Diagnosing Unipolar Depression (AQA GCSE Psychology)
Revision Note
Written by: Claire Neeson
Reviewed by: Lucy Vinson
Use of the International Classification of Diseases (ICD) to diagnose unipolar depression
The ICD stands for the International Classification of Diseases which is now in its eleventh edition, having last been published in 2022
It is a diagnostic tool used by any medical professional who is qualified to give a diagnosis of both physical and mental disorders e.g. doctors, clinicians, psychiatrists
Physical illnesses, such as COVID-19, can also be a focus of the ICD
The ICD works on a global scale, using data it has gathered to inform worldwide health initiatives and research into disease (both physical and mental)
It can be used to diagnose depression via its classification of the symptoms that determine either mild, moderate or severe depression
Number & severity of symptoms of unipolar depression
The ICD states that there are three key symptoms of unipolar depression:
Low mood (dysphoria): overwhelming sadness, possible anger, feelings of hopelessness and despair
Loss of interest in activities or hobbies that once brought joy
Reduced energy levels; this could lead to someone being unable/unwilling to go to work, to socialise, even to be able to get out of bed
A diagnosis of mild depression would need the person to show two of the three key symptoms above plus another two symptoms (see the previous page on the different types of depression)
For someone to be diagnosed with moderate depression they would need to show four or more symptoms in total
Diagnosing severe depression would need a person to show seven or more symptoms in total
The symptoms (for mild, moderate and severe depression) should have been present continually for more than two weeks
Worked Example
Here is an example of a question you might be asked on this topic - for AO3.
AO3: You need to analyse and evaluate key concepts, ideas, theories and research.
Question: A questionnaire may be used to determine whether someone has unipolar depression. Briefly evaluate the use of questionnaires in researching depression. [3]
Model answer:
A strength of using questionnaires to research depression is that they use standardised questions which can be used with large samples in order to establish how widespread depression is within a population.
Using a large sample and quantitative data from questionnaires increases reliability.
A weakness of using questionnaires to research depression is that depression is a socially sensitive topic so people may lie or be prone to social desirability bias in their answers which would decrease the validity of the findings.
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