Chapter 6 Test 2 Flashcards
Explain what is meant by “bipolar disorder is analogous to cancer?”
because even when persons are symptom free they are still labeled as having the disorder, but they are considered to be in remission.
DSM-5 revisions emphasize what symptom of bipolar disorder?
increases the emphasis on changes in energy.
Describe the distinction between mania and hypomania?
Intensity, not quality
The depressed phases of bipolar illnesses may show features that are more “atypical”. What are they?
Atypical depression is marked by hypersomnia instead of insomnia, increased appetite instead of decreased appetite, weight gain instead of loss, motor retardation or substantially decreased energy, and rejection to sensitivity.
What are the two different temporal presentations that could produce mixed mood presentations?
One involves the simultaneous occurrence of depressive and manic symptoms. This “dysphoric mania” often involves high energy coupled with negative valence. It is often volatile and can shift into other mood states quickly.
· Mood instability, oscillating between periods of relatively pure mania and depression.
What are the deficits in cognitive performance in pediatric bipolar disorder?
Poorer processing speed, executive functioning, and working memory compared to those of healthy controls, along with more focal deficits in emotional processing.
What is the relationship between pediatric bipolar disorder and sleep? Relationships with family and peers? Risk-Taking?
Decreased need for sleep, substantial disruption of interpersonal relationships with both peers and family, and correlated highly with impulsivity particularly during periods of high energy.
What are the common comorbidities with pediatric bipolar disorder? Which is the most common comorbidity recognized among youth diagnosed with PBD?
· Depression · Psychosis · Attention-Deficit/Hyperactivity Disorder: most common · Disruptive Behavior Disorders · Anxiety and Related Disorders · Pervasive Developmental Disorders/Autism Spectrum Disorder · Obesity and Metabolic Syndrome · Substance Misuse
What can we conclude about younger clinical samples and bipolar disorder as well as adolescent samples?
Younger clinical samples have higher overall levels of manic symptoms. Adolescent have higher rates of depressive symptoms.
What pattern do pediatric data conform to in the context of sex differences?
Younger males show higher rates of mania while adolescent females show higher rates of depression. However, there are no overall significant sex differences.
