Ch. 6 - Mood disorders Flashcards
% worldwide
8%
Mood disorder demographics
- Gender
- Relationship
- Age
gender
women > men
- women internalize depression, men externalize depression
Relationship
single women < single men
married women > married men
single women < single men
married women > married men
- social standards, men are protectors, need wife
- women are homemakers
- married men turn to spouse for support, single women have greater support (feel isolated when married)
Age
women: 20-29 (spikes in teens
Men: 40 - 49 and old age
Infants: separation
rumination disorder
babies regurgitate food and eat again
Major depressive disorder symptoms
(must be recurrent)
- 5 or more symptoms in 2 weeks
1. Mood sx
2. Cognitive sx
3. Motivational sx
4. motor and somatic sx
how many episodes to have recurrent major depressive disorder
2 or more episodes in a 2 month interval (ppl who have had depression are more likely to have recurrent)
MDD Mood Sx
sad, crying, numbness, helplessness, hopeless
MDD Cognitive Sx
low self-esteem, unrealistic guilt, exaggerate seriousness, delusions, memory problems, indecisive, decrease concentration
ex. MDD cognitive sx
worrying that kid will be homeless bc of 1 D on exam > blame themselves
MDD Motivational Sx
anhedonia - loss of interest, social ideation
typical pattern: take long time to fall asleep, wake up early and can’t go back to sleep
MDD Motor and somatic sx
appetite disturbance, sleep disturbance, fatigue, headaches, nausea
2nd to schizophrenia in hospital admits
major depression
What increases probability of recurrence of episodes
number of previous episodes
Beck Depression Inventory (BDI)
quick screening/assessment
Depressive sx in children
somatic problems, irritability, social withdraw, school problems
ex. of somatic in children
stomach aches
ex of school probs in children
low grades, fights
symptoms of MDD in elderly
memory loss, distractibility (mimics dementia)
Types of Major Depression
- Post-Partum
- Seasonal Affective Disorder (SAD)
- Dysthymia
- Mania and Bipolar Disorder
Post-Partum depression
onset w/in 4 weeks after birth
- affects 10-15% mothers
- NOT baby blues
- 28% still affected 1 yr later
- 5% still affected 4 yrs later
Post-Partum risk factors
- previous depression
- poor/no relationship with partner
- weak social support
Post-Partum cause
abnormal prenatal hormones
- mothers may not initially feel anything for child (no connection)
Seasonal Affective Disorder (SAD)
fall/winter
increase in appetite and sleep
cause of SAD
serotonin deficiencies in winter
treatment of SAD
light therapy, antidepressants
Dysthymia
chronic, mild depression for 2-20 yrs
Criteria: need 2 symptoms of major depression in past 2 years
Double depression
dysthymia + major depression