Week 3 Mood Disorders

Question 1

Mood

Answer 1

Pervasive and sustained emotional response

Question 2

Euthymia

Answer 2

normal mood

Question 3

Dysphoria/Dysthymia

Answer 3

Experience of unpleasant(usually low) mood

Question 4

Depression

Answer 4

pervasive and sustained low mood & related behaviours & symptoms

Question 5

Mania

Answer 5

Elevated mood, inflated self-esteem & associated symptoms

Question 6

Hypomania

Answer 6

increased energy but less severe features than mania

Question 7

Euphoria

Answer 7

Intense feeling of well-being, excitement, over confidence & over optimism

Question 8

grandiosity

Answer 8

pompous superiority

Question 9

disturbed concentration falls into which domain in mood disorders

Answer 9

a) emotional
b) cognitive
c) somatic
d) behavioural/affective

Question 10

Common features of depressive disorders

Answer 10

Presence of sad empty or irritable mood, accompanied by somatic and cognitive changes

Question 11

Disruptive mood dysregulation disorder

Answer 11

Children 6-18 years
Chronic, severe, persistent irritability and frequent episodes of extremely out of control behaviour

Question 12

Premenstrual Dysphoric Disorder(PMDD)

Answer 12

Severe form of PMS characterised by mood lability, irritability, dysphoria, anxiety, difficultly concentrating, changes in appetite and sleep, pain

Question 13

Major depressive disorder

Answer 13

1 major episode in the absence of any history of manic episode
A. An episode is 5 or more of 9 symptoms indicative of change over 2 week period; including either (1) depressed mood, or (2): loss of interest or pleasure
B. Cause significant distress or impairment
C. Not attributable to other disorders/substances

Question 14

Persistent depressive disorder(Dysthymia)

Answer 14

More chronic, mild presentation over a period of 2 years or more.
Depressed mood for most of the day.
2 or more of 6 symptoms
1. poor appetite or overeating
2. insomnia/hypersonmia
3. Low energy or fatigue
4. Low self-esteem
5. Poor concentration/decision making
6. Feelings of hopelessness

Question 15

When would PDD not be diagnosed?

Answer 15

1. If symptoms are absent for more than 2 months at a time during a 2 year period
2. If at any time during the first 2 years meets criteria for MDE/MDD
3. Presence of manic episode

Question 16

Bipolar disorders

Answer 16

primary impairment involving mood but with a manic/hypomanic component

Question 17

Bipolar I

Answer 17

At least one manic episode

Question 18

Bipolar II

Answer 18

hypomania: episodes of increased energy, not severe enough to qualify manic episodes. severity and duration

Question 19

Cyclothymia

Answer 19

similar to PDD, chronic but less severe form of bipolar
symptoms of mania and depression rather than ‘episodes’

Question 20

Manic episode

Answer 20

at least a week of (or any period of time if hospitalisation due to) abnormally and persistently elevated, expansive, or irritable mood and persistently increased goal-directed activity/energy

feature is present most of the day and nearly everyday for this period

sufficiently severe to cause marked impairment in functioning, OR to necessitate hospitalisation, OR with psychotic features

Question 21

How many symptoms does a individual have to have to be classified as Manic episode?

Answer 21

3 or more of 7 symptoms ( over 4 if mood is irritable)

Question 22

True or false
manic episode is not attributed to effects of a substance or due to another medical condition

Answer 22

True

Question 23

Manic Episode criteria B symptoms

Answer 23

1. inflated self esteem or grandiosity
2. decreased need for sleep
3. increased talkativeness or pressure of speech
4. flight of ideas or racing thoughts
5. Distractibility
6. Increased goal-directed activity/ psychomotor agitation
7. Excessive involvement in activities with high potential for painful consequences

Question 24

Hypomania

Answer 24

Same as manic episodes except
1. Lasts at least 4 consecutive days
2. unequivocal changes in function but it is not severe enough to cause ‘marked impairment’ or hospitalisation

Question 25

Chronic, fluctuating mood disturbance for 2 years or more with an onset usually in adolescence or early adulthood

Answer 25

A. Cyclothmic Disorder
B. Bipolar I
C. Hypomania
D. Mania

Question 26

Mean age onset for depressive disorders

Answer 26

A. Adolescent period
B. 35
C. 32
D. 40

Question 27

True or False
Bereavement is classified as a mood disorder?

Answer 27

False
It is not classified as trauma and stressor related disorders.

Question 28

Which of the following is not a sign of depression in Chinese culture

Answer 28

a) boredom
b) discomfort
c) feelings of inner pressure
d) change in appetite and sleep

Question 29

Male or Females are 2-3 times more vulnerable to depression

Answer 29

Female