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TSM 84
Mood disorders
21
Medical
Undergraduate 2
01/02/2013

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Term
What is the meaning of affect?
Definition
Subjective experience of emotional state.
Term
What is the meaning of mood?
Definition
Pervasive and sustained emotion.
Term
What is the meaning of affective disorder?
Definition
Disorder in which the central feature is mood disturbance.
Term
What is the meaning of mania?
Definition
An episode of mood disorder characterised by elevated mood.
Term
What is the meaning of hypomania?
Definition
A milder episode of mood disorder than mania without hallucinations or delusions.
Term
What is the meaning of bipolar affective disorder?
Definition
A recurrent mood disorder consisting of manic/ hypomanic episodes with or without depressive episodes.
Term
What is the meaning of unipolar affective disorder?
Definition
A recurrent mood disorder consisting solely of episodes of depression.
Term
What is the meaning of major depressive episode?
Definition
A depressive episode with 5 or more biological features of depression according to DSM IV.
Term
What types of mood disorder are possible?
Definition
1) Low mood: depressive episode
2) High mood: hypomanic or manic episode
3) A mixture: mixed affective disorder.
Term
What aspects of presentation need to be assessed to identify the typed of episode?
Definition
1) Mood
2) Speech and thought
3) Biological functions
4) Perception
5) Behaviour
6) Minimum duration
Term
What are the minimum durations for a manic and depressive episode?
Definition
1) Manic: 1 week
2) Depressive: 2 weeks.
Term
What special features of the disorder may be observed?
Definition
1) Psychotic symptoms
2) Neurotic symptoms
3) Melancholia
Term
How do you assess the severity of a depressive episode (ICD-10)?
Definition
1) Mild:
- At least 2 typical symptoms and at least 2 other symptoms. No symptoms are intense.
-Duration: at least 2 weeks
2) Moderate:
-At least 2 typical symptoms plus at least 3 (and preferably 4) other symptoms. Several symptoms present to a marked degree (not essential).
-Duration: at least 2 weeks
3) Severe:
-All 3 typical symptoms plus at least 4 other symptoms, some of severe intensity. Delusions and/or hallucinations may be present.
-Duration: usually 2 weeks but less if particularly severe.
Term
Describe recurrent depressive disorder.
Definition
There should have been at least 2 episodes reaching the criteria for mild, moderate or severe depression lasting at least 2 weeks and they should have been separated by several months without significant mood disturbance.
Term
Describe bipolar affective disorder.
Definition
There should have been at least 2 episodes reaching the criteria for a mood disorder, one of which must have been mania/hypomania, lasting at least 2 weeks and they should have been separated by several months without significant mood disturbance.
Term
Describe chronic depression.
Definition
Meets the criteria for mild, moderate or severe depression, lasting at least 2 years.
Term
Describe a mixed affective episode.
Definition
Lasts for at least 2 weeks ad is characterised by either a mixture or a rapid alteration (usually within a few hours) of hypomanic/manic and depressive symptoms.
Term
What is dysthymia?
Definition
A form of mild depression which has a chronic course and dooes not meet the criteria for a recurretnt depressive disorder.
Term
What is cyclothymia?
Definition
A milder form of bipolar disorder with persistent instability of mood involving numerous periods of mild depression and elation.
Term
What is schizoaffective disorder?
Definition
The diagnosis should be limited to caases where diagnostic criteria for both schixophrenia and a mood disorder occur during the same episode.
Term
What aetiological factors are important in mood disorders?
Definition
Biological, psychological and genetic.
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