depression Flashcards

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1
Q

what is major depressive disorder?

A

serve but short term depression

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2
Q

what is persistent depressive disorder?

A

long term and recurrent depression

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3
Q

what is prementrual dysphoric disorder?

A

disruption to mood prior to and/or during menstruation

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4
Q

what is disruptive mood dysregulation disorder?

A

childhood temper tantrums

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5
Q

how many people in the UK have mixed anxiety and depression in the UK?

A

9%

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6
Q

how many people experience depression in their lifetime?

A

10%

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7
Q

what are the 9 symptoms needed for the diagnosis of depression?

A
  • depressive mood indicated by subjective reports o observations made by others
  • decreased interest and pleasure in most activities
  • significant weight change of 5% or more
  • change in sleep
  • fatigue
  • change in activity: psychomotor agitation or retardation
  • feels guilty or worthless in excess
  • decrease concentration and increased indecisiveness
  • suicidality
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8
Q

What are the behavioural characteristics?

A

decreased activity levels, disruption to sleeping and eating, aggression and self-harm

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9
Q

give an example of a behaviour related to decreased activity levels

A

withdrawal from work, education and social life

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10
Q

give examples of a behaviour related to disruption to sleep and eating

A

insomnia, hypersomnia, increase/decreased eating leading to weight gain/loss

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11
Q

give examples of a behaviour related to aggression and self-harm

A

irritable and can become verbally/physically abusive, ending relationships/jobs and physical aggression against self

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12
Q

what are the emotional characteristic?

A

lower mood, anger and lowered self-esteem

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13
Q

what are examples of lowered mood related to depression?

A

more pronounced feelings of sadness or tiredness

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14
Q

what are examples of anger related to depression?

A

anger often extreme and directed towards self and others

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15
Q

what are examples of lowered mood related to depression?

A

sufferer report lowered self-esteem and self-loving

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16
Q

what are the cognitive characteristics of depression?

A

people suffering from depression tend to process information about the word differently to those who do not have depression, they may also have poor concentration, are attentive to the negative and dwell on it, and have absolutist thinking

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17
Q

give examples of behaviours relating to poor concentration

A

unable to stick to a task, hard to make decisions, interference with work

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18
Q

give examples of behaviours relating to attention to the negative

A

bias towards negative events, ignore the positives

19
Q

give examples of behaviours relating to absolutist thinking

A

tend to think all situations are good or bad, blk or white thinking, if one thing goes wrong the whole thing is a disaster

20
Q

whats beck’s cognitive theory of depression?

A

explains how people are more vulnerable to depression due to a person’s cognition and that there are three pars of cognitive vulnerability

21
Q

what are the three factors in cognitive vulnerability?

A

faulty information processing, negative self-schemas, the negative triad

22
Q

what are the effects negative self-schema?

A

when a person interprets all information about themselves is a negative way

23
Q

what are the 3 negative ways f thinking?

A

a negative world view, negative view of future and negative view of self

24
Q

what is the supporting evidence for becks cognitive theory?

A

Graziolo and terry assessed 65 pregnant women for cognitive vulnerability and depression before and after birth and found that those with high cognitive vulnerability are more likely post-natal-depression
Clark and beks meta-analysis concluded there is evidence for all the cognitive vulnerability factors

25
Q

what are the strengths of becks cognitive theory?

A

it has practical application
it can be linked to attachments
support cognitive primacy in which emotions are influenced by cognitions

26
Q

what is a weakness of Beck’s cognitive theory?

A

it is reductionist, s it explains the basic symptoms of depression but does not explain more complex symptoms such as extreme anger, hallucinations or even Cotard’s syndrome

27
Q

what is Ellis’s ABC model and how does it explain depression?

A

it explains poor mental health is the result of irrational thoughts
Activating event
Beliefs
Consequences

28
Q

what are activating events?

A

external events that trigger irrational thought, relating to the already present negative thoughts

29
Q

what is Musturbation?

A

the belief we must always succeed or achieve perfection

30
Q

what is ‘i-can’t-stand-it-is’?

A

the belief that whenever something is not perfect it is a major disaster

31
Q

what is utopianism?

A

belief life is always meant to be fair

32
Q

What are the consequences in Ellis’s ABC model?

A

when the beliefs triggered by the activating event causes depression

33
Q

what are the strengths of the ABC model?

A

practical application

cognitive primacy

34
Q

what are the weaknesses of the ABC model?

A

it cannot be applied to all types of depression as it is not always caused by activating event
reductionist

35
Q

what does CBT aim to do?

A

change irrational thoughts to change the behaviour

36
Q

How does Beck’s CBT work?

A

therapists and clients should identify the negative triad and test the reality of their negative belief and complete homework related to this, for example, recording when people are nice to them so it can be used as counter-evidence for irrational thoughs

37
Q

What’s Ellis’s CBT called?

A

ellis’s rational emotive behavioural therapy

38
Q

What does ABCDE stand for?

A
activating events
beliefs
consequences
dispute
effect
39
Q

what and how does dispute work in REBT?

A

identifies and disrupts irrational thoughts using arguments (vigorous, empirical, logical) to break the link between negative events and depression

40
Q

what is behavioural activation?

A

when behaviour is changed in order to change cognitions

41
Q

what is the supporting evidence for CBT?

A

march et al compared the effects of CBT, antidepressants and a combination of the two in 327 adolescents with a main doagnosis of depression and found after 36 weeks 81% f the CBT group and 81% of the antidepressant group significantly improved, and 86% of the combined group improved

42
Q

what is the strength of the CBT?

A

used int he primary treatment by the NHS

43
Q

what are the weaknesses of CBT?

A

in serve cases, clients cannot motivate themselves to engage in the therapy
self-esteem needed so the patient feels they are worth being treated
dependant on trust n respect
patients may wish to discuss their past but CBT focuses on the present and future
overemphasis on cognition instead of environmental factors like abuse or poverty