Chapter 6 in class notes Flashcards

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1
Q

Mood disorder
A) marked by …
B) How long?

A

A) a gross deviation in mood - depression and mania

B) Last days, weeks, months and years

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2
Q

Mixed features

A

Classic depression with mania or vice versa

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3
Q
DSM-5 Depressive Disorders (list them)
A) 
B)
C) new to DSM-5
 > 
 >
A
A) Major depressive disorder
B) persistent depressive disorder
C) New
> Premenstrual
> Disruptive mood
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4
Q

DSM-5 Bipolar Disorders (list them)
A)
B)
C)

A

A) Bipolar I
B) Bipolar II
C) Cyclothymic Disorder

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5
Q
Types of Mood Episodes - 4 potential
1.
2.
3.
4.
A
  1. Major depressive episode
  2. Manic episode
  3. Hypomanic episode
  4. Mixed features
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6
Q
Major depressive episodes
A) Extremely \_\_\_
B) Anhedonia
C) Duration
D) At least ...
A

A) depressed mood - required
B) little or no pleasure in life - required
C) 2+ weeks - required
D) 4 additional physical or cognitive symptoms (poor sleep, poor diet, body aches, poor concentration, motivation, suicidal)

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7
Q

Define Anhedonia

A

little or no pleasure in life

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8
Q
Manic episode - severe
A) \_\_\_ mood
B) duration
C) additional symptoms
D) I\_\_\_\_
A

A) elevated expansive mood. Intense, over the top. Extreme euphoria and/or irritabilitiy. mixture
B) 1+ week
C) hypersexual. Impulsive and reckless. Energy. Significant decrease need for sleep. Quick flip to irritability.
D) impairment

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9
Q
Hypomanic episode
A) describe
B) duration
C) \_\_\_\_ \_\_\_\_ than a manic episode
D) \_\_\_ poblematic
A

A) less severe and fewer symptoms than mania
B) about four days (usually less than a week)
C) less impairment than a manic episode
D) may or may not be

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10
Q

Mixed features – episode with ___

i.e. __ OR ___

A

opposite valence of mood -
i.e. they have symptoms of depression but their mood is manic.
OR
symptoms of mania but their mood is depressed.

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11
Q

Major depressive disorder - Diagnosis:
A) time
B) mood
C) A___

A

A) Nearly all day every day for at least 2 weeks
B) depressed mood or irritability (child irritability for 1 week)
C) Anhedonia - no pleasure in life

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12
Q

Clinical Features - Major Depressive Disorder
A) Episodes ___ or ___
B) also known as
C) Frequency and duration

A

A) single or recurrent - both diagnosed with same
B) Unipolar depression
C) left untreated BAD. Untreated major depressive episode - 75% chance of 2nd episode. 98% chance of 3rd episode. 100% chance of fourth episode.

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13
Q

Major Depressive Disorder

if untreated - course

A

after 1st untreated episode
75% chance of 2nd episode
98% chance of 3rd episode
100% chance of 4th episode (chronic)

“normal” time gets shorter, episodes increase in length. The depression increases in magnitude.

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14
Q

From grief to depression - grief follows ____

A

a different pattern

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15
Q

[exam] Persistent Depressive Disorder by itself is called

A

Pure dysthymic syndrome

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16
Q

[exam] Define Persistent Depressive Disorder

A

Low grade sadness/irritability for at least 2+ years

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17
Q

Persistent Depressive Disorder
A) Not by itself - can be ___
B) By itself is called
C) Length

A

A) applied to any depressive mood disorder
B) Pure dysthymic syndrome
C) 2+ years

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18
Q

Double Depression

A

Double depression refers to the co-existence of major depressive disorder and persistent depressive disorder. Double depression tends to be more severe than either MDD or PDD alone and individuals with double depression experience relapse more often than those with either MDD or PDD alone

19
Q

Premenstrual Dysphoric Disorder (PMDD)

A

Premenstrual dysphoric disorder (PMDD) is a health problem that is similar to premenstrual syndrome (PMS) but is more serious. PMDD causes severe irritability, depression, or anxiety in the week or two before your period starts. Symptoms usually go away two to three days after your period starts.

Controversial diagnosis - gets into medical/bodily issues

20
Q

Disruptive Mood Dysregulation Disorder DMDD

A

diagnosed only from 6-18 yrs old.
difficulty controlling moods and behavior.

is a condition in which a child is chronically irritable and experiences frequent, severe temper outbursts that seem out of proportion to the situation at hand. Children diagnosed with DMDD struggle to regulate their emotions in an age-appropriate way. In between outbursts they are irritable most of the time.

21
Q

[exam] Bipolar I Disorder requires what?

A

A manic episode - the only thing needed for diagnosis

22
Q

Bipolar I Disorder:
A) Onset
B) Prognosis
C) Suicide

A

A) bimodal - like OCD. Men around 16-22 years old. Women 27-35 years old.
B) Chronic - for life. Cyclical
C) highly associated - moreso than MDD - on upswing of mania and on upswing of depression.

23
Q

Bipolar II Disorder
A) Cannot have __
B) Presence of at least ____
C) ______ required

A

A) mania. otherwise is BP1.
B) One hypomanic episode
C) Major depressive episode required

24
Q

Bipolar II Disorder:
A) Onset
B) Prognosis
C) if they have ____ diagnosis changes to ____

A

A) bimodal - like OCD. Men around 16-22 years old. Women 27-35 years old. (same as BP1)
B) Chronic
C) Mania, Bipolar I.

25
Q

Cyclothymic Disorder
A) Describe
B) Duration before diagnosis
C) treatment

A

A) moods swing between short periods of mild depression and hypomania. The low and high mood swings never reach the severity or duration of major depressive or full mania episodes. People with this disorder have milder symptoms than occur in full-blown bipolar disorder.

B) 2 years for adults, 1 year for children/adolescents.
C) very hard to treat.

26
Q

Cyclothymic Statistics:
A) Onset
B) Females to males
C) Prognosis

A

A) diagnosed in young adult, but symptoms detected in childhood
B) 2:1 Females to males. Could be reporting not sex difference.
C) Chronic. Will often move to bipolar I or II

27
Q

Bipolar – voices only come when?

A

In extreme moods - lows and highs

28
Q
Prevalence of Mood Disorders
A) _%
B) Sex differences
C) Children & adolescents
D) Older Adults (65+)
E) Cultural differences
A
A) 16-18%. Higher in college.
B) Females to male 2:1.
C) Depression more, less bipolar
D) Depression increases
E) 2:1 across cultures as a whole (female to male)
29
Q

[exam] Physiological Contributor to mood disorders
A) Genetics and heredity
B) Neurotransmitters
C) Endocrine system

A

A) 25% chance of offspring. You inherit the LIKELIHOOD of a mood disorder - you don’t inherit the mood disorder.
B) hardware problem or numbers problem
C) Hypothalamic pituitary adrenal (HPA) axis is our central stress response system.

30
Q
Psychological contributors
A) Life events (such as)
B) Social \_\_\_\_
C) Learned \_\_\_
D) \_\_\_\_\_style
A

A) going to college
B) Support - less means more likelihood
C) helplessness theory
D) Attributional style - 3 types: internal (“my fault”) stable (“I can’t change this, it’s always been this way”). Global (“future wont change”)

31
Q
Gender differences in mood disorders - possible explanations for differences
A) C\_\_
B) I\_\_\_
C) S\_\_\_
D) R\_\_\_
A

A) Controllability - women feel less in control
B) Independent - women less independent often - financially, etc.
C) Sensitivity - women higher levels - empathy
D) Rumination - women talk about things more

32
Q

Integrative theory - order

A

Biological Vulnerability > Psychological vulnerability > Stressful life event > Depression/mania > Mood disorder

33
Q
Antidepressants (most common to least)
A) 
B) 
C) 
D)
A

A) Selective Serotonin Reuptake Inhibitor - serotonin stays in synapse
B) Tricyclic antidepressants - creates barriers - decreases diffusion
C) Monoamine oxidase inhibitors - creates barrier to enzymes/oxidation. Marplan nardil
D) Mixed reuptake inhibitors - works same as SSRI but targets both 5HT and NE – both related to depression.

34
Q

Electroconvulsive Therapy (ECT)
A) Unilateral vs bilateral
B) Side effects
C) Population of choice

A

A) unilateral - one sided. Bilateral - both sides
B) STM loss. Dizziness, nausea, headaches, aches, flu symptoms
C) 1. resistant to treatment 2. imminent suicide 3. elderly - doesn’t mess with drugs 4. pregnant women

35
Q

Transcranial magnetic stimulation

A

magnetic field - less invasive and less effective. more for maintenance

36
Q

Lithium
A) treatment for __
B) ____ stabilizer
C) % respond to treatment

A

A) bipolar
B) mood
C) 50% - but it’s the most effective treatment (no better alternative)

37
Q
Psychological treatments
A) Effective for \_\_\_
B) Behavior Therapy - what it entails
C) CBT - what it entails
D) Recovery between BT and CBT
E) Relapse rates
A

A) mood disorders, especially depression
B) behaviors such as socializing and getting out of house
C) thoughts and emotions
D) 80-85%
E) 20% if they go through 16 sessions of CBT or BT. 30% if go to 8-12 sessions of CBT or BT.

38
Q
Suicide
A) under\_\_\_\_
B) higher ethnicities with completed suicides
C) age of most attempts
D) gender differences
E) Society differences
A
A) underreported
B) white and native americans
C) young adults 15-30 yrs old
D) women more attempts, men more completion.
E) Collective vs individualistic.
39
Q

[exam] Fatality rate by suicides method (in order)

A
  1. Firearms
  2. Suffocation / hanging
  3. Falls
  4. Poisoning/overdose
  5. Cutting
40
Q

Suicide cluster

A

copying of behavior.

One person commits suicide, uptick of attempts

41
Q

Suicide contagion

A

copying of emotion and thoughts.

One person talks about suicide and then another thinks about it more and feels more.

42
Q

Role of the media -

A

sensationalizes, glorifies and romanticizes suicide

43
Q

what percentage of individuals report they’re going to commit suicide before they do?

A

95%