dsm5-depression-dt.json

{
    "id": "major-depressive-disorder-dt",
    "type": "sequential",
    "root": "depressed-mood",
    "branches": [
        {
            "id": "depressed-mood",
            "question": "Have you experienced depressed or irritable mood?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "anhedonia"
                },
                {
                    "option": "no",
                    "next-node": "anhedonia"
                }
            ]
        },
        {
            "id": "anhedonia",
            "question": "Have you experienced loss of interest or pleasure in activities (anhedonia)?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "depressed-mood-past-2-weeks"
                },
                {
                    "option": "no",
                    "next-node": "depressed-mood-past-2-weeks"
                }
            ]
        },
        {
            "id": "depressed-mood-past-2-weeks",
            "question": "Have you experienced depressed or irritable mood nearly every day for the past 2 weeks?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "weight-appetite-change"
                },
                {
                    "option": "no",
                    "next-node": "anhedonia-past-2-weeks"
                }
            ]
        },
        {
            "id": "anhedonia-past-2-weeks",
            "question": "Have you experienced loss of interest or pleasure in activities nearly every day for the past 2 weeks?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "weight-appetite-change"
                },
                {
                    "option": "no",
                    "next-node": "conclude-no-core-symptoms"
                }
            ]
        },
        {
            "id": "weight-appetite-change",
            "question": "Have you experienced significant weight or appetite changes nearly every day?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "psychomotor-changes"
                },
                {
                    "option": "no",
                    "next-node": "psychomotor-changes"
                }
            ]
        },
        {
            "id": "psychomotor-changes",
            "question": "Have you experienced psychomotor agitation or retardation (observable changes in movement) nearly every day?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "sleep-disturbance"
                },
                {
                    "option": "no",
                    "next-node": "sleep-disturbance"
                }
            ]
        },
        {
            "id": "sleep-disturbance",
            "question": "Have you experienced sleep disturbances (insomnia or hypersomnia) nearly every day?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "fatigue"
                },
                {
                    "option": "no",
                    "next-node": "fatigue"
                }
            ]
        },
        {
            "id": "fatigue",
            "question": "Have you experienced fatigue or loss of energy nearly every day?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "worthlessness-guilt"
                },
                {
                    "option": "no",
                    "next-node": "worthlessness-guilt"
                }
            ]
        },
        {
            "id": "worthlessness-guilt",
            "question": "Have you experienced feelings of worthlessness or excessive guilt nearly every day?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "hopelessness"
                },
                {
                    "option": "no",
                    "next-node": "hopelessness"
                }
            ]
        },
        {
            "id": "hopelessness",
            "question": "Have you experienced feelings of hopelessness nearly every day?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "concentration-problems"
                },
                {
                    "option": "no",
                    "next-node": "concentration-problems"
                }
            ]
        },
        {
            "id": "concentration-problems",
            "question": "Have you experienced problems with concentration or indecision nearly every day?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "suicidal-ideation"
                },
                {
                    "option": "no",
                    "next-node": "suicidal-ideation"
                }
            ]
        },
        {
            "id": "suicidal-ideation",
            "question": "Have you experienced suicidal thoughts or thoughts of death?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "symptoms-nearly-every-day"
                },
                {
                    "option": "no",
                    "next-node": "symptoms-nearly-every-day"
                }
            ]
        },
        {
            "id": "symptoms-nearly-every-day",
            "question": "Have the symptoms you endorsed been present nearly every day for at least 2 weeks?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "impairment-check"
                },
                {
                    "option": "no",
                    "next-node": "conclude-insufficient-duration"
                }
            ]
        },
        {
            "id": "impairment-check",
            "question": "Do these symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning?",
            "branches": [
                {
                    "option": "yes",
                    "next-node": "conclude-major-depression"
                },
                {
                    "option": "no",
                    "next-node": "conclude-subthreshold-depression"
                }
            ]
        },
        {
            "id": "conclude-no-core-symptoms",
            "question": "Classification: No Major Depressive Disorder - Core symptoms (depressed mood or anhedonia) not present for at least 2 weeks",
            "branches": []
        },
        {
            "id": "conclude-insufficient-duration",
            "question": "Classification: No Major Depressive Disorder - Symptoms not present nearly every day for at least 2 weeks",
            "branches": []
        },
        {
            "id": "conclude-subthreshold-depression",
            "question": "Classification: Subthreshold Depression - Symptoms present but insufficient impairment",
            "branches": []
        },
        {
            "id": "conclude-major-depression",
            "question": "Classification: Major Depressive Disorder - Criteria met",
            "branches": []
        }
    ]
}