a mood disorder in which an individual experiences persistent sadness or
anhedonia and other symptoms similar to
major depressive disorder or
dysthymic disorder but without meeting the full criteria for either diagnosis, included in an appendix in
DSM–IV–TR for proposed diagnostic categories needing further study. The other symptoms may include appetite, weight, or sleep changes;
psychomotor agitation or
psychomotor retardation; fatigue or loss of energy; feelings of worthlessness or guilt; difficulty concentrating or making decisions; and recurrent thoughts of death or suicide. It was not included in
DSM-5 or
DSM-5-TR.