DEPRESIÓN Psicóloga María Jesús Suárez Duque - PERSISTENT DEPRESSIVE DISORDER Diagnostic Criteria DSM V-TR

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 PERSISTENT DEPRESSIVE DISORDER

Diagnostic Criteria DSM V-TR

This disorder represents a consolidation of DSM-IV-defined chronic major depressive disorder and dysthymic disorder.

A. Depressive mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for at least 2 years.

Note: In children and adolescents, mood can be irritable and duration must be at least 1 year.

 

B. Presence, while depressed, of two (or more) of the following:

1. Poor appetite or overeating.

2. Insomnia or hypersomnia.

3. Low energy or fatigue.

4. Low self-esteem.

5. Poor concentration or difficulty making decisions.

6. Feellings of hopelessness.

 

C. During the 2-year periode (1 year for children and adolescents) of the disturbance, the individual has never been without the symptoms in Criteria A  and B for more than 2 months at a time.

 

D. Criteria for a major depressive disorder may be continuously present for 2 years.

 

E. There has never been a manic episode or a hypomanic episode.

 

F. The disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.

 

G. The symptoms are not attributable to the physiological effects of a substance (e.g. a drug of abuse, a medication) or another medical condition (e.g. hypothyroidism)

 

H. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Note: If criteria are sufficient for a diagnosis of a major depressive episode at any time during the 2-year period of depressed mood, then a separate diagnosis of major depressive should be made in addition to the diagnosis of persistent depressive disorder along with relevant specifier (e.g. with intermittent major depressive episodes, with current episode)

 

Specify it:

·      With anxious distress

·      With atypical features

Specify it:

·      In partial remission

·      In full remission

Specify it:

·      Early onset: If onset is before age 21 years.

·      Late onset: If onset is at age 21 years or older. 

Specify it (for most recent 2 years of persistent depressive disorder):

·      With pure dysthymic syndrome: Full criteria for a major depressive episode have not been met in at least the preceding 2 years.

·      With persistent major depressive episode: Full criteria for a major depressive episode have been met throughout the preceding 2-year period.

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