q

Criterion B symptoms of depression in ICD 10

A 
Reduced concentration and attention
Reduced self-esteem and self-confidence
Ideas of guilt or worthlessness
Bleak and pessimistic views about the future
Ideas or acts of self harm or suicide
Disturbed sleep
Diminished appetite
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6
Q

ICD 10 requirements for a mild episode of depression

A

At least 2 criterion A symptoms with at least 4 symptoms total

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7
Q

ICD 10 requirements for a moderate episode of depression

A

At least 2 criteria A symptoms and at least 6 symptoms total

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8
Q

ICD 10 requirements for a severe episode of depression

A

At least 2 criteria A symptoms and at least 8 symptoms total

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9
Q

Length of time depressive episodes must be separated in ICD for a diagnosis of recurrent depressive disorder

A

Several months

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10
Q

DSM IV restrictions for a diagnosis of depression after bereavement - removed for DSM V

A

Cannot be diagnosed for 2 months after a bereavement

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11
Q

Length of time required to diagnose a manic episode in ICD 10 or ICD 11

A

1 week
Shorter if hospitalised
Shorter if has a history of previous manic episodes

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12
Q

Length of time required to diagnose a hypomanic episode in ICD 10

A

4 days

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13
Q

Number of discrete mood episodes required to diagnose bipolar disorder in ICD 10 and ICD 11

A

2

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14
Q

Difference between hypomanic and manic episode in ICD 11

A

Manic episode usually needs to last 1 week; hypomanic episode needs to last several days
Manic episode should significantly with usual functioning; hypomanic episode should not
Manic episode may occur with or without delusions or hallucinations; hypomanic episode should not have delusions or hallucinations

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15
Q

Characteristics of a manic episode of which at least three must be present in ICD 10

A

Increased activity of physical restlessness
Increased talkativeness
Flight of ideas of subjective feeling of thoughts racing
Loss of normal social inhibitions
Decreased need for sleep
Increased self-esteem or grandiosity
Distractibility
Foolhardy or reckless behaviour where the risks are not recognised
Marked sexual energy or indiscretions

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16
Q

Usual features of auditory hallucinations in mania

A

Second person

Mood congruent

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17
Q

Time frame for mania or hypomania to occur post-birth to be referred to as post-partum

A

4 weeks

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18
Q

Number of episodes of bipolar disorder required per year to be classed as ‘rapid cycling’ in DSM

A

4

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19
Q

Sex predominantly affected by rapid cycling bipolar affective disorder

A

Female

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20
Q

Diagnosis where there is chronic, mildly depressed mood not severe enough to meet criteria for a depressive illness, lasting 2 years or more

A

Dysthymia

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21
Q

Criteria in ICD 10 for diagnosing seasonal affective disorder

A

3 or more affective episodes within the same 90 days of the year for 3 or more consecutive years

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22
Q

Diagnosis where there are episodes of elevated and low mood, but not enough to meet a criteria for manic, mixed or depressive episodes - there may be episodes which meet criteria for a hypomanic episode

A

Cyclothymia

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23
Q

Classical presentation for a depression with a seasonal pattern

A

Reversed biological features in the winter

24
Q

Atypical features common with seasonal affective disorder

A

Hypersomnia
Weight gain
Increased appetite

25
Q

Qualifiers for depressive episodes in ICD 11

A

Melancholic features
Anxiety symptoms
Panic attacks
Seasonal pattern

26
Q

Symptom of depression which would automatically class it as severe in ICD 10 - removed in ICD 11

A

Psychosis

27
Q

Natural course for an untreated episode of mania

A

4 months

28
Q

Natural course for an untreated episode of depression

A

6 months

29
Q

Factors associated with rapid cycling bipolar affective disorder

A 
Tricyclic antidepressants
Female sex
Hypothyroidism
Having bipolar II
Having a neurological disease
30
Q

Frequency of episodes of bipolar disorder with age

A

Increase with age

31
Q

12 month prevalence of major depression in the community

A

2-5%

32
Q

Likely lifetime prevalence of depression

A

10-20%

33
Q

Mean age to develop depression

A

27

34
Q

Sex more commonly affected by depression

A

Female

35
Q

Ratio of women:men who develop depression

A

2:1

36
Q

Condition predicted to be the leading cause of disease burden worldwide by 2030

A

Depression

37
Q

Severity and prevalence in elderly population compared to the general population

A

Prevalence no different except more prevalent in nursing homes and medical wards
More severe

38
Q

Family factors which have been shown to be protective against suicide

A

Being a twin
Having parents alive and together
Having young children
Being married

39
Q

Most common method of completed suicide in the UK

A

Hanging

40
Q

Sex hanging is a more common method of completed suicide for

A

Male

41
Q

Most common method of completed suicide in the USA

A

Firearms

42
Q

Features of atypical depression

A 
Change in functioning
Low but reactive mood
Hyperphagia and weight gain
Hypersomnia
Feeling of heaviness in the arms and legs
Sensitivity to rejection
43
Q

Treatment option of choice for atypical depression

A

MAOIs

44
Q

Lifetime prevalence of suicidal ideation

A

9.2%

45
Q

Lifetime prevalence of suicide attempts

A

2.7%

46
Q

Lifetime prevalence of suicide plans

A

3.1%

47
Q

Time frame within which postpartum depression normally occurs

A

2-3 months

48
Q

Time frame within which postpartum depression must occur

A

Within 1 year of giving birth

49
Q

Increase in risk of coronary heart disease in an otherwise healthy person with depression

A

Doubles the risk

50
Q

Mean age of onset of bipolar disorder in community studies

A

17

51
Q

Lifetime risk for bipolar disorder

A

0.3-1.5%

52
Q

Relative morbidity and mortality in a patient with ischaemic heart disease who also has depression, compared to a patient with just ischaemic heart disease

A

2x

53
Q

Lifetime prevalence of major depression

A

20%

54
Q

Most common method of completed suicide among older people

A

Drowning

55
Q

Chance of developing bipolar disorder with one affected parent

A

4-15%

56
Q

Chance of developing depression with one affected parent

A

9%

Assessment (22 decks)

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