Depressive Disorders Lecture Powerpoint Flashcards
Depression epidemiology
-20.6% lifetime prevalence in adults, named #1 cause of disability world wide, among most common complaints in primary care
Depression risk factors (4)
- Family history of depression
- Early childhood trauma
- Postpartum
- Drug abuse
Depression pathophysiology
-Not well understood, theorized to be due to a neurotransmitter abnormality with several implicated including serotonin, norepi, dopamine, GABA, glutamate, acetacholine, histamine,
General depressive disorders characteristics (4)
- (With the exception of disruptive mood dysregulation disorder which sees severe recurrent temper outbursts in children)
- All must have depressed mood and or loss of interest that is persistent
- Low energy, lack of motivation, recurrent thoughts of death
- Present and interfere with some domain of life
Major depressive disorder with anxious distress
Associated with feeling keyed up or tense, usually restless, difficulty with concentration due to anxiety
Major depressive disorder with mixed features
Elevated or expansive mood, inflated slef esteem or grandiostiy, more talkative than usual, increase in energy, decreased need for sleep (very similar to bipolar)
Major depressive disorder with melancholic features
Anhedonia in nearly all activities, loss of reactivity to usually pleasurable stimuli
Major depressive disorder with seasonal pattern
New term for SAD
Persistent depressive disorder (dysthymia) definition
Presence of depressed mood for most of the day or more days than not for at least 2 years causing distress or impairment in social, occupational, or other important areas of functioning
Dysruptive mood dysregulation disorder
Child only between 8-16 diagnosis involving recurrent temper outbursts manifested verbally or behaviorally that are out of proportion in intensity or duration to situation or provocation, outbursts in at least 2-3 settings with irritability in between them, age of onset before 10 not attributed to other condition
Premenstrual dysphoric disorder and how is it treated
Sees condition similar to major depressive disorder but symptoms ONLY present around menses and not any other time and always resolve at day 4 of menstruation starting, and sees marked depressed mood, irritability, and anxiety around the time frame around menses
Treated with antidepressants just on the effected days (if have MDD and it worsens with menstrual cycle, then treat with higher dosages around menstruation. If actually have PDD then treat with antidepressants only on the effective days)
Major depressive disorder diagnosis requires symptoms lasting ___
2 weeks
Barriers for patient receiving treatment for depression (3)
- Difficulty with access (cash only clinics, shortage of providers)
- PCP’s not recognizing or screening
- Patient reluctance to offer info
