exam 3 - persistent depressive disorder (P-DD)/ dysthymia

Question 1

DSM-5_TR diagnostic criteria

Answer 1

depressed mood that exists most of the day, on most days, for 1+ year
Unhappy and/or irritable most of the time
At least 2 somatic symptoms:
Eating problems, sleep disturbances, low energy
OR at least 2 cognitive symptoms:
Lack of concentration, low self esteem, feelings of hopelessness
Symptoms are chronic but they are less severe than MDD
Longer course “persistent”

Question 2

much ____ rates than MDD

Answer 2

lower
1-5% of adolescents

Question 3

during course of P-DD

Answer 3

70% will have a MDD episode
MDD is most common co-occurring disorder
½ of children have 1+ non-affective disorder
Anxiety disorders, conduct disorder, ADHD

Question 4

onset and course

Answer 4

Onset 3 years earlier than MDD
11-12
Average episode: 2-5 years
Almost all children recover
High risk of developing another disorder

Question 5

double depression

Answer 5

MDD and P-DD: A person with P-DD may experience a deeper more intensive episode of MDD making someone who already has chronic depressive symptoms have an additional layer of depression