This summary includes all of the relevant information mentioned and explained during the lectures of course 3.4: Affective Disorders. All you'll need to know from the lectures to prepare for the exam is included.
Major Depressive Disorder
DSM-5 criteria
five or more of the following symptoms for a 2-week period; at least one of the symptoms is
depressed mood or loss of interest
- depressed mood
- loss of interest or pleasure
- significant weight loss/gain or decrease/increase in appetite
- insomnia or hypersomnia
- psychomotor agitation or retardation
- fatigue of loss of energy
- feelings of worthlessness, guilt
- diminished ability to think or concentrate
- recurrent thoughts of death
,Persistent Depressive Disorder
- the chronic but less intense version of depression
- depressed mood for at least 2 years
beware of the wording differences between DSM-5 criteria for MDD and Persistent Depressive
Disorder (intensity is important)
Comparison b/w MDD and PDD
à Duration of Symptoms
• MDD: at least 2 weeks
• Dysthymia: at least 2 years
à Severity
• MDD: more severe, stronger impact on a person’s life
• Dysthymia: chronic but milder form, less impact on a person’s life (but still significant)
à Pattern/Course
• MDD: distinct periods without symptoms
• Dysthymia: can fluctuate in intensity but are consistently present
à Episodes
• MDD: may experience recurrent episodes throughout life
• Dysthymia + periods of more severe symptoms that meet the criteria for MDD à
“double depression”
Theories on Depression
Contemporary Integrative Interpersonal Theory (CIIT)
• Humans are social creatures
o interpersonal aspect of our lives
• grounded in personality theory
• many forms of psychopathology are associated with interpersonal impairment, not
only depression
, • seeks to explain the emergence, expression, and maintenance of interpersonal
functioning and dysfunction
• the field of psychopathology is shifting towards understanding psychopathology using
dimensions
o don’t need discrete categories, i.e., diagnoses
• therapeutic alliance (TA) and therapeutic outcome – can be explained through CIIT
Assumptions of CIIT:
1. the most important expressions of personality occur in interpersonal situations
2. interpersonal functioning can be divided into two dimensions – agency and
communion
3. the interpersonal circumplex model organises interpersonal functioning across three
different levels of experience
• motives – do I want to be in control? do I want to have a loving relationship with
others?
• traits – dominant/nurture?
• behaviour – predicted by motives and traits
4. satisfying agentic and communal motives drives interpersonal behaviour
Learning Goals for Weeks 1 and 2:
• Identify the characteristics of Major Depressive Disorder (MDD)
• Distinguish between depressive symptoms and other emotional states
• Identify various etiologies (causes) of MDD
• Compare and distinguish different features of MDD including:
o Prevalence and development of MDD
o Risk and prognostic factors in MDD
o Culture- and sex-/gender-related diagnostic issues in MDD
• Apply knowledge to clinical examples of MDD
• Evaluate, compare and distinguish various theoretical models explaining MDD
• Evaluate, compare and distinguish various treatment models for MDD
serotonin theory à know the theory + main pro/against arguments
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ilinaaasparuhova. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.46. You're not tied to anything after your purchase.
