Emtional/social development & Adolescent depression Flashcards

1
Q

What are the domains of development?

A

Physical
Emotional
Social
Cognitive

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2
Q

What are emotions?

A

Feeling/state of mind generated from interaction with biochemical and/or environmental factors.

Have either a positive or negative valence- elation etc vs sad/gloomy.

Linked with physiological arousal, expressive behaviours, and conscious experience.

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3
Q

Describe temperament.

A

How a young child acts and responds to different situations and individuals (born with temperament)

Simple, non-motivational, non-cognitive, sylistic characteristics that represent meaningful ways of describing individual differences. Child brings characteristics that contribute to his/her development.

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4
Q

What is attachment?

A

This is the emotional bond between a child and the caregiver.

  1. Children need primary caregiver to be a secure base for exploration and safe haven for protection.
  2. Childrens perception of the caregiver form basis for ‘internal working models’.
  3. As individuals grow to adulthood:
    Internal working models influence interpersonal behaviour.
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5
Q

What is emotional regulation?

A

The ability of a child to control their emotions and reactions to the environment.

Dyadic during early development.

Attention allocation is important component.

Impact of peers/stress impacts on emotional regulation. (bullying & blunted cortisol response)

Adolescents: Better cognitive response inhibition than younger children.

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6
Q

What are the basic emotions and what are their functions?

A
Joy 
Sadness
Disgust
Anger
Surprise
Fear

These are not culture specific.

Communicate needs (external response from caregiver), promote survival

Relational: Engage in interactions with others and to understand others emotions. (Visual cliff experiment)

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7
Q

What are the self conscious emotions?

A
Empathy
Jealousy
Embarrassment
Pride 
Shame
Guilt
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8
Q

What are 6 temperamental characteristics?

A
Activity
Rhythmicity
Quality of mood
Approach/withdrawal from new experiences
Persistence 
Ease of adaptability.

Difficult cluster: Biological irregularity, withdrawal from new situations, poor adaptability, negative mood, intense reactions.

Easy: Positive mood, biological regularity, mild intensity, adaptability and positive reactions to new situations.

Slow to warm up: Initial withdrawal, slow adaptation, mild intensity.

Goodness of fit: How the mum adapts to the baby can affect how the baby develops.

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9
Q

What did Kagan propose about temperament:

A

Inhibited temperament: highly reactive, more reserved, guarded and introverted.

Uninhibited: More outgoing, extroverted, very comfortable in social situations.

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10
Q

What are the origins of individual differences?

A
  1. Genetics: Behaviour has modest to high heritability (esp. fearfulness)

Molecular:

  • Dopamine receptor gene
  • Serotonin transporter gene
  • Gene environment interaction
    i. e certain allele-> different outcome depending on maternal sensitivity.

Dandelion vs orchid: Dandelion has a temperament regardless of mother. Orchid needs the right environment to thrive.

  1. Epigenetics:
    Preconception, pre and peri natal influences. Maternal health, substance abuse, birth difficulties.
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11
Q

How stable is temperament?

A

Extreme characteristics = more consistency.

More consistency in early school years and teenage period.

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12
Q

What are implications of temperament?

A

Predicts development of later emotional and behaviour disorders

Association between difficult temperament and higher rates of accidents, sleep difficulties and infantile clinic

Predicts behavioural deviance at school

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13
Q

What are the 3 types of Mary Ainsworth attachment?

A

Secure: Infant positively explores, is upset when mother leaves but gives positive response upon her return.

Insecure-avoidant: Infant is detached on separation, avoids parent on reunion, engages in displacement exploration that is devoid of true interest.

Insecure - resistant/ ambivalent: Infant preoccupied with parents availability. Shows distress on separation and anger upon reunion

Disorganised: Inconsistent contradictory behaviours- dysregulated. These are babies that have fucky mums.

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14
Q

After age 15, females have a dramatic increase in depression compared to males. Why?

A

Hormones in puberty.

Gonadal hormones: Effects on cognition, motivation.

Rapid growth: Change in body shape/sexual maturation

Timing: Early or late developer.

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15
Q

What changes occur during adolescent brain development?

A

Prefrontal cortex: Grey matter thinning, synaptic pruning, myelination, remodelling cortical and limbic circuits.

Amygdala PFC connectivity associated with adolescent suicidal ideation/attempts.

Positive parenting: Decreased amygdala growth, increase cortical thinning.

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16
Q

What cognitive changes occur through adolescence?

A

Thoughts more logical, abstract, reasoning.
Alternative outcomes, consequences, ambiguity. Ability to ruminate.

Increased intensity of mood states.

Changes to self regulation.

17
Q

What is the difference between normal adolescent angst vs psychiatric disorder?

A

Angst: Mastering the tasks of development: Physical, cognitive, social emotional, moral.

Psychiatric: Symptoms mirroring serious suffering and impairment- impact on personal, family, peers, education/work.

18
Q

What are the depression differences in adolescents vs adults?

A

In teenagers, irritability instead of sadness/low mood.

Somatic complaints and social withdrawal common.

Psychotic symptoms rare before mid adolescents.

19
Q

What is the outcome?

A

40-70% recurrence in adulthood. 2-7x increased risk as adult.

High rates of persistence and recurrence.

20
Q

What are the interventions?

A

Psychological:
CBT, Interpersonal psychotherapy, Psychodynamic psychotherapy

Medication: Antidepressants (SSRIs)- FLUOXETINE!!

Severe or persistent: Combine medication + psychological intervention.
Consider family therapies.