Lesson 3.2.4.3.2

3.2.4.3.2 ICD diagnosis of unipolar depression: number and severity of symptoms Quiz: AQA Psychology, Unit 8

20 questions

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Lesson 3.2.4.3.2, ICD diagnosis of unipolar depression: number and severity of symptoms: 20 multiple choice questions for the AQA GCSE Psychology (8182), Unit 8: Psychological problems, written with Revision Ninja.

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The 20 questions

  1. What does ICD stand for in the context of diagnosing depression?

    • International Clinic of Depression, which provides treatment for patients
    • Institute of Clinical Diagnosis, which sets standards for mental health services
    • International Classification of Diseases, a diagnostic system
    • Individual Care and Diagnosis, which is used to plan care for each patient

  2. Under the ICD approach, what is used to diagnose unipolar depression?

    • The number of days a person has spent in hospital during their life
    • The number and severity of the symptoms that are present
    • Only the results of a single brain scan taken at one point in time
    • The patient's age in years, which is the only factor used in diagnosis

  3. Which kind of change would a clinician look for when assessing sleep under the ICD approach?

    • A marked change in sleep, such as sleeping far more or far less than usual
    • A preference for sleeping only during the daytime for the whole month
    • Sleeping the same amount every night for all of the year
    • No change in sleep at any point, however long the period lasts

  4. A clinician finds several symptoms that are each mild. What does this suggest under the ICD approach?

    • Mild symptoms guarantee a bipolar diagnosis regardless of other symptoms
    • Mild symptoms always indicate a severe illness that needs urgent treatment
    • Mild symptoms are never relevant to a diagnosis in any clinical setting
    • The symptoms may need to be weighed by severity as well as by number

  5. Why does the ICD approach consider both number and severity of symptoms?

    • Both are fixed at birth and never change over the course of a life
    • Both affect how much a person's daily life is impaired by the depression
    • Both are measured only by the patient's own opinion and nothing else
    • Both are unrelated to the person's overall wellbeing and daily functioning

  6. A patient reports low mood, reduced energy and disturbed sleep, all of which are severe. Which is the best description?

    • A normal reaction that needs no clinical assessment or follow-up at all
    • A physical injury with no mental health component of any kind
    • Several severe symptoms that together would support a diagnosis of depression
    • A single mild symptom with no effect at all on the person's daily life

  7. Which is the most accurate interpretation of 'number of symptoms' in the ICD approach?

    • How many hospital beds the clinic has available for patients to use
    • How many distinct symptoms of depression are present at one time
    • How many different treatments the patient has tried in the past
    • How many years the patient has been alive at the time of diagnosis

  8. Which change in appetite might a clinician record when assessing unipolar depression?

    • An appetite that stays exactly the same for many years without any change
    • A marked decrease or increase in the person's appetite over time
    • A strong preference for eating only one kind of food at every meal
    • A wish to eat only during the night and not during the day at all

  9. A person's depressive symptoms have worsened over several weeks. What should a clinician consider?

    • Only the number of cups of tea the person drinks in an average day
    • Changes in severity, as well as how many symptoms are now present
    • Only whether the person keeps a pet or not at home with them
    • Nothing at all, because severity is never recorded in a clinical assessment

  10. Which of these describes decreased self-confidence as used in depression diagnosis?

    • A reduction in self-esteem that affects how the person sees themselves
    • A brief moment of nervousness before a presentation to a small group
    • An increase in self-confidence in all of the social settings they enter
    • A steady feeling of confidence that never changes in any situation

  11. Which statement about the ICD approach is most accurate?

    • It applies only to bipolar depression and not to unipolar depression at all
    • It assesses depression only through the patient's brain scan images
    • It assesses depression using a structured set of symptom criteria
    • It replaces the need for any clinical assessment or interview with the patient

  12. A patient has many symptoms but each is very mild. Why might this matter?

    • Mild symptoms are always more serious than severe symptoms in every case
    • Mild symptoms can be ignored whatever their number might be in total
    • The overall picture of number and severity informs whether depression is diagnosed
    • Mild symptoms matter only for a bipolar diagnosis and never for unipolar

  13. Why might low mood alone not be enough for a diagnosis under the ICD approach?

    • Low mood always indicates an addiction rather than a mood disorder
    • Other symptoms and their severity also need to be considered alongside low mood
    • Low mood is only measured in children and never in adults at all
    • Low mood is never a symptom of depression under any classification system

  14. Which of these best illustrates the 'severity' part of diagnosis?

    • A symptom the person describes as a minor inconvenience to their routine
    • A symptom that stops a person from getting out of bed for several days
    • A symptom the person has never noticed at any point in their life so far
    • A symptom that happened once several years ago and has not returned since

  15. Which factor would a clinician consider along with symptom number when assessing depression?

    • How tall the patient is when measured in centimetres at the clinic
    • What colour clothes the patient chose to wear to the appointment that day
    • How much the symptoms interfere with everyday functioning and daily life
    • How many photographs the patient has taken on their phone over the year

  16. A person reports reduced energy and disturbed sleep, but these are mild and brief. What is the best conclusion?

    • They definitely have an addiction to a substance they have not named yet
    • They may not meet the criteria for depression based on number and severity
    • They definitely have severe unipolar depression that needs urgent treatment
    • They definitely have bipolar depression with manic episodes present

  17. What is the purpose of a structured system such as ICD?

    • To make every treatment identical for every patient regardless of need
    • To provide consistent criteria so that clinicians can diagnose conditions reliably
    • To guarantee that every patient recovers fully within a fixed time period
    • To remove the need for any patient interview or conversation at all

  18. Why must a clinician consider changes in sleep patterns in unipolar depression?

    • Sleep changes are a listed symptom that adds to the overall picture of the illness
    • Sleep changes are never linked to any mental health problem in any way
    • Sleep changes matter only for physical fitness and not for mood or thinking
    • Sleep changes prove that a person has an addiction to a particular substance

  19. A researcher wants to compare depression severity across patients using ICD criteria. Which measure is most appropriate?

    • The number and severity of the symptoms present in each patient
    • The colour of each patient's car when parked outside the clinic
    • The number of pets that each patient owns at their home address
    • The number of words that each patient speaks during a single day

  20. Which statement correctly summarises ICD diagnosis of unipolar depression?

    • Diagnosis is made without assessing any symptoms at all in the consultation
    • Diagnosis weighs how many symptoms are present and how severe they are
    • Diagnosis depends only on one symptom that the patient reports to the clinician
    • Diagnosis ignores symptoms and uses a blood test as its only measure

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