PPSY 558 - Depressive Disorders

  1. What are the 2 categories of Mood Disorders?
    • 1. Depressive Disorders
    • 2. Bipolar Disorders
  2. Kinds of Depressive Disorders
    • Disruptive Mood Dysregulation Disorder
    • Major Depressive Disorder
    • Persistent Depressive Disorder (Dysthymia)
    • Premenstrual Dysphroic Disorder
    • Substance/Medicaion-Induced Depressive Disorder
    • Mood Disorder Due to Another Medical Condition
    • Unspecified Depressive Disorder
  3. Kinds of Bipolar Disorders
    • Bipolar I Disorder
    • Bipolar II Disorder
    • Cyclothymic Disorder 
    • Bipolar and Related Disorder Due to Another Medical Condition
    • Other Specified Bipolar and Related Disorder
    • Unspecified Bipolar and Related Disorder
  4. Common Features to Despressive Disorders
    • Sad, Empty or Irritable Mood
    • Accompanying Somatic and Cognitive changes decreasing capacity to Function
  5. Major Depressive Episode - DSM-5
    Five or more of the following symptoms have been present during the same 2 week period and represent achange from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss ofinterest or pleasure

    • 1) Depressed mood most of the day nearly ever day
    • 2) Marked diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day
    • 3) Significant weight loss or weight gain or decrease or increase in appetite nearly every day
    • 4) Insomnia or hypersomnia nearly every day
    • 5) Pscyhomotor agitation or retardation nearly every day
    • 6) Fatigue or loss of energy nearly every day
    • 7) Feelings of worthlessness or excessive or inappropriate guilt nearly every day
  6. Major Depressive Disorder
    The first essential feature of MDD is either a depressed mood or anhedonia.

    • Biological (or vegetative) signs and symptoms
    • Appetite loss, unintentional weight loss or gain, sleep disturbance, change in energy, psychomotor retardation oragitation, and diminished libido.
    • “Diurnal mood variation” – person feels worse in the morning and slightly better at night.

    • Individuals with depression see the world through grey-tinted glasses.
    • Ruminations over personal failures (real or imagined)
    • Whereas the unhappiness of everyday life comes and goes, the dysphoria of MDD never leaves.
  7. Major Depressive Disorder 
    Diagnotic Criteria
    • A. The presence of a Major Depressive Episode.
    • B. The Major Depressive Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia or any other psychotic disorder
    • C. There has NEVER been a Manic, Mixed or Hypomanic Episode.
  8. Major Depressive Disorder
    • Single Episode or Recurrent?
    • Mild
    • Moderate
    • Severe with Psychotic Features
    • In Partial Remission
    • In Full Remission
  9. Genetic Factors for Depression
    • Monozygotic twins have a greater concordance rates for depressive disorders than dizygotic twins.
    • Family studies also find that onset of depression is more likely in people with depressed relatives than those who do not have depressed family members.
    • This genetic and familial propensity can be offset by learning and environmental influences.
  10. Prevalence of Depression
    • The lifetime prevalence estimate for a mood disorder is 20.8%.
    • 12 month prevalence estimate for depressive disorder 9.5%
    • Early age of onset tends to be before age 20
    • Greater association with family history of depression and other mood disorders
    • Late onset in the mid-30s and is associated with fewer recurrent episodes.
    • Depression increases the risk of heart attacks and is a serious complicating factor in stroke, diabetes and cancer
    • MDD is the leading cause of disability in the United States
  11. Other Pathways to Depression
    • Learned helplessness (Seligman)
    • Loss and separation
    • Stress
    • Cognitive distortions

    • Interpersonal PT of depression
    • Nonreciprocal role expectations
    • Unresolved grief
    • Life-role transition
    • Interpersonal skill deficits
Card Set
PPSY 558 - Depressive Disorders
Depressive Disorders Chapter 3