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LATEST VERSION 2026
What is a key note regarding the diagnosis of Major Depressive Disorder? -
ANSWER-If full criteria for a major depressive episode have been met, the
diagnosis should be Major Depressive Disorder.
What is the relationship between Disruptive Mood Dysregulation Disorder and
other mental disorders? - ANSWER-It cannot coexist with oppositional defiant
disorder, intermittent explosive disorder, or bipolar disorder.
What is the role of substance effects in diagnosing mood disorders? -
ANSWER-Symptoms should not be attributable to the physiological effects of a
substance or another medical condition.
What is the significance of the duration of symptoms in Persistent Depressive
Disorder? - ANSWER-The individual has never been without symptoms for
more than 2 months during the 2-year period.
What is the minimum number of symptoms required for PMDD diagnosis? -
ANSWER-At least five symptoms must be present in the final week before
menses.
,When do symptoms of PMDD typically improve? - ANSWER-Symptoms start
to improve within a few days after the onset of menses.
What is marked affective lability in PMDD? - ANSWER-Mood swings; feeling
suddenly sad or tearful, or increased sensitivity to rejection.
How do rates of mood disorders differ among racial and ethnic groups? -
ANSWER-Rates of mood disorders are lower in blacks and Hispanics than in
whites.
What is the paradox regarding lower rates of mood disorders in certain ethnic
groups? - ANSWER-Despite increased exposure to psychosocial stress, lower
rates are observed in these groups.
What is the relationship between anxiety disorders and depression in women? -
ANSWER-Prior anxiety disorders are more common in women and may
contribute to higher depressive morbidity.
What is the incidence of unipolar major depressive disorder in the postpartum
period? - ANSWER-It is slightly increased.
What is the typical onset age for pure dysthymic disorder? - ANSWER-Late
adolescence or early adulthood.
What is the relationship between family history and the onset of mood
disorders? - ANSWER-Those with a positive family history of mood disorders
tend to have an earlier onset.
What is the impact of isolation and loss of interpersonal contacts on depression
in later life? - ANSWER-They play a more important role in the development of
depression in later life.
,What is the significance of the helplessness paradigm in understanding mood
disorders? - ANSWER-It may predict various subthreshold affective
disturbances related to adversity and trauma.
What is the effect of substance use disorders on depressive symptoms? -
ANSWER-Substance use disorders can mask depressive symptoms, more
frequently seen in men.
How does the prevalence of minor depressive disorder compare between
genders? - ANSWER-It is more common among women, but the difference is
less pronounced than in major depression.
What is the relationship between age of onset and the type of depressive
disorder? - ANSWER-Early-onset depression is associated with a higher female
to male ratio than late-onset depression.
What is the trend regarding the depressive component in the depression-mania
continuum? - ANSWER-The higher the depressive component, the higher the
proportion of women.
What are some symptoms of irritability in PMDD? - ANSWER-Marked
irritability or anger, or increased interpersonal conflicts.
What feelings characterize marked depressed mood in PMDD? - ANSWER-
Feelings of hopelessness or self-deprecating thoughts.
What anxiety symptoms are associated with PMDD? - ANSWER-Marked
anxiety, tension, and/or feelings of being keyed up or on edge.
What additional symptoms must be present to reach a total of five for PMDD? -
ANSWER-Decreased interest in usual activities, subjective difficulty in
, concentration, lethargy, appetite changes, hypersomnia or insomnia, feeling
overwhelmed, and physical symptoms.
What is the prevalence of PMDD among menstruating women? - ANSWER-
The twelve-month prevalence is between 1.8% and 5.8%.
What is a common comorbidity with PMDD? - ANSWER-A major depressive
episode is the most frequently reported previous disorder.
What cultural factors may influence PMDD symptoms? - ANSWER-Frequency,
intensity, and expressivity of symptoms and help-seeking patterns may be
influenced by cultural factors.
What is the significance of Criterion A in PMDD diagnosis? - ANSWER-
Criterion A symptoms must be confirmed by prospective daily ratings during at
least two symptomatic cycles.
What distinguishes PMDD from other depressive disorders? - ANSWER-
PMDD symptoms must not be merely an exacerbation of another disorder and
must cause clinically significant distress or interference.
What are some physical symptoms associated with PMDD? - ANSWER-Breast
tenderness, joint or muscle pain, bloating, or weight gain.
What is the relationship between PMDD and substance use disorders? -
ANSWER-Substance use disorders may worsen during the premenstrual phase
but are not classified as PMDD.
What is the role of medication in PMDD risk factors? - ANSWER-Certain
medications, such as high doses of corticosteroids or oral contraceptives with
high estrogen/progesterone content, can increase risk.