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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.
Major depression is diagnosed when at least 5 symptoms out of nine symptoms (that characterize depression) are identified by the examiner. Minor depression is characterized by the presence of 2-4 of the nine symptoms. Symptoms must be present for at least 2 weeks and must be present most of the day nearly every day. One symptom that must be present is depressed mood. The 9 criteria are identified by the DSM V manual.