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Assessment of Depression in Advanced Illness. What Symptoms to Look for and How to Assess. Somatic symptoms (e.g., changes in appetite, weight, energy level, libido, or sleeping) are almost invariably present in patients with advanced illness.
One way to understand depression is to see it as consisting of two factors, or primary components. They are the psychological or âcognitiveâ component which affects mood, and the physical or âsomaticâ component which influences areas such as sleep and appetite.