Child Psych Chapter 10 Flashcards

1
Q

Mood Disorders

A

Extreme, persistent, or poorly regulated emotional states

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2
Q

Dysphoria

A

Prolonged bouts of sadness

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3
Q

Anhedonia

A

Little joy and loss of interest in activities

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4
Q

Irritability

A

Easy annoyance and touchiness
Angry mood and temper outbursts
Presentation of childhood depression

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5
Q

Mania

A

Abnormally elevated or expansive mood
Increased goal-directed activity and energy
Euphoria

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6
Q

Euphoria

A

Exaggerated sense of well-being

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7
Q

Infant Depression

A

Lack of parental care
Withdrawal, apathy, increased clinging, sleep disturbances

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8
Q

Preschooler depression

A

Somber, tearful, lack of energy, irritability
Excessive clinging and avoid separation

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9
Q

School-age depression

A

Increased irritability, disruptive behavior, and combativeness
Academic difficulties and peer problems

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10
Q

Preteen and teenage depression

A

Increased self-blame and low self-esteem
Sleep and eating disturbances
Social inhibition
Anhedonia
Negative body image

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11
Q

Major Depressive Disorder Symptoms

A

Sadness, anhedonia, irritability, and additional symptoms
Present for 2+ weeks
Cause distress or impairment
Absence of triggering factors
Mild, moderate, or severe

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12
Q

Childhood MDD

A

Diagnosed with adult criteria
Often overlooked due to changed presentation- Irritability

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13
Q

MDD Prevalence

A

2-8% of youths
Lifetime 11-20%
Increase in adolescence
Girls are 2-3 times more likely

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14
Q

Dysthymia (PDD)

A

Symptoms of depressed mood most of the time for over 1 year with 2+ cognitive or somatic symptoms
1% of children 5% of adolescents

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15
Q

Double Depression

A

MDD episode with dysthymia present at baseline

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16
Q

Disruptive Mood Dysregulation Disorder (DMDD)

A

Chronic, severe persistent irritability
Verbal or physical outbursts 3-4 times per week for at least 1 year in multiple settings
Chronic irritable or angry mood between outbursts
Must present before 10 years old
More common in males
Cannot co-occur with ODD or BP

17
Q

Associated Characteristics with Depression

A

Decreased intellectual and academic functioning
Negative cognitive biases
Low and unstable self-esteem
Relationship disruptions
Suicide

18
Q

Psychodynamic theory of depression

A

Actual or symbolic loss of love object
Anger towards loss turned inward
Excessive superego
Loss of self-esteem

19
Q

Attachment theory of depression

A

Insecure early attachment
Distorted model of self and others

20
Q

Behavioral theory of depression

A

Loss of quality reinforcement or skills needed to obtain it

21
Q

Cognitive theory of depression

A

Depressive mindset
Distorted or maladaptive cognitive structures
Negative view of self, world, and future
Hopelessness
Poor problem solving ability

22
Q

Self-control theory of depression

A

Problems in setting behavior for long-term goals
Deficits in self-monitoring, evaluation, and reinforcement

23
Q

Interpersonal theory of depression

A

Impaired function
Role dispute or transition
Social withdrawal

24
Q

Socio-environmental theory of depression

A

Stressful life circumstances add vulnerability
Social support, coping, and appraisal are protective factors

25
Q

Neurobiological theory of depression

A

Neurochemical and receptor abnormalities
Neurophysiological or endocrine abnormalities
Genetics, early development, or structural variations

26
Q

Genetic and family risks of depression

A

30-45% heritability
Children of depressed parents have increased risk and early onset
Inherit vulnerability to negative affect

27
Q

Neurobiological risks of depression

A

Several brain areas
Lowered reward system
Heightened stress response
Alterations in critical thinking and emotional areas

28
Q

Family risks of depression

A

Family dysfunction- little consistency and negative environment

29
Q

Emotional regulation as a risk for depression

A

Youths with depression have difficulties overcoming negative moods
Issues in regulation can arise from prolonged emotional distress

30
Q

Behavioral Therapy for Depression

A

Increases pleasurable activities and obtain more reinforcement
Social skills training
Daily monitoring, structured and scheduled activities

31
Q

Cognitive Therapy for Depression

A

Teach to identify, challenge, and modify negative thought patterns
Replace negative thoughts with positive self-talk

32
Q

Medications for depression

A

Tricyclics- Adults only
SSRIs- First line
More effective in conjunction with CBT

33
Q

Bipolar Disorder (BP) in Children

A

Erratic instead of persistent mood swings
Grandiose delusions and heightened self-importance
More rapid cycling
0.5-2.5% prevalence
Uncommon before puberty
Highly heritable