depression Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

healthy mood

A
  • individuals are able to experience a full range of emotions appropriate to situation
  • changes in mood are restored to harmony through adaptation
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2
Q

depression

A
  • sadness
  • despair
  • pessimism
  • loss of interest/pleasure
  • change in eating/sleeping patterns
  • vague somatic symptoms
  • anhedonia
  • diminished libido
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3
Q

depressive disorders

A

impairment of

  • interpersonal function
  • social function
  • occupational function (go to work, but do nothing)
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4
Q

co-morbidities of depression

A
  • etoh abuse/dependence
  • OCD
  • anxiety
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5
Q

major depressive disorder (MDD)

A
  • s/s at least 2 wks
  • no mania
  • not r/t substances
  • not r/t GMC
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6
Q

classifications of MDD

A
  • single or recurrent
  • severity
  • seasonal patterns
  • psychosis or no psychosis
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7
Q

causes of depression

A
  • deficiency in norepinepherine & serotonin
  • dopamine, acetycholine
  • elevated HPA activity
  • thyroid dysfunction
  • genetic/familial factors
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8
Q

hippocampus in depression

A
  • memory impairments

- feeling worthless, hopelessness, guilt

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9
Q

amygdala in depression

A
  • anhedonia
  • anxiety
  • decreased motivation
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10
Q

hypothalamus in depression

A
  • increased or decreased sleep & appetite

- decreased energy & libido

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11
Q

frontal cortex in depression

A
  • depressed mood

- difficulty concentrating

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12
Q

cerebellum in depression

A
  • psychomotor retardation

- agitation

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13
Q

learned helplessness

A

animals exposed to an electrical stimulation where they could not escape. later, given the opportunity to escape, reacted with helplessness and made no attempt to escape

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14
Q

cognitive theory

A

cognitive distortions

-negative expectations of self, environment and future

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15
Q

ages 3-5 in depression

A
  • accident proneness
  • phobias
  • aggressive
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16
Q

ages 6-8 in depression

A
  • vague physical complaints
  • aggression
  • cling to parents/avoid new people & challenges
17
Q

ages 9-12 in depression

A
  • morbid thoughts
  • excessive worrying
  • self-hurting actions
18
Q

teens in depression

A
  • difficulty to recognize d/t perception of normal emotional stressors of that age
  • major cause of suicide
  • SSRIs are not effective with teens, increased chance of suicide
19
Q

elderly in depression

A
  • most common psych illness
  • bereavement overload
  • highest suicide rate
20
Q

premenstrual dysphoric disorder

A
  • not official in DSM-IV
  • 1 wk prior to period
  • depressed mood
  • excessive anxiety
  • mood swings
  • decreased interest in activities
  • goes away after onset of period
21
Q

dysthymic disorder

A
  • milder than MDD
  • down in the dumps for at least 2 years
  • always grumpy
  • don’t usually get treated
22
Q

assessment in depression

A
  • affective
  • behavioral
  • cognitive
  • physiological
23
Q

tx for depression

A
  • group tx
  • CBT
  • family tx
  • peer support groups
  • meds (NE/S 5HT reuptake inhibition or antipsychotics)
  • vagal nerve stimulation
  • phototherapy
24
Q

indications for ECT

A
  1. depression
    - psychotic s/s
    - psychomotor retardation
    - neurovegetative changes
  2. mania
    - very dangerous behavior
    - those who do not tolerate/fail to respond to lithium
  3. acute schizophrenia
25
Q

contraindications for ECT

A

increased ICP

26
Q

side effects/risks of ECT

A
  • death
  • permanent memory loss
  • brain dmg
27
Q

postpartum depression

A
  • affects your functioning as a mother
  • acute, insidious
  • 4 wks within childbirth
  • psychotic, moderate, maternity blues
28
Q

psychotic postpartum depression tx

A
  • antidepressant (expressed in breast milk)

- supportive psycho tx, group tx

29
Q

moderate postpartum depression tx

A
  • supportive psycho tx

- assistance with home mgmt

30
Q

maternity blues tx

A

no tx, only reassurance