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when should the symptoms of premenstrual dysphoric disorder begin and subside?
one week prior to menses; shortly after onset of menses
what is one difference in symptoms of mild and major depression
guilt is not seen in mild
what are symptoms of depression in children up to age 3?
feeding problems, tantrums, lack of playfulness and emotional expressiveness
name 4 of the 7 nursing dx for depression
self-care deficit
sleep pattern disturbance
dysfunctional grieving
impaired social interaction/social isolation
chronic low self-esteem and powerlessness
what is the time frame for dx of moderate depression in adults and children?
2 years in adults; 1 year in children
describe the psychoimmunology of major depression
acute phase proteins and inflammatory cytokines can damage nerve cells
link between inflammation markers and treatment resistance
what are symptoms of depression in children aged 3-5?
phobias, excessive self-punishment for minor infractions, accident proneness
name 4 of the 7 goals/outcomes for depression
free from self harm
balanced physiological functioning
adequate personal hygiene
express feelings directly with congruent v&nvb messages
assume responsibility for feelings
reestablish or maintain relationships
increase and strengthen social relationships
what are the nonpharm tx of persistent depressive disorder?
exercise, psychotherapy, and behavioral therapy
describe the transactional model of depression
depression is likely related to multiple factors, including genetic, biochemical, and psychosocial
the best clue that differentiated depression from normal, stormy adolescent behavior
a visible manifestation of behavioral change that lasts for several weeks
prognosis of baby blues
begins 1-4 days post delivery, subsides within 2 weeks without tx
seasonal depression disorder is linked to _________ ___________
available sunlight
according to DSM-V criteria, major depression must be present for at least ____ _____, must have __ other symptoms of depression including depressed mood or anhedonia, and you can never have a history of _____
2 weeks; 5; mania
self administered screening tool that consists of 20 items
Zung Depression Scale
when do symptoms of postpartum psychosis develop?
quickly post delivery and lasts weeks to several mos
what is a risk for using light therapy to treat seasonal depression disorder?
can lead to a manic episode in undiagnosed BD
what is the cognitive triad?
cognitive symptom of depression where the patient has a negative view of self, world, and future
this screening used by clinicians gets a baseline of how patient is functioning
Hamilton Depression Scale
symptoms of pp psychosis
severe agitation, confusion, insomnia, paranoia, hyperactivity/mania