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DASS, the Depression Anxiety Stress Scales, [1] is made up of 42 self-report items to be completed over five to ten minutes, each reflecting a negative emotional symptom. [2] Each of these is rated on a four-point Likert scale of frequency or severity of the participants' experiences over the last week to emphasize states over traits.
Another depression study found a neutral effect compared to personal, social, and health education, and usual school provision, and included a comment on potential for increased depression scores from people who have received CBT due to greater self recognition and acknowledgement of existing symptoms of depression and negative thinking styles ...
These can include a decline in physical health, such as headaches, chest pain, fatigue, sleep problems, [1] and depression. The process of stress management is a key factor that can lead to a happy and successful life in modern society. [citation needed] Stress management provides numerous ways to manage anxiety and maintain overall well-being.
The symptoms of anxiety and depression disorders can be very similar. A diagnosis of mixed anxiety–depressive disorder as opposed to a diagnosis of depression or an anxiety disorder can be difficult. Due to this, it has long been a struggle to find a singular set of criteria to use in the diagnosis of mixed-anxiety depressive disorder. [3]
For example, when the brain lacks serotonin, a chemical that regulates the brain's functioning, it can lead to depression, appetite changes, aggression, and anxiety. Another cause of mental distress can be exposure to severely distressing life-threatening situations and experiences.
"Depression with anxious distress" was added into the DSM-5 as a means to emphasize the common co-occurrence between depression or mania and anxiety, as well as the risk of suicide of depressed individuals with anxiety. Specifying in such a way can also help with the prognosis of those diagnosed with a depressive or bipolar disorder.
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