Abnormal Psych Flashcards

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1
Q

Diagnosis

A

the process of identifying and determining the nature of a disease or disorder by its signs and symptoms, through the use of assessment techniques (e.g., tests and examinations) and other available evidence.

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2
Q

Reliability of diagnosis

A

Whether two or more psychiatrists/psychologists using the same classification system make the same conclusion

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3
Q

Validity of diagnosis

A

Where the diagnosis is accurate and leads to a successful treatment

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4
Q

Inter-rater reliability

A

Diagnosis is considered reliable if it is consistent across clinicians, where different clinicians using the same classification system should come to the same conclusion for the patient.

This can either be done through the audio-video recording method, where one clinician conducts a recorded interview for another clinician to use and arrive at a diagnosis. It is good because both clinicians use the same stimulus (questions and patient’s answers).

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5
Q

Test-retest reliability

A

Test-retest reliability is a measure of the consistency of a psychological test or assessment. … Test-retest reliability is measured by administering a test twice at two different points in time. This type of reliability assumes that there will be no change in the quality or construct being measured.

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6
Q

Predictive validity

A

This is the degree to which a test accurately predicts a criterion that will occur in the future.

For example, a prediction may be made on the basis of a new intelligence test, that high scorers at age 12 will be more likely to obtain university degrees several years later. If the prediction is born out then the test has predictive validity

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7
Q

When individuals who have certain symptoms are unaware or unwilling to report it, the disorder appeared less prevalent in a population. People only report symptoms when they are willing or want to seek help.

A

Reporting bias

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8
Q

A tendency to experience and communicate psychological distress in the form of bodily and organic symptoms and to seek medical help for them.

It is the generation of physical symptoms of a psychiatric condition such as anxiety.

A

Somatization

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9
Q

There are different rates of symptoms and disorders across different cultural groups. This can be due to:

  • genuine differences
  • clinician biases
  • altered behaviour of patient in the context
A

Expression of Symptoms

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10
Q

The inability to understand how particular matters might be viewed by people of a different culture because of rigid adherence to the views, attitudes, and values of one’s own culture
or
because the perspective of one’s own culture is sufficiently limiting to make it difficult to see alternatives.

A

Cultural Blindness

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11
Q

What is limited by or valid only within a particular culture intelligence tests are commonly culture-bound to some degree?

A

Culturally bound symptoms

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12
Q

To explain the cause of the disorder

A

Etiology

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13
Q

Types of this include biomedical, cognitive, individual or group

A

Treatment

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14
Q

How do we analyse the etiology of the disorder?

A

Through biological, cognitive and sociocultural factors

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15
Q

A statistical method concept in psychiatry, referring to the percentage within a population that has or does not

A

Prevalence

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16
Q

MDD - Major Depressive Disorder

A
  • Affective and mood disorder
  • 1/6 Australia
  • Characterised by intense sadness, decreased cognitive functioning, consistent and ongoing over 2 weeks
17
Q

Symptoms of MDD

A
  • moodiness that is out of character
    -increased irritability
  • hard to take minor criticisms
  • spending less family or social time
  • loss of interest in pleasurable activities
  • trouble sleeping
  • an increased risk or activity with alcohol and drug use
    -avoidant behaviours
  • increased physical health complaints like fatigue or pain
    being reckless or taking unnecessary risks
    slowing down of thoughts and actions
  • worse cognitive clarity in terms of memory
18
Q

Types of Etiology

A

Biological - genetic predisposition, ie. neurotransmitters
Cognitive - learned helplessness, (Seligman) negative cognitive triad- (Beck 1976)
Socio-cultural - life events, socio-economic seasonal variation, violence, social stressors

19
Q

Role of Biological Etiology for MDD

A

Role of genes - genetic predisposition, an assumption that disorders have a genetic origin
- Parent connection: One parent 20-30% chance, two parents 70% chance

  • Twin studies, if a disorder is inherited then concordance rates would be higher for MZ twins, McGuffin et al (1996),
  • But studies conclude that MDD disorder was too complex and resulted from an interaction of both genetic and environmental factors
20
Q

Another term for genetic predisposition

A

Genetic vulnerability

21
Q

What is a GWAS study and why is it important for modern research?

A

GWAS stands for genome-wide association study, which is an observational study used to investigate the relationship of genetic variants and diseases/symptoms prevalent in a population.

22
Q

One limitation of twins studies in studies on etiology of depression

A

Twins environment, relationship and upbringing is not necessarily representative of the general population, and twins, both fraternal and identical, are fairly rare in the general population

23
Q

How do psychologists measure serotonin in the brain?

A
  • cannot be directly measured
  • there are indirect markers that can measure serotonin:
  1. Altering diet
  2. Post mortem (autopsy)
  3. Urine sample
  4. Spinal fluid
24
Q

Why is the serotonin hypothesis not an adequate explanation for the origins of depression?

A
  • cannot be measured directly
  • no more gene can represent depression
  • more factors apart from biological markers (serotonin) can influence depression
25
Q

Why does the cortical hypothesis explain that the serotonin hypothesis does not?

A
  • looks at the role of the HPA axis (relationship in terms of feedback interactions and direct influences between the hypothalamus, pituitary gland and adrenal gland)
  • argues that cessation of neurogenesis in the hippocampus with serotonin, dopamine, norepinephrine,
26
Q

Beck argues that depression is rooted in a patient’s automatic thoughts, that is personalised thoughts that are triggered by particular stimuli that lead to emotional responses. The cognitive trait is three types of automatic thoughts

  1. Negative views of the world
  2. Negative views of the self
  3. Negative views of the future
A

The Cognitive triad in the theory of MDD

27
Q

Three faulty thinking patterns in The Cognitive Triad

A
  1. Thinking triad on the self, world future
  2. Negative self-schemata
  3. Faulty thinking patterns
28
Q

Studies to add: Genetics/etiology of disorders

A

Kendler et al 2006 and Caspi et al (2003).

29
Q

Studies to add: MDD cognitive theory

A

Theory: Beck (1976)
Alloy et al (1999) high risk and low risk 17%, 1%
Caseras et al (2007) negative pictures initial visual orientating and maintenance of attention on negative pictures

30
Q

Cognitive thinking patterns: Arbitary inference

A

far-fetched/inaccurate conclusions based on insufficient evidence

31
Q

Cognitive thinking patterns: Selective abstraction

A

-Selective thinking and picking single things to support thinking patterns while ignoring the bigger picture

32
Q

Cognitive thinking patterns: Overgeneralisation

A
  • making conclusion from one event and applying to other events
33
Q

Cognitive thinking patterns: dichotomous thinking

A

-‘black or white/all or nothing’ attitudes

34
Q

Cognitive thinking patterns: Minimisation

A

-not acknowledging when you do something well ‘minimising yourself’

35
Q

Cognitive thinking patterns: Personalisation

A

-blaming oneself for everything

36
Q

the proportion of a population that has a psychological disorder at a specific point in time. For example, over 300 million people are estimated to suffer from depression, equivalent to 4.4% of the world’s population.

A

Prevalence:

37
Q

the proportion of a population that at some point in life has ever had the disorder. For example, Hasin (2018) found a lifetime prevalence of major depression of 20.6% in US adults. That means, 20.6% of adults experience depression at some time in their lives.

A

Lifetime prevalence:

38
Q

Incidence

A

the number of new cases diagnosed in a certain period of time within a population. This statistic is often reported over a 12-month period. For example, the NIMH estimates that 16.2 million US adults had at least one major depressive episode in 2016.