What is a symptom that must be present for a diagnosis of Persistent Depressive Disorder?

Feelings of hopelessness are a key symptom that must be present for a diagnosis of Persistent Depressive Disorder, also known as dysthymia. This disorder is characterized by a chronic state of depression lasting for at least two years in adults (or one year in children and adolescents), during which individuals experience a number of depressive symptoms. Feelings of hopelessness underscore the pervasive low mood that defines Persistent Depressive Disorder and contribute to the overall impact it has on a person's functioning and well-being.

Chronic hopelessness reflects the depth of the depressive experience and is a core trait of this condition, distinguishing it from other mood disorders. The severity and persistence of such feelings play an important role in diagnosing and understanding the patient's condition. In this context, other options do not align with the diagnostic criteria for Persistent Depressive Disorder, highlighting how essential the feeling of hopelessness is in this particular diagnosis.