A 45-year-old professional male who recently suffered an uncomplicated anterior wall myocardial infarction (MI) thinks he is depressed. He is tired all the time, has poor sleep, a poor appetite, and
he has been irritable. He has also been tearful and blames himself for his MI.
You know that some of this patient’s symptoms could be secondary to his medical illness.
Which one of the following symptoms, if present, is the most specific for depression?
A) Sleep problems.
B) Appetite difficulties.
C) Psychomotor agitation.
D) Low energy.
E) Excessive preoccupation with death.
Answer And Discussion
The correct answer is “E.”
In the mnemonic “SPACE DIGS,” the last four letters stand for symptoms that are more specific for depression and more independent of somatic illnesses.
These symptoms are (“DIGS”)
- Depressed mood,
- loss of Interests,
- inappropriateGuilt, and
- thoughts of Suicide.
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