Chapter 8: Mood Flashcards

1
Q

Mood disorder

A

characterized by severe deviation in mood

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1
Q

Major depressive episode (What is it and what are symotoms?)

A
  • most severe depression
  • extremely depressed mood state that last at least two weeks
  • include congitve symtoms (feeling wortlessness)
  • and disturbed physical functions
  • loss of interest and the ability to experience pleasure in life
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2
Q

What is mania?

A
  • abnormally exaggerated elation, joy or euphoria.
  • persistently increased goal-direced activity or energy.
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3
Q

What is a hypomanic episode?

A
  • less severe version of manic episode
  • does not cause marked impairment in social functioning
  • needs to last only four days
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4
Q

What is a unipolar mood disorder?

A
  • Individuals who expereince either depression OR mania (their mood remains at one pole)
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5
Q

What is a bipolar mood disoder?

A
  • someone who alternates between mania and depression (on a continuum)
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6
Q

What is a major depressive disorder (MDD)?

A
  • defined by the presence of depression and absence of manic or hypomanic episodes
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7
Q

What is a persistent depressive disorder (dysthymia)?

A
  • shares many symptoms of MDD
  • but there may be fewer symptoms
  • and depression remains relatively unchaged over long periods.
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8
Q

What are different between persistent depressive disorder and major depressive disorder?

A
  • PDD is more severe (higher rates of comorbidity with other mental disorders)
  • PDD is less responsive to treatment (slower improvement)
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9
Q

What is a double depression?

A
  • poeple suffering from MDD and PDD over different periods
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10
Q

What is seasonal depression affective disorder (SAD)?

A

depression reocurrin in specific seasons (at least two in a row)

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11
Q

What can be said about the onset and duration - reagrding MDD and PDD?

A
  • prevalence of MDD increases dramatically during adolescence (especially girls)
  • MDD last from 2 weeks to several years.
  • PDD can up to 20-30 years.
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12
Q

What are other depressive disorders?

A
  1. premenstrual dysphoric disorder (PMDD)
  2. Disruptive mood dysregulation disorder (DMDD)
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13
Q

What is the prementrual dysphoric disorder (PMDD)?

A
  • severe emotional reactions during prementrual time
  • disorder of mood
  • 2-5% of women
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14
Q

What is the disruptive mood dysregulation disorder (DMDD)?

A
  • severe recurrent temoer outburts
  • manifested verbally and physically
  • grooly out of proportion in intensity or duration to thr situation
  • diagnosed in CHILDREN
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15
Q

What is the clinical description of bipolar disorders?

A
  • key feature: manic episodes with major depressive episodes
  • very similar to MDD but with mania
16
Q

What are the two types of Bipolar disorder?

A
  • Bipolar disorder 1: alternate between depression and mania
  • Bipolar disorder 2: alternate between depression and hypomania (less severe episodes)
17
Q

Criteria for hypomanic episode identical to a manic episode, except for …

A
  • minimu duration is only four days (not a week)
  • chage is not severe enough to cause marked social impairment
  • there are no psychotic features
18
Q

What is the ciclothymic disorder?

A
  • milder but more chronic version of bipolar depression
  • often in one mood state or the other for many years
19
Q

What is the diagnostic criteria for the cyclothymic disorder?

A
  • periods with hypomanic symtoms that do not meet criteria for hypomanic episode
  • periods with depressive symptoms that do not meet criteria for a major depresisve episode.
20
Q

What is the rapid-cycle specificier?

A
  • some poeple move quickly in and out of depression (manic episodes
  • at least four manic or depressive episodes within a year
21
Q

What is rapid switch or rapid mood switching?

A

patients cycle between mania and depression without any break

22
Q

What can be said about the prevalence of mood disorders?

A
  • 6% have a MDD in the last year
  • women twise as likely to debelop a mood disorder than men
  • BP is distrubuted equally across gender.
23
Q

What are causes of mood disorders?

A
  • biological (genetic contribution, joint heritability of anxiety and depression, neurotransmitter systems, the endocrine system and sleep rhythms)
  • psychological (stressful life events, learned helplessness, negatve cognitive systeles)
  • social and cultural dimensions
24
What are three basic types of antidepressant medications? (for depression)
1. Trycyclic antidepressants 2. Manoamine oxidase (MAO) inhibitors) 3. Selective-serotoning reuptake inhibtors (SSRIs)
25
What can be said about lithium?
- antidepressant drug - mood-stabilizing - side effects can be potentially serious - preferred drug for bipolar disorder (preventing relapse)
26
What is the electroconvulsive therapy?
- controlversial but effective treatment for severe depression - changes in the brain through repeated seizures (electric shocks are administred directly through the brain)
27
What is the trasncranical magnetic stimulation (TMS)?
- another method for altering brain activity - using a magnetic field to treat depression - still ECT is more effectuve!!
28
What are two major approaches (psychosocial treatments) - regarding depression?
1. Cognitive behavioral therapy 2. Interpersonal therapy
29
How does cognitive behavioral therapy work?
- clients are taught to examine their thought processes while depressed and recognize thier depressive errors i thinking - treatment involves correcting these cognitve errors - and replace them with more realstic thoughts
30
How does interpersonal psychotherapy work?
- focuses on resolving problems in existing relationships and forming new ones - resolution through (Stages) 1. Negotation 2. Impasse 3. Resolution
31
Interpersonal psychotherpy targets four interpersonal issues ... which ones?
1. Interpersonal role disputes 2. Adjusting to relationship loss 3. Acquiring new relationships 4. Correcting deficits in social skills.
32
How can we prevent relapse - when it comes to depression?
- maintenance treatment is crucial - cognitve theray has been shown effective - Mindfullness-based therapy (disengae from negative thinking)
33
Psychological treatment for biolar disorders
- Lithium - Interpersonal and social rhythm therapy (IPSRT) - family-focused treatments - intensive psychological treatments
34
What are suicide risk factors?
- family history - neurobiology - existing psychological disorders - stressful life events