Week 3: Mood/Affective Disorders

Question 0

Define mood

Answer 0

Subjective and internal emotional feelings of a person

Question 1

What are mood disorders

Answer 1

Characterised by disturbance in mood such as depressed or elevated moods

Question 2

Define affect

Answer 2

Objective and external emotional expressions of a person

Question 3

Co morbidity of mood disorders

Answer 3

Mood disorders usually occur with other disorders such as anxiety and substance abuse

Question 4

Types of mood disorders (2)

Answer 4

Unipolar
-major depressive disorder
-dysthymic disorder 
-other depressive disorders 
Bipolar 
-bipolar 1
-bipolar 2
-cyclothymic disorder

Question 5

Depression

Answer 5

Mood disorder characterised by depressed mood, permission, anhedonia and apathy

Question 6

Major depressive disorders

Answer 6

1. MDD with single episode: one major episode of depression
2. MDD with recurrent episodes: 2 major episodes of depression, separated by at least a 2 month period with normal functioning
   Absence of mania

Question 7

Diagnostic criteria of major depressive disorders

Answer 7

A. 5 or more of the following for 2 weeks
Depressed mood, diminished pleasure, weight loss or gain, insomnia, psychomotor retardation, fatigue, feeling worthless, inappropriate guilt, difficulty concentrating, recurrent thoughts of death
B. Symptoms must cause significant distress
C. Exclusions of substance, medical and bereavement

Question 8

Dysthymic disorder

Answer 8

Less severe but chronic condition characterised by depressive symptoms that occur most days for at least 2 years

Question 9

Diagnostic criteria of dysthymic disorders

Answer 9

A. Depressed/ irritable mood
B. Presence of 2 of the following:
Appetite disturbance, sleep disturbance, low energy, poor concentration, difficulty making decisions, feeling hopeless
C. Present for 2 years 
D. No evidence of major depressive episode during first 2 years
E. No manic or hypomanic disorder
F. No chronic psychotic disorder
G. Not related to organic disorders

Question 10

What is bipolar disorder

Answer 10

Affective disorder characterised by episodes of mania and depression

Question 11

Bipolar 1 defined by…..

Answer 11

Alternation of one or more mania and major depressive epidoses
Average onset: 18years
Tends to be chronic
High risk of suicide

Question 12

Bipolar 2 defined by..

Answer 12

Alternation of one or more major depression and hypomanic episodes
Average onset: 22 years

Question 13

Mania disorder is..

Answer 13

Characterised by elevation of mood, rapid thought, rapid speech, extreme over activity and irresponsible behaviour
(Hypomania is same characteristics but less severe)

Question 14

Diagnostic criteria of mania disorder

Answer 14

A. Distinct period of abnormally and persistently elevated, expansive or irritable mood
B. Mood disturbance, plus 3 of the following
Grandiosity, increased sex drive, decreased need for sleep, more talkative than normal, flight of ideas, distracted easily, extravagant with money, excessive involvement in pleasurable activity, over-optimistic
C. Marked impairment
D. No psychosis
E. No organic disorders

Question 15

Cyclothymic disorder

Answer 15

Characterised by hypomanic episodes and many depressive episodes for at least 2 years

Question 16

Diagnostic criteria for cyclothymic disorder

Answer 16

A. Presence of many hypomanic episodes for at least2 years
B. During a 2 year period of disturbance, never without hypomanic or depressive symptoms for longer than 2 months
C. No evidence of MDD or manic episode during 2 years of disturbance
D. No psychotic disorder
E. No organic cause