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    Am J Psychiatry. 2003 Aug;160(8):1527-9.

    Psychiatric resident conceptualizations of mood and affect within the mental status examination.

    Source

    Department of Psychiatry, Beth Israel Medical Center, New York, NY 10003, USA.

    Abstract

    OBJECTIVE:

    To explore the ways in which psychiatry residents conceptualize the terms "mood" and "affect," a 14-item questionnaire was sent to residency programs in New York.

    METHOD:

    The questions consisted of possible definitions of mood and affect; all questions required a "true" or "false" response. Residents (N=99) were asked how they viewed mood and affect from a temporal perspective (i.e., sustained versus momentary) and in terms of an objective-subjective (or external-internal) dichotomy.

    RESULTS:

    There were inconsistencies in the temporal view of mood (said to be sustained by 60.6% and momentary by 50.5%) and affect ("pervasive" by 26.3% and "momentary" by 66.3%). Residents overwhelmingly defined mood as being subjective and internal and affect as being objective and external.

    CONCLUSIONS:

    If mood and affect are to be viewed from both perspectives, psychiatrists must infer the enduring internal emotional tone (mood) of a patient over an entire interview.

    PMID:
    12900321
    [PubMed - indexed for MEDLINE]

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