2-Ch 7/8: Mood Disorders/suicide Flashcards
Mood disorders
problems with moods/emotions NOT due to physical or other mental disorders
Unipolar
Typically just Depression
Bipolar
“Manic-depression”
2 poles: Mania & Depression
Prevalence of depression
more in females
prevalence of bipolar
equally male/female
risk of depression
increases with each additional episode of depression
1 episode = 50%
2 episodes = 70%
3 episodes = 90% risk
Depressive disorder core symptoms
- Depressed Mood
2. Diminished interest/pleasure in nearly all activities (Anhedonia)
Depressive disorders ( 9 symptoms)
- Depressed mood*
- Diminished interest/pleasure in nearly all activities*
- Significant weight loss/gain
- Insomnia/hypersomnia
- Psychomotor agitation or retardation
- Significant fatigue/loss of energy
- Feelings of worthlessness or guilt
- Diminished ability to think/concentrate
- Recurrent thoughts of death/suicidal ideation
Dysthymia
“milder”, less intense depressive disorder–>more chronic
Dysthymia DSM
- Sx’s not absent for more than 2 months at a time
- Chronic-duration = 2-20 years
- similar sx’s to depression but less intense
- increased risk for experiencing major depressive episode
Double Depression
both dysthymia & major depression
Major Depressive Disorder specifiers
Mild = just meet criteria
Moderate =Meet criteria a bit more
Severe = meet several criteria, with or without psychotic features
- Other:
- with Seasonal Patterning (SAD)
- with Peripartum onset (postpartum)
Catecholamine hypothesis of depression
Availability of NT’s at synapse
-serotonin, dopamine, norepinephrine
Genetic hypothesis of depression
Much evidence for genetic contribution
-based on twin & pedigree studies
Freud theory of depression
“prolonged grief” related to a significant early loss
Bibring theory of depression
the loss itself is not what’s important, its the lost of what the person represented to you
(psychodynamic)
Bowlby theory of depression
attachment theory-unhealthy early attachment
psychodynamic
Behavioral theory of depression
lack of positive reinforcement in person’s environment
Behavioral Activation Therapy (BAT)
expose individual to positive reinforcement of environment
Beck’s cognitive errors
overgeneralizing
selective abstraction
catastrophizing
dichotomous thinking
overgeneralizing
assume circumstances in one situation will be the same in all similar situations
selective abstraction
attend only to failure or deprivation AND ignore any positives
Catastrophizing
always imagining the worse of any given scenario
“worst case scenario”
Dichotomous thinking
rigid thinking-all or nothing
Attributional model
assigning causes to situations
- Internal: it’s all their fault
- Stable: part of who they are
- Global: not good at anything
Cognitive accuracy
“depressive realism hypothesis”
-are depressed people just more realistic?
Moore & Fresco meta-analysis
There was a small but significant effect supporting depressive realism
Humanistic/Existential theory of depression
Depression related most strongly to: a loss of self-esteem
-Carl Rogers: discrepancy b/w real & ideal self