Originally, it is the diminutive form of the term Duma, plural dumy, which refers to epic ballads, specifically a song or lament of captive people.
[1] During the nineteenth century, composers from other Slavic countries began using the duma as a classical form to indicate a brooding, introspective composition with cheerful sections interspersed within.
The work was so well received that Dvořák performed it on his forty-concert farewell tour throughout Moravia and Bohemia, just before he left for the United States to head the National Conservatory of Music of America in New York City.
Considered essentially formless, at least by classical standards, it is more like a six movement dark fantasia—completely original and successful, a benchmark piece for the composer.
Being completely free of the rigors of sonata form gave Dvořák license to take the movements to some dizzying, heavy, places, able to be both brooding and yet somehow, through it all, a little lighthearted.