Psychiatry · Mood Disorders (Depressive Disorders, Bipolar Disorder)

Persistent Depressive Disorder (dysthymia) in DSM-5 requires depressed mood for most of the day, more days than not, for at least:

  • A 1 year in adults; 2 years in children
  • B 6 months in all age groups
  • C 2 years in adults; 1 year in children/adolescents
  • D 2 years in adults; 6 months in children
Correct answer: C. 2 years in adults; 1 year in children/adolescents

Explanation

DSM-5 Persistent Depressive Disorder requires depressed mood for ≥2 years in adults and ≥1 year in children and adolescents. During this period, at least 2 of 6 associated symptoms must be present (appetite/sleep change, fatigue, low self-esteem, poor concentration, hopelessness). The symptom-free period must not exceed 2 months. This consolidated dysthymia and chronic major depression from DSM-IV into one category with specifiers.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

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