clinical key q Flashcards

1
Q

What is your key question for clinical?

A

Should we be prescribing medication for depression?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is AO1 for your clinical key question?

A

What depression is and why it is a key issue for society

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is AO2 for your clinical key question?

A

How drug treatments for depression work

How CBT works as an alternative treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is AO3 for your clinical key question?

A

Evaluation of the effectiveness of drug treatments for depression and whether we should prescribe them or not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How much does depression medication cost the NHS per day and why is this a key issue?

A

Around £780,000

Need to ensure it is an effective treatment method

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What percentage of people in the UK aged 16 or over have shown symptoms of anxiety or depression?

A

0.19699999999999998

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the role of the Doctor in drug treatments for depression?

A

Prescribe medication and monitor effectiveness

Adjust dosage if required

Review side effects regularly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is serotonin associated with depression?

A

Low levels = symptoms such as low mood and high anxiety

Also influences other monoamines so low serotonin = low dopamine and low noradrenaline too

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do SSRIs work?

A

stop the reuptake of serotonin to the presynaptic bulb which means there will be more in the synapse. This will improve symptoms such as anxiety.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do SNRIs work?

A

stop the reuptake of both serotonin and noradrenaline, improving symptoms such as concentration and low mood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do MAOIs work?

A

stops MAO from doing its job which means it doesn’t break down the monoamines and their number increases. This improves symptoms such as energy and pleasure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How does CBT work as an alternative to drug treatments?

A

Aims to change maladaptive thoughts associated with depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why may CBT be a better treatment for depression than drug treatments?

A

No side effects

Longer lasting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What did the Royal College of Psychiatry find about antidepressant drugs?

A

50 - 65% of those treated showed improvement compared to only 25-30% on a placebo - suggests drugs are effective for treating depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does Kuyken conflict drug treatments?

A

Found drugs have a higher relapse rate than CBT (60% vs 47%) suggesting that CBT is longer lasting than drugs so should be used instead

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why may a patient stop taking drug treatments?

A

Side effects

Depowering

Take a little while to work so may feel worse before they feel better