Symptoms of Major Depressive Disorder

A 45-year-old female patient has been diagnosed with major depressive disorder (MDD). Upon assessment, she expresses feelings of hopelessness, fatigue, and has withdrawn from social interactions. Additionally, the patient states that she has had difficulty concentrating on tasks at work and has experienced significant changes in her appetite and sleep patterns.

Which of the following symptoms would the nurse expect to find in a patient with major depressive disorder? Select all that apply.