Affective Disorders Flashcards

1
Q

name the three domains depression can be thought of?

A

psychological
physical
social

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is perplexity?

A

inability to deal with or understand something

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is anhedonia ?

A

inability to feel pleasure in normally pleasurable activities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is agoraphobia ?

A

type of anxiety disorder in which you fear and avoid places or situations that might cause you to panic and make you feel trapped, helpless or embarrassed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is IDEAS OF REFERENCE ?

A

for example, thinking a group of random people are laughing at you across the street

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what physical changes occur with depression?

A
change in
energy 
sleep 
appetite 
libido 
constipation 
pain 
slowed psychomotor function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what social affects does depression have?

A
anhedenia 
irritability 
apathy 
loss of concentration 
withdrawal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is agitation ?

A

state of restless overactivity, aimless or ineffective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is apathy ?

A

loss of interest in own surroundings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is depression?

A

an unpleasant emotion in which sadness or unhappiness predominates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is stupor?

A

state of extreme retardation in which consciousness is intact - rare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how long does depression need to be present for a diagnosis to be made?

A

2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the ICD-10 criteria for depression diagnosis ?

A

last 2 week
no hypomanic or manic episodes
no psychoactive substance use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what criteria is there for somatic syndrome depression?

A
anhedonia 
lack of emotional response 
waking 2 hrs before normal time 
worse in mornings 
marked loss of appetite 
marked loss of libido
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what medication can be used for depression?

A

selective serotonin reuptake inhibitors (SSRIs)
tricyclic antidepressants
monamine oxidase inhibitors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what psychological therapy is available for depression?

A

CBT (cognitive behaviour therapy)
IPT
family therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what physical therapy is available for depression?

A

ECT (electro convulsant therapy)
DBS (deep brain stimulation)
VNS (vagus nerve stimulation)

18
Q

what measurement tools are available for depression?

A

SCID

SCAN

19
Q

what condition is characterised by mania or hypomania?

A

bipolar disorder

20
Q

what is mania ?

A

elevated mood

21
Q

what is mania often associated with?

A

grandiose ideas
disinhibition
loss of judgement

22
Q

what are grandiose ideas?

A

thinking you are superior to others

23
Q

what criteria is required for hypomania diagnosis ?

A

mild elevation of mood for several days
increased sociability, talkativeness, sexual energy
decreased need for sleep
concentration decreased

24
Q

what is hypomania?

A

lesser degree of mania, no psychosis

25
Q

what criteria is required for mania diagnosis?

A
1 week of work and social activity disruption 
elevated mood and increased energy 
disinhibition 
grandiosity 
extravagant spending
26
Q

state some differential diagnosis of mania?

A
mixed affective state 
schizophrenic disorder 
cyclothymia 
ADHD 
drugs and alcohol
27
Q

what tools to measure symptoms of mania?

A

SCID

SCAN

28
Q

state 4 options of treatment for mania?

A
antipsychotics 
- olanzapine 
mood stabilisers 
- sodium valproate 
lithium 
ECT
29
Q

what does BAD stand for?

A

bipolar affective disorder

30
Q

what criteria has to be present for bipolar to be diagnosed ?

A

repeated 2 episodes of depression and mania/hypomania

31
Q

what is the diagnosis of repeated 2 episodes of depression?

A

recurrent depression

32
Q

what is the diagnosis of repeated 2 episodes of mania/hypomania?

A

hypomania or bipolar disorder

33
Q

what is the mean onset age of bipolar disorder?

A

21

34
Q

what gender is more affected by bipolar disorder/

A

M=F

35
Q

what is the mean age of onset for depression?

A

27

36
Q

is there an association of social status and depression?

A

no

37
Q

how long does major depression episode usually last

A

4-6months

38
Q

how long does bipolar disorder episode usually last

A

1-3months

39
Q

are affective disorders recurrent and disabling ?

A

yes

40
Q

is depression or mania more common?

A

depression