Term
|
Definition
| incidence = 400/100,000 annually; prevalence = 5000/100,000 (2x more women) |
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Term
|
Definition
| Genetics: 10% risk of 1st degree relative; assoc. with poverty and unemployment; no racial or ethnic variation |
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Term
| What are the important stats about depression that I need to now? |
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Definition
| men are more successful at suicide than woman are; after 55, men have more depression; 15% of elderly have depression if comorbid with physical illness |
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Term
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Definition
| personal or family hx, multiple medical problems, unexplained physical complaints, chronic pain, overutilization of medical services |
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Term
| What are the contributory factors? |
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Definition
| older age, debilitating illness (HIV, MS, cancer), meds, stress (divorce or marital adversity), social isolation, poverty, unemployment |
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Term
| What are the co-morbidities? |
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Definition
| drug and alcohol use, other psychiatric diagnoses (PDs, schizophrenia) |
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Term
| What does the acronym SIGECAPS mean? |
|
Definition
| Sleep disorder, interest deficit (anhedonia), guilt, energy deficit, concentration deficit, appetite disorder, psychomotor retardation or agitation, suicidality |
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Term
| What do I have to identify before I diagnose Major Depressive Episode (MDE)? |
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Definition
| For the same 2 week (or more) period at least 5 depressive symptoms are present, one of which is either depressed mood or loss of interest or pleasure |
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Term
| What should I know about suicide? |
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Definition
| 8th most common cause of death among adults, 2nd among 15-24, 1% of pop. commits suicide, rates for men peak at 75 and for women 40-50s, less common among married, 10-15% hospitalized for depression |
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Term
| Major Depressive Disorder (MDD) |
|
Definition
• For the same 2 week (or more) period at
least 5 depressive symptoms are present,
one of which is either:
• Deressed mood or
• Anhedonia
• Along with any 3 or 4 (nearly daily):
• Significant weight loss without dieting (e.g.5%)
• Insomnia or hypersomnia
• Psychomotor agitation or retardation
• Feelings of worthlessness or guilt
• Decreased concentration
• Recurrent thoughts of death or suicide |
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Term
| In addition to SIGECAPS, what else should I know about MDD? |
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Definition
| it is not part of a mixed episode, symptoms cause significant impairment, symptoms are not due to substance use, symptoms are not associated with bereavement |
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Term
| What does the DSM say about dysthymic disorder? |
|
Definition
• Depressed mood most days for 2 yrs (1 for
children and adolescents, may be irritable
rather than depressed)
• Two or more:
• Poor appetite or overeating
• Insomnia or hypersomnia
• Low energy or fatigue
• Low self-esteem
• Poor concentration
• Feelings of hopelessness
• No two month period within the two (or
one) years without these symptoms
• No MDD |
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Term
| What is the difference between a major depressive episode and MDD? |
|
Definition
• Same as MDD except for the time
period. Symptoms must be present
for a two week period
Recurrent
• 2 month symptom free period
between MD Episodes |
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Term
| So I treat it by doing the following: |
|
Definition
| talking, couseling, meds (SSRIs) |
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Term
| Anything to know about meds? |
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Definition
| r/o bipolar first, start low and go slow, meds take a while to work |
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