Anxiety Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Hvad er de overordnede diagnosekriterierne for separationsangst?

A
  • Abnorm frygt for at være væk fra omsorgsgiver
  • Bange for aldrig at se sin omsorgsperson igen
  • Klienten har ofte hovedpine, mavepine eller kvalme
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2
Q

Hvad er diagnosekriterierne for separationsangst i DSM-5?

A

A. Excessive fear or anxiety of separation from those whom the individual is attached to, evidenced by at least three of the following:
- Recurrent excessive distress when anticipating or experiencing separation from home or attachment figures
- Persistent and excessive worry about losing major attachment figures or possible harm to them
- Worry about experiencing an untoward event that causes separation
- Reluctance or refusal to go out or away from home because of separation
- Fear of or reluctance about being alone or without attachment figures at home or elsewhere
- Reluctance or refusal to sleep away from home or attachment figures
- Nightmares involving separation
- Complaints about physical symptoms e.g. headache, stomach ache, nausea, when separated

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3
Q

Hvad er varighedskriteriet for separationsangst iflg. DSM-5?

A

B. Persistent and lasting at least 4 weeks in children and adolescents and typically 6 months or more in adults

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4
Q

Hvor meget skal individet være påvirket af separationsangsten iflg. diagnosekriterie C i DSM-5?

A

C. The disturbance causes clinically significant distress or impairment in social, academic, occupational, or other important areas of functioning

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5
Q

Hvad er eksklusionskriteriet (D) for separationsangst i DSM-5?

A

The disturbance is not better explained by another mental disorder, such as autism spectrum disorder, psychotic disorders, agoraphobia, GAD or illness anxiety

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6
Q

Hvad er diagnosekriterierne for separationsangst i ICD-10?

A

The diagnostic features is a focused excessive anxiety concerning separation from those individuals to whom the child is attached that is not part of GAD. The anxiety may take the form of:
- An unrealistic preoccupying worry about possible harm befalling major attachment figures or fear they’ll leave and not return
- An unrealistic preoccupying worry that some untoward event will separate the individual from a attachment figure
- Reluctant or refusal to go to school because of fear of separation
- Persistent reluctance or refusal to go to sleep without being near or next to a major attachment figure
- Inappropriate fear of being alone
- Repeated nightmares about separation
- Repeated occurrence of physical symptoms such as stomach aches or headaches on occasions involving separation
- Recurrent distress in anticipation of, during or after separation from a major attachment figure
School refusal often represents separation anxiety, but sometimes especially in adolescents it does not.

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7
Q

Hvad er diagnosekriterierne for selective mutism i DSM-5?

A

A. Consistent failure to speak in specific social situations in which there is an expectation for speaking (e.g. at school) despite speaking in other situations
B. The disturbance interferes with educational or occupational achievement or with social communication

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8
Q

Hvad er varighedskriteriet for selective mutism i DSM-5?

A

C. The duration of the disturbance is at least one month (not limited to the first month of school)

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9
Q

Hvad er eksklusionskriterierne for selective mutism i DSM-5?

A

D. The failure to speak is not attributable to a lack of knowledge of, or comfort with, the spoken language required in the social situation
E. The disturbance is not better explained by a communication disorder and does not occur exclusively during the course of autism spectrum disorder, schizophrenia, or another psychotic disorder

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10
Q

Hvad er diagnosekriterierne for selective mutism i ICD-10?

A

The condition is characterized by a marked, emotionally determined, selectivity in speaking, such that the child demonstrates his or her language competence in some situations but fails to speak in other (definable) situations.

The diagnosis presupposes:
(a) a normal or near normal level of language comprehension
(b) a level of competence in language expression that is sufficient for social communication
and
(c) demonstrable evidence that the individual can and does speak normally or almost normally in some situations

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11
Q

Hvad er de overordnede kriterier for selective mutism?

A

Barnet snakker i visse situationer f.eks. hjemme, men ikke i skole. Skyldes ikke talebesvær

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12
Q

Hvad er diagnosekriterierne for specifik fobi i DSM-5?

A

A. Marked fear or anxiety about a specific object or situation
B. The phobic object or situation almost always provokes immediate fear or anxiety
C. The phobic object or situation is actively avoided or endured with intense fear or anxiety
D. The fear or anxiety is out of proportion to the actual danger posed by the object or situation and to the sociocultural context

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13
Q

Hvad er varighedskriteriet for specifik fobi i DSM-5?

A

E. The fear or anxiety or avoidance is persistent, typically lasting for 6 months or more

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14
Q

Hvad er eksklusionskriterierne for specifik fobi i DSM-5?

A

G. The disturbance is not better explained by the symptoms of another mental disorder, including fear, anxiety, and avoidance of situations associated with panic-like symptoms or other incapacitating symptoms (as in agoraphobia); objects or situations related to obsessions (OCD); reminders of traumatic events (PTSD); separation from home or attachment figures (separation anxiety); or social situations (social anxiety)

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15
Q

Hvor påvirket skal individet være for at leve op til kriteriet for specifik fobi i DSM-5?

A

F. The fear or anxiety or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning

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16
Q

Hvad er diagnosekriterierne for specifik fobi i ICD-10?

A

Simple phobias are restricted to highly specific situations such as particular animals, heights, darkness, thunder, urinating or defecating in public toilets, the sight of blood and fear of exposure to specific diseases such as AIDS or STDs

All of the following must be fulfilled for a definite diagnosis:
- The psychological or autonomic symptoms must be primarily manifestations of anxiety and not secondary to other symptoms such as delusions or obsessional thoughts
- The anxiety must be restricted to the presence of a specific phobic object
- The phobic situation is avoided whenever possible

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17
Q

Hvad er de overordnede kriterier for specifik fobi?

A

Abnorm frygt for et specifikt fænomen
Ofte voldsom reaktion
Forsøge at undgå fænomenet
Angsten udløses af tanker eller møde med fænomenet

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18
Q

Hvad er diagnosekriterierne for social angst/social fobi i DSM-5?

A

A. Marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others
B. The individual fears that he or she will act in a way or show anxiety symptoms that will be negatively evaluated
C. The social situations almost always provoke fear or anxiety
D. The social situations are avoided or endured with intense fear or anxiety
E. The fear or anxiety is out of proportion to the actual threat posed by the social situation and to the sociocultural context

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19
Q

Hvad er varighedskriteriet for social fobi i DSM-5?

A

F. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more

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20
Q

Hvor påvirket skal individet være af sin social fobi for at leve op til kriteriet i DSM-5?

A

G. The fear, anxiety or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning

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21
Q

Hvad er eksklusionskriterierne for social fobi i DSM-5?

A

H. The fear, anxiety, or avoidance is not attributable to the physiological effects of a substance abuse or another medical condition
I. The fear, anxiety or avoidance is not better explained by the symptoms of another mental disorder, sich as panic disorder, body dysmorphic disorder, or autism spectrum disorder
J. If another medical condition is present, the fear, anxiety, or avoidance is clearly unrelated or is excessive

22
Q

Hvad er diagnosekriterierne for social fobi i ICD-10?

A

Social phobias are centred around a fear of scrutiny by other people in comparatively small groups leading to avoidance of social situations. They may be discrete or diffuse, involving almost all social situations outside the family circle.

All of the following should be fulfilled for a definite diagnosis:
- The psychological or autonomic symptoms must be primarily manifestations of anxiety and not secondary to other symptoms such as delusions or obsessional thoughts
- The anxiety must be restricted to or predominate in particular social situations
- Avoidance of the phobic situations must be a prominent feature

23
Q

Hvad er de overordnede kriterier for social fobi?

A

Abnorm frygt for, hvad andre tænker og mener om én, og dét at blive negativt evalueret
Bange for at gøre noget pinligt
Ofte forskel på venner-fremmede, børn-voksne
Undgår ofte sociale sammenhænge og isolerer sig

24
Q

Hvad er diagnosekriterierne for generaliseret angst (GAD) i DSM-5?

A

A. Excessive anxiety and worry, occurring more days than not for at least 6 months, about a number of events or activities
B. The individual finds it difficult to control the worry
C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months)
- Restlessness or feeling keyed up or on edge
- Being easily fatigued
- Difficulty concentrating or mind going blank
- Irritability
- Muscle tension
- Sleep disturbance

25
Q

Hvor påvirket skal individet være af den generaliserede angst for at leve op til kriteriet i DSM-5?

A

D. The anxiety, worry or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

26
Q

Hvad er eksklusionskriterierne for generaliseret angst i DSM-5?

A

E. The disturbance is not attributable to the physiological effects of a substance abuse or another medical condition
F. The disturbance is not better explained by another mental disorder

27
Q

Hvad er diagnosekriterierne for generaliseret angst i ICD-10?

A

The essential feature is anxiety which is generalized and persistent but not restricted to any particular environmental circumstance. The dominant symptoms are highly variable but complaints of continuous feelings of nervousness, trembling, muscular tensions, sweating, light-headedness, palpitations, dizziness, and epigastric discomfort are common. Fears that the sufferer or a relative will shortly become ill or have an accident are often expressed together with a variety of other thoughts and forebodings

The sufferer must have the primary symptoms for most days for several weeks at a time, and usually for several months. These symptoms should usually involve elements of:
- Apprehension
- Motor tension
- Autonomic overactivity

28
Q

Hvad er de overordnede kriterier for generaliseret angst?

A

Overdreven vedvarende bekymringstendens
Bekymring om familie, præstation, sundhed, verden, døden osv.
Graden af bekymring kan svinge
Ofte muskelspænding og svært ved at falde i søvn

29
Q

Hvad er diagnosekriterierne for panik angst i DSM-5?

A

A. Recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time four (or more) of the following symptoms occur:
1. Palpitations, pouring hear, or accelerated heart rate
2. Sweating
3. Trembling or shaking
4. Sensations of shirtness of breath or smothering
5. Feelings of choking
6. Chest pain or discomfort
7. Nausea or abdominal distress
8. Feeling dizzy, unsteady, light-headed, or faint
9. Chills or heat sensations
10. Paresthesias (numbness or tingling sensations)
11. Derealization (feelings of unreality) or depersonalization (being detached from oneself)
12. Fear of losing control or ‘going crazy’
13. Fear of dying
B. At least one of the attacks has been followed by one month (or more) of one or both of the following:
1- Persistent concern or worry about additional panic attacks or their consequences
2. A significant maladaptive change in behavior related to the attacks

30
Q

Hvad er eksklusionskriterierne for panik angst i DSM-5?

A

C. The disturbance is not attributable to the physiological effects of a substance abuse or another medical condition
D. The disturbance is not better explained by another mental disorder

31
Q

Hvad er diagnosekriterierne for panik angst i ICD-10?

A

Several severe panic attacks within a period of about a month
The dominants symptoms of a panic attack vary from person to person, but sudden onset of palpitations, chest pain, choking sensations, dizziness, and feelings of unreality are common.

Almost invariably a secondary fear of dying, losing control or going mad

Individual attacks usually last for minutes

32
Q

Hvad er de overordnede kriterier for panik angst?

A

gentagende, uventede akutte angstsymptomer eller -anfald som opstår ‘ud af det blå’
Ikke afgrænset til bestemte objekter eller situationer og fremstår meget uforudsigelige
Korte, men intense fysiske symptomer, som ofte optræder sammen med angsten for at dø, miste kontrollen eller miste forstanden

33
Q

Hvad er diagnosekriterierne for agorafobi i DSM-5?

A

A. Marked fear or anxiety about two or more of the following five situations:
1. Using public transportation
2. Being in open spaces
3. Being in enclosed spaces
4. Standing in line or being in a crowd
5. Being outside of the home alone
B. The individual fears or avoids these situations because of thoughts that escape might be difficult or help might not be available in the event of developing panic-like symptoms or other embarrassing symptoms
C. The agoraphobic situations almost always provoke fear or anxiety
D. The situations are actively avoided, require the presence of a companion or are endured with intense fear or anxiety
E. The fear or anxiety is out of proportion to the actual danger

34
Q

Hvad er varighedskriteriet for agorafobi i DSM-5?

A

F. The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more

35
Q

Hvad er eksklusionskriterierne for agorafobi i DSM-5?

A

H. If another medical condition is present, the fear anxiety, or avoidance is clearly excessive
I. The fear, anxiety, or avoidance is not better explained by the symptoms of another mental disorder e.g. social anxiety, OCD, body dysmorphia or separations anxiety

36
Q

Hvad er diagnosekriterierne for agorafobi i ICD-10?

A

Agoraphobia refers to an interrelated and overlapping cluster of phobias including a fear of leaving home; fear of entering shops, crowds, and public places and transport.
Fear of lack of immediate available exit.

All of the following should be fulfilled for a definite diagnosis
- The psychological or autonomic symptoms must be primarily manifestations of anxiety and not secondary to other symptoms such as delusions or obsessional thoughts
- The anxiety must be restricted to at least two of the following situations: crowds, public places, travelling away from home and/or alone
- Avoidance of the phobic situation must be a prominent feature
Can occur with or without panic attacks

37
Q

Hvad er den samlede prævalens for angstlidelser hos børn og unge?

A

ca. 8.1%. Komorbiditeten blandt angstlidelser er ret høj, så prævalensraterne for individuelle angstlidelser er mere end den samlede prævalens på omkring 8%.

38
Q

Prævalens for seperationsangst?

A

5.9%

39
Q

Prævalens for simple fobier?

A

3.5%

40
Q

Prævalens for socialfobi?

A

3.5%

41
Q

Prævalens for generaliseret angst?

A

0.8%

42
Q

Prævalens for panikangst?

A

0.8%

43
Q

Prævalens for selektiv mutisme?

A

<1%

44
Q

Komorbiditet: Mere end én angstlidelse?

A

Mere end 50% af tilfældene med én angstlidelse opfylder også de diagnostiske kriterier for en anden angstlidelse.

45
Q

Komorbiditet: Svær depression

A

16.2%

46
Q

Komorbiditet: Adfærdsforstyrrelse

A

14.8%

47
Q

Komorbiditet: ADHD

A

11.8%

48
Q

Komorbiditet: Misbrug

A

11%

49
Q

Differentialdiagnoser?

A

Hypertyroidisme (forhøjet stofskifte). Symptomerne ligner angst.

50
Q

Mest anvendte udredningsværktøjer?

A

ADIS-IV-C/P, MASC-2, SCARED-71