PSY 3110 Lecture Notes - Lecture 1: Anhedonia, Sociobiology, Suicidal Ideation
19 Sep 2016
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Mood (affect: depressed mood and/or anhedonia. Cognition: concentration, attention, maladaptive beliefs, and mood-congruent attention bias, guilt, unreasonable self criticism, suicidal ideation. Behavior: psychomotor agitation/retardation, spontaneous crying, social withdrawal, impaired sleep, appetite disturbance, loss of sexual interest. Somatic: extreme fatigue, general feelings of not well. Episode features: 2 weeks or more with significantly depressed and or mood/ loss of interest, four of the following symptoms: (most of the day nearly everyday) Sleep changes: postpartum depression is a spectrum of less equally severe major depressive episode. Some symptoms we see in general, clinical depression are not highly diagnostic of pdd: sleep disturbance as a symptom or common lifestyle issue for new mothers, general fatigue, loss of energy among new mothers. Interaction with infants in either withdrawn or intrusive manner. Infants tend to display lower activity levels and more irritability. Highest predictor of pdd is history of prior bipolar disorder. Acute estrogen and progesterone decreases post delivery.
