Mood Disorders

Question 1

Mood VS Affect

Answer 1

Mood is sustained emotion
Affect is moment-moment experience

Question 2

Unipolar VS Bipolar VS Normal

Answer 2

Normal is a range between Dysthymia and Hypomania
Bipolar is a range between Depression and Mania
Unipolar is a range between Depression and Dysthymia
Total range: Depression -> Dysthymia -> Euthymia -> Hypomania -> Mania

Question 3

Mood Disorder Epidemeology

Answer 3

More in:
- Young people
- Females
- LGBT
- Homeless
- Unemployed

Question 4

Sadness VS Clinically Significant Depression

Answer 4

Quality - Greater intensity
Associated Features - Somatic and Cognitive accompanying features
Absence of Precipitants - Mood may develop without a “trigger”

Question 5

Major Depressive Episode

Answer 5

5+ of following symptoms for 2+ weeks:
- Depressed mood
- Anhedonia
- Appetite Change
- Sleep Change
- Psychomotor agitation or retardation (movement up or down)
- Fatigue
- Worthlessness
- Decreased concentration
- Suicidal thoughts

Question 6

MDE Specifiers

Answer 6

Anxious distress, Melancholic features, Atypical, Psychotic features, Catatonic features, Peripartum onset, Seasonal Pattern, Mixed features (8)

Question 7

Major Depressive Disorder Diagnostic Criteria

Answer 7

• Major Depressive Episode
• Not otherwise explained
• No history of manic or hypomanic episodes (suggests bipolar)

Question 8

MDD Epidemeology

Answer 8

Genetic, Females, 25 yr old median onset

Question 9

Suicide Risk Factors

Answer 9

Family History, Early Life Adversity, Mental Health Disorder, Impulsivity, Substance Misuse, Hopelessness (6)

Question 10

Suicide Risk (Turecki and Brent)

Answer 10

Individual Factors - Predisposing, Mediating, Precipitating - affected by lack of social cohesion. Environmental factors impact precipitating as well and precipitating leads to suicide.

Question 11

Aetiology facotors for MDD

Answer 11

Genetics, neurobiology, immune system, stress, personality, cognition