Chapter 5 - Multi-choice Flashcards
For a period of one week, Alan experienced episodes of extreme elation that caused significant functional impairment. Based on this information only, Alan was experiencing a a) manic episode. b) hypomanic episode. c) depressive episode. d) none of the above.
a
Mindfulness-based therapy is adapted from a) cognitive therapy. b) IPT. c) psychoanalysis. d) behavioral therapy.
a
. The DSM-5 criteria for cyclothymic disorder involves all of the following EXCEPT a) it must have occurred for at least two years. b) numerous periods with hypomanic symptoms. c) numerous periods with depressive symptoms. d) symptoms do not clear for more than six months at a time.
d
Which form of bipolar disorder is considered to be the most severe form of mental illness? a) Bipolar I b) Bipolar II c) Cyclothymic Disorder d) None of the above
a
. In Beck’s theory, one form of cognitive bias leading to depression would be excessive attention toward a) the past. b) global disasters. c) childhood sexual abuse. d) negative feedback.
d
Which of the following symptoms are indicative of disruptive mood dysregulation disorder, according to the DSM-5? a) Severe recurrent temper outbursts b) Swings in mood from extreme highs to extreme lows c) Persistent negative mood d) Both temper outbursts and a persistent negative mood
d
According to learned helplessness theory, following a failure on an important exam, which of the following explanations for the failure is most likely to lead to depression? a) This teacher doesn’t like me. b) I am stupid. c) I was in a bad mood on the day of the test. d) I did not study hard enough.
b
. Functional studies of people with major depression show a) elevated activity in the amygdala. b) decreased activity in the amygdala. c) diminished volume in the prefrontal cortex. d) diminished volume of the hippocampus.
a
Scott has bipolar disorder. Which medication is the most likely to be prescribed? a) imipramine b) lithium carbonate c) an MAO inhibitor d) fluoxetine (Prozac)
b
Studies suggest that IPT a) is relatively ineffective. b) is comparable in its effectiveness to psychoanalysis. c) is effective in relieving depression and preventing relapse. d) is effective in treating depression, but fails to prevent relapse, especially in the elderly.
c
. Stressful life events appear to be a causal factor in depression based on research showing a) depressed people experience more losses of marriages and jobs. b) many people report life stresses before they become depressed. c) depression rates increase after major disasters. d) lab induced stress leads to increased depression.
b
Which of the following statements is true? a) High levels of expressed emotion predict relapse in depression. b) Depressive symptoms are usually a result of expressed emotion. c) Symptoms of depression can create relationship problems. d) People with depression often elicit positive reactions from people around them because they tend to keep to themselves.
c
Given that antidepressant medications have been demonstrated to be effective, why are other treatments for depression still used? a) The medication is effective only for the first few weeks of use. b) Medication is effective in treating bipolar but not unipolar patients. c) The medications are only effective for children and adolescents. d) Patients often do not recover or relapse after they stop taking the medication.
d
. People who are depressed most commonly have a) just lost their job. b) had a best friend die suddenly. c) recently broken up with their partner. d) low social support.
d
After a stressful life event, most people a) become depressed. b) will have another stressful life event. c) do not become depressed. d) experience a reduction in social support.
c
Norepinephrine and serotonin are __________ implicated in mood disorder etiology. a) two parts of the autonomic nervous system b) antidepressant medications c) neurotransmitters d) structures in the limbic system
c
. When considering the etiology of depressive disorders, the latest evidence suggests that they are a) neurobiological. b) psychosocial. c) both neurobiological and psychosocial. d) mostly genetic.
c
Delusions or hallucinations with themes that are consistent with the mood state (e.g., guilt, disease or death themes accompanying depression) are known as a) mood-incongruent psychotic features. b) mood-congruent psychotic features. c) mixed features. d) catatonic features.
b
. The diagnosis of Premenstrual Dysphoric Disorder includes the criterion that a. The symptoms must resolve completely within a few days of the onset of menses. b. The symptoms must persist in similar severity from a few days before to a few days after the onset of menses. c. The symptoms must be most severe during menses. d. The symptom of self-depreciation must be present.
a
Which of the following reasons make suicide difficult to address among college students? a) Most schools encourage students who are suicidal to withdraw. b) Suicidal feelings are so common among this population that one should just wait it out. c) There are not enough counseling centers available for students to get help. d) School insurance does not cover suicidality.
a
. Including symptoms of severe recurrent temper outbursts and persistent negative mood for at least 1 year beginning before age 10, _____________________ is a new diagnosis in the DSM-5. a. Disruptive Mood Dysregulation Disorder b. Premenstrual Dysphoric Disorder c. Major Depressive Disorder d. Persistent Depressive Disorder
a
In the DSM-5, __________ is included in persistent depressive disorder. a) Chronic bereavement-related depression b) Chronic major depressive disorder c) Bipolar I disorder d) Premenstrual dysphoric disorder
b
. The hopelessness theory of depression is predicated on a) depression resulting from previous helplessness situations. b) biological features of depression resulting in negative attributions. c) a return to the animal lab to further understand factors leading to depression. d) cognitive diatheses that lead to negative attributions.
d
. Disruptive mood dysregulation disorder involves a) children. b) adolescents. c) adults. d) both children and adolescents.
d
Jacob’s psychiatrist has recommended electroconvulsive shock therapy (ECT), and Jacob is debating whether to consent to this treatment. Which of the following risks should Jacob consider when making his decision? a) bone fractures caused by the seizure b) memory loss and confusion c) developing a seizure disorder d) permanent changes in brain structure
b
Which of the following is a problem with seeking psychiatric help from a primary care physician? a) Primary care doctors only know how to prescribe SSRI’s. b) Primary care doctors tend to overreact to psychopathology. c) It is more expensive to obtain psychiatric help from a primary care doctor. d) Primary care doctors often give medicine but are not trained to properly to diagnose episodes of depression.
d
The mood disorder called ____________________ was included in the appendices of the DSM-IV-TR but is included as a diagnosis in the DSM-5. a. Persistent Depressive Disorder b. Bipolar I Disorder c. Major Depressive Disorder d. Premenstrual Dysphoric Disorder
d
In regards to depression, the amygdala a) helps a person recall painful memories. b) helps a person execute plans. c) regulates heart rate. d) helps a person assess how emotionally important a given stimulus is.
d
Behavioral activation involves a) increasing the number of meaningful relationships. b) increasing one’s commitment to therapy. c) increasing serotonin levels. d) increasing the number of active, pleasurable experiences
d
In one prospective study, feelings of rejection and self-hatred preceded the behavior of _______________. a. Suicidal self-injury b. Non-suicidal self-injury c. Mania d. None of the above
b
Which of the following statements is true? a) All people who experience manic symptoms will experience symptoms of depression at some point during their lifetime. b) An episode of depression is required for the diagnosis of Bipolar I. c) An episode of depression is required for the diagnosis of Bipolar II. d) All of the above
c
Flight of ideas refers to a) delusional thinking. b) suicidal thinking. c) the thinking of a person with dementia. d) rapid shifts in topics while speaking.
d
The DSM-5 diagnosis of major depressive disorder must include __________ depressive symptoms that are present for at least two weeks. a) 2 b) 3 c) 4 d) 5
d
Which of the following statements is true? a) Tryptophan is used to lower dopamine levels. b) People who are vulnerable to depression may have less sensitive serotonin receptors. c) People who are vulnerable to depression may have highly sensitive serotonin receptors. d) A person who has very sensitive serotonin receptors is expected to experience lots of depressive symptoms as their serotonin levels drop.
b
. Jill is seeking treatment for depression, which started after she ended a long-term relationship. Which of the following would be a global depressive attribution she might make? a) “My relationships end badly because I get jealous and I drive them away.” b) “There must be something wrong with me, because I always attract people who are wrong for me.” c) “Sometimes I feel there is something the matter with me. Maybe, I am not pretty enough.” d) “My next relationship will likely be better.”
b
Which of the following disorders has the highest heritability estimates? a) major depressive disorder b) bipolar disorder c) persistent depressive disorder d) cyclothymia
b
As many as __________ of people prescribed an antidepressant stop taking their medication within the first month. a) 10% b) 20% c) 90% d) 40%
d
Tryptophan depletion has been used to a) lower serotonin levels. b) examine dopamine receptors. c) deplete norepinephrine levels. d) raise sensitivity for serotonin.
a
Which of the following factors have NOT been proposed as an explanation for the gender difference in depression? a) Girls are more likely to be exposed to sexual abuse than boys. b) Women tend to be more creative than men. c) Women are more likely to be exposed to chronic stressors in adulthood. d) Social roles promote emotion-focused coping among women.
b
To be diagnosed with bipolar I disorder, a person a) must be currently experiencing manic symptoms. b) must have experienced hypomanic symptoms as well as depressive symptoms at some point in their lifetime. c) must have had at least one episode of mania at some point in their lifetime. d) must have experienced at least one depressive episode.
c
Which of the following statements is true? a) There is a negative relationship between bipolar disorders and creativity. b) There is a positive relationship between bipolar disorders and creativity. c) Creativity causes improvements in mood. d) Depression causes creative outbursts.
b
Given the inconsistent evidence about levels of neurotransmitters in people with mood disorders, researchers have begun to focus research efforts on a) whether specific levels of serotonin or dopamine are important. b) understanding the types of people who have no disturbances in their absolute levels of neurotransmitters. c) finding a new neurotransmitter. d) the sensitivity of postsynaptic receptors.
d
. Major Depressive Disorder-Chronic Subtype and Dysthymia have been combined into the new diagnosis of __________________ in the DSM-5. a. Persistent Depressive Disorder b. Major Depressive Disorder c. Bipolar I Disorder d. Premenstrual Depressive Disorder
a
Studies suggest that suicide risk is a) always due to social factors. b) always due to environmental factors. c) partially heritable. d) caused by low levels of norepinephrine.
c