dysthymia unless otherwise indicated, answers are from dsm-iv-tr, first & tasman or tenth ed of...
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Dysthymia
Unless otherwise indicated, answers are from DSM-IV-TR, First & Tasman or Tenth Ed of Sadock and Sadock.
As of 6Sep08.
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Dysthymia - criteria
Q. Basic criteria for dysthymia?
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Dysthymia - criteria
Ans. Key is “at least two years” of the following:
a. Sad moodb. Two or more of 1] under or overeating, 2]
over or under sleeping, 3] anergy; 4] low self-esteem; 5] difficulty focusing; 6] feeling hopeless.
c. Not part of another disorder, e.g., never been manic.
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Specifiers
Q. What is “late onset” as to dysthymia?
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Specifiers
Ans. 21 years old separates “early” from “late” onset.
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Specifier
Q. Besides onsets, what other specifier applies to dysthymia?
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specifier
Ans.
Atypical, same criteria as MDD.
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Lab findings
Q. What are lab findings in dysthymia?
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Lab findings
Ans. ¼ to ½ have polysomnographic abnormalities of:
- Decreased REM latency
- Increased REM density
- Reduced slow wave
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Lab findings and meds
Q. Any treatment implications as to polysomnographic features?
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Lab findings and meds
Ans.
May respond better to meds than those whose polysomnographic findings are normal.
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Prevalence
Q. Prevalence of dysthymia?
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Prevalence
Ans.
Lifetime: 6%
Community surveys: 3% at any one time
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Familial pattern
Q. If a pt has dysthymia, is there an increased prevalence in first degree relatives for dysthymia? For MDD?
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Familial pattern
Ans. For both.
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Treatment
Q. Best treatment response is achieved, very generally, by?
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Treatment
Ans. Use of both an antidepressant and CBT.
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Meds for Dysthymia
Q. Sadock & Sadock recommend which meds?
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Meds
Ans. SSRIs, venlafaxine, and bupropion. Also, for those not responding consider MAOIs or “judicious” use of amphetamines.