clinical key question Flashcards
What is your key question for clinical?
Should we be prescribing medication for depression?
What is AO1 for your clinical key question?
What depression is and why it is a key issue for society
What is AO2 for your clinical key question?
How drug treatments for depression work
How CBT works as an alternative treatment
What is AO3 for your clinical key question?
Evaluation of the effectiveness of drug treatments for depression and whether we should prescribe them or not
How much does depression medication cost the NHS per day and why is this a key issue?
Around £780,000
Need to ensure it is an effective treatment method
What percentage of people in the UK aged 16 or over have shown symptoms of anxiety or depression?
0.19699999999999998
What is the role of the Doctor in drug treatments for depression?
Prescribe medication and monitor effectiveness
Adjust dosage if required
Review side effects regularly
How is serotonin associated with depression?
Low levels = symptoms such as low mood and high anxiety
Also influences other monoamines so low serotonin = low dopamine and low noradrenaline too
How do SSRIs work?
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 do SNRIs work?
stop the reuptake of both serotonin and noradrenaline, improving symptoms such as concentration and low mood.
How do MAOIs work?
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 does CBT work as an alternative to drug treatments?
Aims to change maladaptive thoughts associated with depression
Why may CBT be a better treatment for depression than drug treatments?
No side effects
Longer lasting
What did the Royal College of Psychiatry find about antidepressant drugs?
50 - 65% of those treated showed improvement compared to only 25-30% on a placebo - suggests drugs are effective for treating depression
How does Kuyken conflict drug treatments?
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
