1. At least one of the two following symptoms in the last 12 months: |
(a) A period, lasting several days, of feeling sad, empty or depressed. |
(b) A period lasting several days with a loss of interest in most things the participant usually enjoys such as personal relationships, work or hobbies/recreation. |
AND |
2. The period of sadness/loss of interest/low energy lasted for more than two weeks and was most of the day and nearly every day. |
AND |
3. Five or more of the following symptoms: |
(a) Loss of appetite |
(b) Insomnia (problems falling asleep or waking up too early) |
(c) Decreased energy or tiredness all the time |
(d) Slowing down in moving around or restless/jittery. |
(e) Negative feelings/loss of confidence or frequent feelings of hopelessness. |
(f) Slowed thinking or difficulties concentrating (e.g., listening to others, working, watching TV, listening to the radio). |
(g) Thoughts of death, wishes of own death or suicide attempt. |
(h) Feelings of sadness, emptiness or depression lasting several days. |
(i) Anhedonia: loss of interest in things the participant usually enjoys. |