Psychiatrycommon
A 71-year-old woman is seen seven weeks after the death of her husband of 48 years. She cries most days and sleeps poorly, and has lost 3 kg. She is still cooking for herself, seeing her grandchildren and going to church, and she says the bad days are becoming less frequent. She has no past psychiatric history. Her general practitioner is trying to decide whether her grief has been complicated by major depression. Which one of the following features would most strongly support that diagnosis?