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Psychotic Diagnostic Duration Prevalence Risk and

Disorder Criteria Rate Prognostic


Factors

Major 5 (or more) ) of 2-week Twelve-month 1.


Depressive the following prevalence of Temperamental
Disorder symptoms is major Neuroticism
either 1,2, or 3 depressive 2. Environmental.
1. Depressed disorder is Adverse childhood
mood approximately experiences
2. diminished 7%, with 3. Genetic and
interest or marked physiological.
pleasure differences by First-degree family
3. Significant age group such members of
weight loss that the individuals with
4. Insomnia or prevalence in MDD
hypersomnia 18- to 29-year-
5. Psychomotor old individuals
agitation or is threefold
retardation higher than the
6. Fatigue or prevalence in
loss of energy individuals age
nearly every 60 years or
day. older.
7. Feelings of Females
worthlessness experience 1.5-
8. Diminished to 3-fold higher
ability to think or rates than
concentrate males
9 Recurrent beginning in
thoughts of early
death adolescence.

Mania 3 (or more) of At least 1 week 7.5% lifetime Course


the following prevalence of modifiers.
symptoms: mania After an individual
has a manic
1. Inflated episode with
self-esteem or psychotic features,
grandiosity subsequent manic
episodes are more
2. Decreased likely to include
need for sleep psychotic features.
3. More Incomplete
interepisode
talkative than
recovery is more
usual common when the
4. Flight of current episode is
ideas accompanied by
mood incongruent
5. psychotic features.
Distractibility.
6. Increase in
goal-directed
activity
7. Excessive
involvement
in activities
that have a
high potential
for painful
consequences

Bipolar I At least 1 manic At least 1 week The 12-month Environmental.


Disorder or mixed prevalence more common in
episode. estimate was high-income than
0.6% for bipolar in low-income
I disorder as countries (1.4 vs.
defined in DSM- 0.7%). Separated,
IV. Twelve- divorced, or
month widowed
prevalence of individuals have
bipolar I higher rates of
disorder across bipolar I disorder
11 countries
ranged from Genetic and
0.0% to 0.6%. physiological. A
The lifetime family history
male-to-female
prevalence ratio
is approximately
1.1:1.

Bipolar II Never had a At least 4 days The 12-month Genetic and


Disorder manic episode prevalence of physiological.
bipolar II The risk of bipolar
At least 1 disorder, II disorder tends to
hypomanic internationally, be highest among
episode is 0.3%. relatives of
individuals with
Aleast 1 major bipolar II disorder
depressive
episode

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