dysthymia
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Introduction
A mood disorder characterized by depressed mood & loss of interest or pleasure in customary activities, with some additional signs & symptoms of depression, that is present most of the time for at least 2 years. Many patients with dysthymia go on to develop major depressive episodes.
Epidemiology
2% of elderly
Diagnostic criteria
- depressed mood most of the time for at least 2 years
- presence , while depressed of 2 or more of the following:
- poor appetite or overeating
- insomnia or hypersomnia
- low energy or fatigue
- low self-esteem
- poor concentration of difficulty making decisions
- feelings of hopelessness
- during a 2 year period, never without symptoms for more than 2 months
- symptoms not due to physiological effects of substance or medical condition
- symptoms cause disruption in important areas of function
More general terms
Additional terms
References
- ↑ Diagnostic & Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
- ↑ Devanand DP. Dysthymic disorder in the elderly population. Int Psychogeriatr. 2014 Jan;26(1):39-48. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24152873 Review.
- ↑ Ishizaki J, Mimura M. Dysthymia and apathy: diagnosis and treatment. Depress Res Treat. 2011;2011:893905. doi:http://dx.doi.org/ 10.1155/2011/893905. Epub 2011 Jun 27. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21747995 PMCID: PMC3130974 Free PMC article.