Key features of depression and its management in general practice.

 
"..I'm not like I was before.."

Which of the following statements are true of Ellen's presentation?
1. Ellen fulfills the criteria of major depressive illness.
2. Ellen's history of gradual onset over several weeks or months is characteristic of major depression.
3. A past history of depression is an essential diagnostic criteria for major depression.
4. A consecutive generational family history, such as occurs in Ellen's history, is an essential diagnostic criteria for major depression.
5. Major depression is more common in men than women.

5. Major depression is more common in men than women.

Author's answer: False

The most consistent finding across epidemiological studies of the mood disorders is the relatively higher prevalence of major depressive disorder in women than in men. The sex differences are consistent across the life cycle but are much more prominent in young adult and middle-aged people than in elderly people or children.

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