7128 Lecture Notes - Lecture 3: Major Depressive Disorder, Major Depressive Episode, Mania

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MOOD DISORDERS
- DSM-5 Mood Disorders
oUnipolar depressive disorders
Major depressive disorder (MDD)
Persistent Depressive Disorder (Dysthymisa)
oBipolar and Related Disorders
Bipolar 1 disorder
Bipolar 2 disorder
Cyclothymic disorder
oDisorder criteria include cluster of symptoms meeting a mood episode
Major depressive episode (MDE)
Manic episode
Hypomanic episode
o
- Prevalence
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o
- Age effects
oNational survey of mental health and well being 98’
3.7% children and adolescents (6-17years) had depressive disorders in 12
months
Increasing over 5-10 years
Gender differences presented in lecture 1
oIn a survey of 16-20 year olds in the US in 2007-2008, 20% who identified as
transgender met criteria for major depression
o
- Major depressive episode (MDE)
oFive or more of the following in a 2 weeks period and a change from previous
functioning (must include either depressed mood OR loss of interest)
Depressed mood most of the day
Markedly diminished interest or pleasure in most activities
Clinically significant weight loss or gain (>5% change)
Insomnia or hypersomnia
Psychomotor agitation or retardation
Fatigure or loss of energy
Feelings of worthlessness or excessive/inappropriate guilt
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Diminished ability to think or concentrate, indecisiveness
Recurrent thoughts of death, suicidal ideation, plan or attempt
oClinical significant distress or impairment
oNot due to a substance/medical condition
- Major depressive disorder (MDD)
oMDD criteria
Major depressive episode
No manic or hypomanic episode
If so – considered for bipolar disorders
Clinically significant distress or impairment
Not due to substance/medical condition
Not explained by psychotic disorder
- Persistent depressive disorder
oAka Dysthymia
At least 2 years with no period > 2 months remissions
Milder symptoms (2 of)
Eg poor appetite/overeat, insomnia/hypersomnia, low
energy/fatigue, low self esteem, difficulty making decisions,
hopelessness
Double depression
Major depressive and persistent depressive disorder
oPreviously distinct from MDD chronic
o95% progress to MDD
- Characteristsics of unipolar disorder
oEpisodic disorder
Increased risk of episode of 16%
Average 4 per lifetime
Early onset, family history, incomplete remission, life stress
oPrognosis
50% recover in 6 months with treatment
10% chronic course
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Document Summary

Persistent depressive disorder (dysthymisa: bipolar and related disorders. Cyclothymic disorder: disorder criteria include cluster of symptoms meeting a mood episode. Age effects: national survey of mental health and well being 98". 3. 7% children and adolescents (6-17years) had depressive disorders in 12 months. Gender differences presented in lecture 1: in a survey of 16-20 year olds in the us in 2007-2008, 20% who identified as transgender met criteria for major depression o. Major depressive episode (mde: five or more of the following in a 2 weeks period and a change from previous functioning (must include either depressed mood or loss of interest) Markedly diminished interest or pleasure in most activities. Clinically significant weight loss or gain (>5% change) Diminished ability to think or concentrate, indecisiveness. Recurrent thoughts of death, suicidal ideation, plan or attempt: clinical significant distress or impairment, not due to a substance/medical condition. Major depressive disorder (mdd: mdd criteria.

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