Depression

Question 1

US depression prevalence women

Answer 1

20-25

Question 2

peak depression age

Answer 2

20-30

Question 3

depression relapse rate

Answer 3

50-85%

Question 4

suicide in severe mood disorder rate

Answer 4

15%

Question 5

older patients rate of seeing PCP on day of suicide

Answer 5

20%

Question 6

first degree famil member with depression

Answer 6

1.5-3% risk increase

Question 7

first degree relative w/bipolar

Answer 7

10x increase risk, 12% lifetime

Question 8

phq9 sens and spec

Answer 8

88, 88

Question 9

phq 0-4

Answer 9

none

Question 10

phq 5-9

Answer 10

mild

Question 11

phq 10-14

Answer 11

moderate

Question 12

phq 15-19

Answer 12

moderately severe

Question 13

phq 20-27

Answer 13

severe

Question 14

phq major depression

Answer 14

score over ten

Question 15

MDE dx

Answer 15

more than five for more than two weeks

Question 16

US depression prevalence men

Answer 16

7-12%

Question 17

breavement

Answer 17

2 months

Question 18

adjustment

Answer 18

3 months (psychotherapy better than pharm)

Question 19

suicide assessment

Answer 19

current ideation, suicide hx (critical!), family hx, actions or threats to others, firearms, elderly, male, anxiety or psych or substance, poor support, recent loss, preparatory acts

Question 20

anti-depressants in elderly

Answer 20

start at half dose, titrate up

Question 21

nefazodone

Answer 21

blocks 5HT receptors, to increase serotonin in cleft, like SSRIs, usually sedating

Question 22

mirtazapine

Answer 22

blocks alpha2adrenergic, serotonin and histamine receptors, increase norepi in cleft.

Question 23

st. john’s wort

Answer 23

not effective in MDD

Question 24

12 month depresion prevalence US

Answer 24

6.9%, lifetime is 12%

Question 25

unexplained physical symptoms as cheif complain

Answer 25

69% of depressed pt

Question 26

Oone parent with mood disorder

Answer 26

27% risk in child

Question 27

Two parents with mood disorder

Answer 27

50-75% risk in child