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. 2022 Apr 29;13:860487. doi: 10.3389/fpsyt.2022.860487

TABLE 1.

Participants’ perception about the assumed relationships between mental symptoms.

Symptom pairs Correct or suggested answers Incorrect answers
Q5: “sleep too much” and “insomnia” (1) Same role (2) Opposite
N 9 5
% 64.29% 35.71%
Solution: “sleep too much” and “insomnia” are two symptoms that constitute a criterion in the minor criteria for the diagnosis of major depressive
episodes and dysthymic disorder
Q6: “decreased need for sleep” and “insomnia” (1) Different roles (2) Same role
N 7 7
% 50% 50%
Solution: “decreased need for sleep” is a symptom in the minor criteria for the diagnosis of manic episodes; “insomnia” is a symptom in the minor
criteria for the diagnosis of major depressive episodes and dysthymic disorder
Q7: “depressed mood” and “diminished interest or pleasure” (1) Different roles (2) Same role
N 7 7
% 50% 50%
Solution: “depressed mood” is a symptom in the major criteria and “diminished interest or pleasure” is a symptom in the minor criteria for the
diagnosisof major depressive episodes
Q8: “unintentional weight loss” and “unintentional weight gain” (1) Same role (2) Different roles
N 9 5
% 64.29% 35.71%
Solution: “unintentional weight loss” and “unintentional weight gain” are two symptoms that constitute a criterion in the minor criteria for the
diagnosis of major depressive episodes
Q9: “poor appetite” and “overeating” (1) Same role (2) Different roles
N 9 5
% 64.29% 35.71%
Solutions: “poor appetite” and “overeating” are two symptoms that constitute a criterion in the minor criteria for the diagnosis of dysthymic disorder
Q10: “poor concentration” and “distractibility” (1) Different roles (2) Same role
N 7 7
% 50% 50%
Solution: “poor concentration” is a symptom in the minor criteria for the diagnosis of dysthymic disorder; “distractibility” is a symptom in the minor
criteria for the diagnosis of manic episodes
Q5–Q10 All correct Incorrect, at least once
N 4 10
% 28.57% 71.43%

Diagnostic criteria of major depressive episodes, dysthymic disorder, and manic episodes based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (29).