Child/Adolescent/Adult Anxiety: Special Considerations - Lewis

Question 1

What ethnic group generally has the greatest prevalence of Anxiety Disorders, Mood Disorders, and Substance Use Disorders?

Answer 1

Native Americans

Question 2

What ethnic group generally has the lowest prevalence of Anxiety Disorders, Mood Disorders, and Substance Use Disorders?

Answer 2

Asians

Question 3

For most race/ethnic subgroups, alcohol and drug dependence (not abuse) is significantly associated with what?

Answer 3

Mood disorders

Question 4

What is the difference between Collectivism and Individualism?

Answer 4

Anxiety about doing something that will offend or embarrass the other person (Collectivism) vs. oneself (Individualism).

Question 5

What is Taijin kyofusho (TKS)?

Answer 5

• Japanese/Korean cultures
• Individuals concerned about doing something, or presenting an appearance, that will offend or embarrass the other person, compared to oneself in SAD.
• Belief that one displays physical defects and/or socially inappropriate behaviors
• Fear of offending others, termed as an allocentric focus of social fears
  
  • Fear of blushing
  • Fear of deformed body
  • Fear of eye contact
  • Fear of one’s own foul body odor

Question 6

What types of mental health rates are higher in lesbian and gay youth?

Answer 6

• Major depression
• Generalized anxiety disorder
• Substance use or dependence

Question 7

What types of mental health rates are higher among gay men?

Answer 7

Recurrent Major Depression

Question 8

Higher rates of anxiety disorders, mood disorders, substance use disorders, and suicidal thoughts are present among people with same-sex partners of what age group(s)?

Answer 8

ages 15-54

Question 9

Compared to heterosexual men, gay-bisexual men experience more depression, psychological distress, and what?

Answer 9

Panic Attacks

Question 10

Compared to heterosexual women, Lesbian-bisexual women have higher prevalence of what disorder?

Answer 10

Generalized Anxiety Disorder

Question 11

What type of traumatic event is the largest precipitator of PTSD?

Answer 11

Rape-Related Trauma (49%)

Question 12

Rape victims are how many times more likely to develop PTSD than women who had never been victims of crime?

Answer 12

6.2%

Question 13

What percentage of rape victims reported ever having serious thoughts of killing themselves?

Answer 13

One third (33%)

Question 14

Rape victims were how many times more likely than non-crime victims to have attempted suicide?

Answer 14

13x more likely

Question 15

Rape victims were how many times more likely to have two or more major alcohol problems or serious drug abuse problems than non-victims?

Answer 15

• 13.4x more likely to have major alcohol problems
• 26x more likely to have serious drug abuse problems

Question 16

What is Rape Trauma Syndrome?

Answer 16

• ​Medical term given to the response that survivors have to rape
• Natural response of a psychologically healthy person to the trauma of rape
  
  • symptoms do not constitute a mental disorder/illness
• ​​Symptoms include:
  
  • Physical: N/V, headaches, sleep disturbances
  • Behavioral: Difficulty concentrating, fear of being alone, drop in work performance
  • Psychological: Shame, numbness, flashbacks, loss of memory

Question 17

What are some factors that influence recovery after a rape-related traumatic event?

Answer 17

• support system
• relationship with offender
• degree of violence used
• social and cultural influences
• previous experience with stress
• ability to cope with stress
• attitude of those immediately contacted
• age/development of victim