should mood reactivity be included in diagnosing ATYPICAL DEPRESSION

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Atypical Depression in the 21st Century: Diagnostic and Treatment Issues | Psychiatric Times

The hypothesis that reactive mood as a mandatory criterion is not indispensable for the diagnosis of atypical depression was supported by the community study by Angst and colleagues.21 Although mood reactivity was the most common symptom reported by their sample of patients with atypical depression (89% to 90%), other symptoms (ie, rejection sensitivity, leaden paralysis, and hypersomnia) were also quite commonly present (78% to 89%). This suggests that atypical depression could also be effectively diagnosed when mood reactivity is not considered a mandatory criterion.21 In a more recent analysis, Angst and colleagues24 reported that diagnosis of atypical depression could be made with equal validity if 3 of 5 criteria (including mood reactivity) or 2 of 4 criteria (excluding mood reactivity) were used. - See more at: Atypical Depression in the 21st Century: Diagnostic and Treatment Issues | Psychiatric Times


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