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Psychiatr Clin N Am 27 (2004) 19-36 * Depressed mood or anhedonia must be one of the five symptoms. In addition to these criteria, symptoms include a significant drop in social or occupational function, and they are not better accounted for by other factors, such as substance abuse or a general medical condition. Data from Diagnostic and Statistical Manual for Mental Disorders, 4th edition.doi:10.1016/s0193-953x(03)00106-0 pmid:15062628 pmcid:PMC2570029 fatcat:pa72jrcp4zhubo4yrwpybbaoei