주요 우울삽화 - Major depressive episode : DSM-IV-TR criteria

Major depressive episode : DSM-IV-TR criteria

 

1. Five (or more) of the following symptoms

 

have been present during the same 2-week period

 

and represent a change from previous  functioning;

 

at least one of the symptoms is either

 

(1) depressed mood or (2) loss of interest or pleasure.

 

 

(1) depressed mood most of the day, nearly every day

(2) markedly diminished interest or pleasure in all,

or almost all, activities most of the day

(3) significant weight loss when not dieting

or weight gain or decrease or increase in appetite

(4) insomnia or hypersomnia

(5) psychomotor agitation or retardation

(6) fatigue or loss of energy 

(7) feelings of worthlessness or excessive or inappropriate guilt

(8) diminished ability to think or concentrate, or indecisiveness

(9) recurrent thoughts of death, recurrent suicidal ideation

without a specific plan, or a suicide attempt

or a specific plan for   committing suicide

 

 

 

2. The symptoms do not meet criteria for a Mixed Episode.

 

3. The symptoms cause clinically significant distress or

impairment in social, occupational, or other important areas of functioning.

 

4. The symptoms are not due to the direct physiological effects

of a substance  a general medical condition

 

5. The symptoms are not better accounted for by Bereavement