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Question 1. Over the past two weeks, I have felt sad most of the day nearly every day. Which statement best describes this feeling? A) I do not feel sad. B) I feel sad some of the time. C) I feel sad most of the day but can sometimes enjoy activities. D) I feel sad all or most of the time and can't seem to snap out of it. Answer: D Explanation: This option indicates a persistent and overwhelming sense of sadness, aligning with higher severity levels of depression. Question 2. Which of the following best reflects feelings of hopelessness about the future? A) I believe things will improve soon. B) I feel hopeless about the future. C) I am uncertain about what will happen. D) I occasionally feel pessimistic. Answer: B Explanation: Hopelessness about the future is a core affective symptom of depression, indicating a negative outlook. Question 3. Which statement best describes feelings of past failure? A) I rarely think about past mistakes. B) I often feel like I have failed in the past and am unworthy. C) I believe I succeeded in most aspects of my past. D) I do not dwell on past experiences. Answer: B Explanation: Feelings of past failure reflect negative self-evaluation, which is common in depression. Question 4. How would you describe your interest in activities you used to enjoy? A) I still enjoy most of my usual activities. B) I sometimes lose interest, but I still find some pleasure.
C) I have difficulty enjoying activities I used to love. D) I no longer have any interest in activities. Answer: C Explanation: Loss of pleasure or anhedonia signifies reduced ability to experience joy, a key depressive symptom. Question 5. Which statement best indicates feelings of self-dislike? A) I like myself most of the time. B) I feel indifferent about myself. C) I dislike myself and feel unattractive or unworthy. D) I think I am generally a good person. Answer: C Explanation: Self-dislike involves negative feelings towards oneself, often seen in depression. Question 6. Which of the following best describes self-criticism? A) I am usually kind and forgiving to myself. B) I blame or criticize myself for mistakes. C) I rarely think about my shortcomings. D) I tend to see my faults but do not criticize myself. Answer: B Explanation: Self-criticism involves blaming oneself, which is common in depressive states. Question 7. Over the past two weeks, you feel guilty most of the day, nearly every day. Which statement matches this experience? A) I rarely feel guilty. B) I sometimes feel guilty. C) I frequently feel guilty. D) I feel guilty most of the time. Answer: D
A) I make decisions easily and confidently. B) I sometimes struggle but can decide with effort. C) I have difficulty making decisions most of the time. D) I find it impossible to make decisions. Answer: C Explanation: Indecisiveness is a cognitive symptom of depression reflecting impaired concentration and confidence. Question 12. How would you describe your energy level over the past two weeks? A) I feel energetic most of the time. B) I sometimes feel tired but can usually manage. C) I often feel tired and lacking energy. D) I feel exhausted most of the time, unable to do anything. Answer: D Explanation: Loss of energy or fatigue is a somatic symptom common in depression. Question 13. Have you experienced significant changes in your sleep patterns recently? A) No change; sleep has remained normal. B) I have trouble falling asleep occasionally. C) I frequently have difficulty sleeping or sleep too much. D) My sleep pattern is irregular but not severely affected. Answer: C Explanation: Changes in sleep, including insomnia or hypersomnia, are key vegetative symptoms of depression. Question 14. What best describes your appetite over the past two weeks? A) No change; my appetite is normal. B) I have increased my eating but not significantly. C) My appetite has decreased or increased significantly.
D) I have no interest in eating at all. Answer: C Explanation: Changes in appetite, either decreased or increased, are common vegetative symptoms. Question 15. How often do you feel restless or unable to sit still? A) Rarely or never. B) Occasionally. C) Often, feeling agitated. D) Most of the time, unable to relax. Answer: D Explanation: Psychomotor agitation or retardation manifests as feelings of restlessness and is a somatic symptom. Question 16. Have you experienced a decrease in sexual interest recently? A) No, my interest remains unchanged. B) Slightly decreased but still present. C) Significantly decreased or absent. D) Not applicable; I have no sexual interest. Answer: C Explanation: Loss of interest in sex (libido) is a vegetative symptom linked to depression. Question 17. How has your concentration been affected? A) No difficulty concentrating. B) Slight difficulty, but manageable. C) Moderate difficulty focusing. D) Severe difficulty, often unable to concentrate. Answer: D Explanation: Concentration problems are cognitive symptoms of depression affecting daily functioning.
Answer: D Explanation: Indecisiveness is a cognitive symptom reflecting impaired concentration and self-doubt. Question 22. How would you describe your feelings of guilt about specific actions? A) No guilt feelings. B) Guilt only occasionally. C) Guilt most of the time. D) Guilt almost constantly. Answer: D Explanation: Persistent guilt is a hallmark affective-cognitive symptom observed in depression. Question 23. Have you experienced an increase or decrease in your appetite during the last two weeks? A) No change. B) Slight decrease. C) Significant decrease or increase. D) No interest in eating. Answer: C Explanation: Appetite changes, either increase or decrease, are vegetative symptoms of depression. Question 24. How often do you feel restless or unable to sit still? A) Never. B) Occasionally. C) Often. D) Most of the time. Answer: D Explanation: Psychomotor agitation or retardation is a somatic symptom associated with depression. Question 25. How frequently have you had thoughts of death or suicide? A) Never.
B) Rarely. C) Occasionally. D) Frequently or constantly. Answer: D Explanation: Recurrent thoughts of death or suicide indicate severe depression and require urgent attention. Question 26. How would you describe your feelings of self-criticism? A) I rarely criticize myself. B) I sometimes criticize myself. C) I often criticize myself. D) I constantly blame myself for everything. Answer: D Explanation: Persistent self-criticism is a cognitive symptom impacting mood and self-esteem. Question 27. Over the past two weeks, how has your energy level affected your daily activities? A) No effect. B) Slightly decreased energy. C) Significantly decreased, making activities difficult. D) Complete inability to perform daily tasks. Answer: C Explanation: Loss of energy impairs daily functioning and is a core somatic symptom. Question 28. Which best describes your feelings of hopelessness? A) I feel hopeful about the future. B) I sometimes feel hopeless. C) I often feel hopeless or despairing. D) I do not think about the future. Answer: C
C) Moderate difficulty. D) Severe difficulty preventing decision-making. Answer: D Explanation: Indecisiveness reflects cognitive impairment related to concentration and confidence. Question 33. How often do you feel guilty about past actions? A) Never. B) Rarely. C) Sometimes. D) Most of the time. Answer: D Explanation: Persistent guilt is a common depressive cognitive symptom. Question 34. Over the last two weeks, how has your sleep been affected? A) Sleep patterns remain unchanged. B) Occasional trouble falling asleep. C) Frequent insomnia or hypersomnia. D) Sleep is irregular but not severely disturbed. Answer: C Explanation: Significant sleep disturbances are vegetative symptoms of depression. Question 35. How often do you feel fatigued or exhausted without obvious physical cause? A) Never. B) Occasionally. C) Most of the time. D) Nearly constantly. Answer: D Explanation: Fatigue is a somatic symptom of depression affecting energy levels.
Question 36. Which statement best describes your feelings of pessimism? A) I am generally optimistic. B) I sometimes feel pessimistic. C) I frequently feel hopeless about the future. D) I rarely think about the future. Answer: C Explanation: Pessimism is a negative cognitive outlook associated with depression. Question 37. How often do you criticize or blame yourself? A) Never. B) Occasionally. C) Frequently. D) Most of the time. Answer: D Explanation: Self-blame and criticism are cognitive symptoms contributing to low mood. Question 38. How has your ability to focus on tasks been affected? A) No difficulty. B) Slight difficulty. C) Moderate difficulty. D) Severe difficulty, often unable to focus. Answer: D Explanation: Concentration problems are cognitive symptoms that impair daily functioning. Question 39. How often do you experience feelings of sadness or unhappiness? A) Never. B) Occasionally. C) Most of the time. D) Nearly constantly.
B) Occasionally. C) Frequently. D) Almost constantly. Answer: D Explanation: Frequent suicidal thoughts are indicative of severe depression and require urgent intervention. Question 44. How often do you feel annoyed or irritated? A) Never. B) Occasionally. C) Sometimes. D) Most of the time. Answer: D Explanation: Increased irritability is a common affective symptom in depression. Question 45. How difficult do you find making decisions recently? A) Easy. B) Slightly difficult. C) Very difficult. D) Nearly impossible. Answer: D Explanation: Indecisiveness is a cognitive symptom reflecting impaired concentration. Question 46. How often have you experienced feelings of guilt? A) Never. B) Rarely. C) Sometimes. D) Most of the time. Answer: D
Explanation: Persistent guilt is a typical affective and cognitive symptom. Question 47. How has your sleep been affected over the last two weeks? A) No change. B) Slight disturbances. C) Frequent difficulty falling or staying asleep. D) Severe sleep problems with hypersomnia. Answer: C Explanation: Sleep disturbances, including insomnia, are vegetative symptoms. Question 48. How frequently do you feel fatigued or exhausted during the day? A) Never. B) Occasionally. C) Most of the time. D) Nearly constantly. Answer: D Explanation: Fatigue is a core somatic symptom impacting daily functioning. Question 49. How often do you feel hopeless about your future? A) Never. B) Occasionally. C) Often. D) Most of the time. Answer: D Explanation: Hopelessness indicates a negative outlook, characteristic of depression. Question 50. How would you describe your interest in sexual activity? A) No change. B) Slight decrease.
Explanation: Pessimism and hopelessness about the future are key affective symptoms in depression. Question 54. Which statement best describes your feelings of guilt over the past two weeks? A) No feelings of guilt. B) Guilt only occasionally. C) Guilt most of the time. D) Constant feelings of guilt. Answer: D Explanation: Persistent guilt reflects a cognitive component of depression, often linked to low self- esteem. Question 55. How often do you find yourself criticizing or blaming yourself? A) Never. B) Occasionally. C) Frequently. D) Most of the time. Answer: D Explanation: Self-criticism is a cognitive symptom that worsens mood and self-view in depression. Question 56. Over the last two weeks, how has your sleep been affected? A) No change. B) Slight sleep disturbances. C) Frequent trouble falling or staying asleep. D) Severe insomnia or hypersomnia. Answer: D Explanation: Sleep disturbances are vegetative symptoms typical in depression. Question 57. How would you describe your appetite during the past two weeks? A) No change.
B) Slight decrease or increase. C) Significant change, either more or less. D) No interest in eating. Answer: C Explanation: Appetite changes, whether increased or decreased, are vegetative symptoms. Question 58. How often do you feel restless or unable to sit still? A) Never. B) Occasionally. C) Sometimes. D) Most of the time. Answer: D Explanation: Psychomotor agitation manifests as restlessness, a somatic symptom. Question 59. How has your interest in sex changed lately? A) No change. B) Slight decrease. C) Major decrease. D) Complete loss of interest. Answer: D Explanation: Loss of interest in sexual activity is a vegetative symptom of depression. Question 60. How often do you experience feelings of irritability or being easily annoyed? A) Never. B) Occasionally. C) Sometimes. D) Most of the time. Answer: D Explanation: Increased irritability is an affective symptom often seen in depression.
D) Frequently. Answer: D Explanation: Suicidal thoughts are serious symptoms indicating high depression severity. Question 65. How frequently do you experience difficulty falling asleep? A) Never. B) Occasionally. C) Most nights. D) Nearly every night. Answer: D Explanation: Insomnia, particularly difficulty initiating sleep, is a common vegetative symptom. Question 66. In the past two weeks, how often have you felt so sad that it interfered with your daily life? A) Never. B) Occasionally. C) Most of the time. D) Nearly constantly. Answer: D Explanation: Overwhelming sadness that impairs functioning is a severe affective symptom. Question 67. How often do you feel hopeless about your future? A) Never. B) Occasionally. C) Most of the time. D) Nearly all the time. Answer: D Explanation: Hopelessness signifies a negative outlook and is a core symptom of depression. Question 68. How much has your interest in activities decreased?
A) No change. B) Slight decrease. C) Noticeable decrease. D) Complete loss of interest. Answer: D Explanation: Anhedonia, or loss of pleasure, is a primary affective symptom. Question 69. How often do you criticize yourself or feel you are at fault? A) Never. B) Occasionally. C) Frequently. D) Most of the time. Answer: D Explanation: Self-blame and criticism worsen depression, impacting self-esteem. Question 70. Over the last two weeks, how has your sleep been disturbed? A) No disturbance. B) Mild trouble sleeping. C) Frequent insomnia or oversleeping. D) Persistent sleep problems. Answer: D Explanation: Sleep disturbances are common vegetative symptoms associated with depression. Question 71. How has your appetite changed recently? A) No change. B) Slight increase or decrease. C) Significant increase or decrease. D) No desire to eat. Answer: C
