Depression Flashcards
Mood
Mood is a pervasive and sustained emotion that influences one’s perception of the world and how one functions.
Affect
Affect, or outward emotional expression, is related to the concept of mood. Affect provides clues to the person’s mood.
Primary mood of depressive disorders.
Depression is the primary mood of depressive disorders.
Depression
Depression is a common mental state characterized by sadness, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration
Depressive disorder
a sad mood interferes with daily life
Difference between children and adult depression
They are more likely to have anxiety symptoms, such as fear of separation, and somatic symptoms, such as stomach aches and headaches.
They may have less interaction with their peers and avoid play and recreational activities that they previously enjoyed.
Mood may be irritable, rather than sad, especially in adolescents.
When does risk of suicide peak for children
peaks during the midadolescent years
Depression in older adults is often associated with?
chronic illnesses, such as heart disease, stroke, and cancer; symptoms may have a more somatic focus.
Diagnostic Criteria for major depressive disorder
one or more moods of depressed loss of interest, or pleasure
disruption of sleep, appetite, concentration or energy
psychomotor agitation or retardation; excessive guilt or feelings of worthlessness; and suicidal ideation
What groups are depression more prevalent in?
Depression is more prevalent in younger adults, White adults, and Native American adults than among African American, Asian American, and Hispanic adults
Suicidal behavior
Suicidal behavior is the occurrence of persistent thought patterns and actions that indicate a person is thinking about, planning, or enacting suicide.
One of the first nursing interventions when dealing with depression:
one of the first nursing interventions is helping the person re-establish normal sleep patterns and healthy nutrition
Drugs most used for treating depression
selective serotonin reuptake inhibitors (SSRIs),
serotonin-norepinephrine reuptake inhibitors (SNRIs),
and the norepinephrine dopamine reuptake inhibitor (NDRI) are used most often
Why are these drugs (SSRIs, SNRIs, NDRIs) most used for treating depression
because these drugs selectively target the neurotransmitters and receptors thought to be associated with depression and minimize side effects.
When are MAOIs used for pts with depression?
MAOIs usually are reserved for patients whose depression fails to respond to other antidepressants or patients who cannot tolerate typical antidepressants.
