Epidemiology Flashcards

1
Q

Scientific development that made NIMH epidemiological catchments area studies possible (9x)

A

THE DEVELOPMENT OF OPERATIONALIZED DIAGNOSTIC CRITERIA AND STANDARDIZED INSTRUMENTS

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2
Q

According to NIMH Epidemiologic Catchment Area Program’s reports on ethnicity & prevention of mental disorders, the lifetime rates of APD are: (5x)

A

EQUAL AMONG ASIANS, HISPANICS, AFRICAN- AMERICANS, AND WHITES.

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3
Q

Which is listed on President’s New Freedom Commission on Mental Health (2003?) (2x)

A

ADDRESSING MENTAL HEALTH AS VIGOROUSLY AS PHYSICAL HEALTH

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4
Q

Core characteristic of the “system of care” movement in community mental health?

A

EMPOWERING FAMILIES TO PARTICIPATE IN TREATMENT PLAN DECISIONS

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5
Q

Stage that panic d/o presents?

A

LATE ADOLESCENCE

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6
Q

1 preventable cause of death in USA

A

TOBACCO USE DISORDER

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7
Q

In a QI project which outcome indicator that is feasible to measure and relevant to mental health

A

CHANGE IN DEPRESSION SCORE FROM ADMISSION TO DISCHARGE ON A RATING TOOL

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8
Q

Outcome of deinstitutionalization

A

HIGHER RATIO of MENTALLY ILL PATIENTS IN PRISONS AS COMPARED TO HOSPITAL

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9
Q

What psychiatric illness is the leading cause of disability in persons 15-44y?

A

MDD

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10
Q

Pts with unipolar depression differ epidemiologically from pts with bipolar d/o in what way?

A

THE DISCREPANCY BETWEEN MALE FEMALE LIFETIME PREVALENCE RATES IS GREATER.

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11
Q

What is an example of secondary prevention?

A

SCREENING FOR DEPRESSION.

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12
Q

In the Institute of Medicine classification system developed to clarify different aspects of prevention, the category of “indicated interventions” refers to which of the following?

A

INTERVENTIONS THAT FOCUS ON HIGH-RISK INDIVIDUALS TO ENHANCE RESILIENCE AND PREVENT ONSET OF THE ILLNESS

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13
Q

Check fasting lipid panels before starting treatment before atypical antipsychotics. Which health quality implemented according to the aims of the Institute of Medicine?

A

SAFETY

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14
Q

Which of the following probabilities most accurately describes the likelihood of patients with schizophrenia committing homicide compared with the general population?

A

EQUAL LIKELIHOOD

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15
Q

Which of the following factors is most closely associated with child abuse and neglect?

A

HOUSEHOLD POVERTY

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16
Q

Which of the following is the most common method of completed suicide in female children and adolescents?

A

FIREARMS

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17
Q

In the US, what is the most common method of completed suicide?

A

SHOOTING ONESELF

18
Q

A finding regarding epidemiology of nicotine use:

A

YOUNG ADULTS REPORT THE HIGHEST RATES OF SMOKING

19
Q

Socioeconomic status is correlated to risk for mental illness, such as those who are disadvantaged by social class are more likely to develop a mental d/o. research shows that this correlation is accounted for mainly by greater:

A

VULNERABILITY TO THE IMPACT OF STRESSFUL LIFE.

20
Q

Which population has highest prevalence of Schizophrenia?

A

MONOZYGOTIC TWIN OF SCHIZOPHRENIC PT

21
Q

When compared to younger age groups, the prevalence estimates of MDD in persons older than 65 years are:

A

LOWER IN BOTH MEN AND WOMAN

22
Q

Prevalence of psychotic disorders after age 65 is:

A

LOWER IN BOTH MEN & WOMEN

23
Q

What somatoform d/o has male=female?

A

HYPOCHONDRIASIS

24
Q

What distinguishes hypochondriasis from delusional d/o, somatic type?

A

INSIGHT

25
Q

Leading cause of death for 15-24 y/o African American males?

A

HOMICIDE

26
Q

What best characterizes the current explanation for group differences in prevalence of psychiatric illness?

A

FACTORS THAT PROMOTE VULNERABILITY TO STRESS

27
Q

Past years annual prevalence much higher than annual incidence

A

DISEASE IS CHRONIC

28
Q

According to the WHO, the world’s greatest cause of mortality, ill health and suffering is what?

A

DEPRESSION AND SUICIDE

29
Q

The rate of illicit drug usage in high school is highest among which groups in USA?

A

CAUCASIAN AMERICANS

30
Q

Highest prevalence psych d/o?

A

ANXIETY DISORDERS

31
Q

What is prevalence of Alzheimer’s in >85 y/o?

A

16-25%

32
Q

Lifetime prevalence rate for ETOH abuse and dependence

A

15%

33
Q

Lifetime prevalence of schizophrenia

A

1%

34
Q

Risk factor most predictive of a pt having emergent SI:

A

PERVASIVE INSOMNIA

35
Q

Assessment instrument used in epidemiology study relies solely on subjects report:

A

GENERAL HEALTH QUESTIONNAIRE

36
Q

Intimate partner violence is most common in which of the following demographics ?

A

LOW INCOME FAMILIES

37
Q

According to the epidemiological Catchment Area Project, what condition is associated with higher rates of mood and anxiety symptoms compared to those with low back pain?

A

IRRITABLE BOWEL SYNDROME

38
Q

Disorder carrying greatest global burden of disease?

A

MDD

39
Q

What is the best predictor of healthy aging in elderly individuals?

A

REMAINING IN CONTACT WITH FRIENDS

40
Q

Way sexual health changes in older individuals

A

REFRACTORY PERIOD FOR MEN INCREASES

41
Q

According to USPSTF ,which demographic group has highest prevalence of depression?

A

PREVIOUSLY MARRIED

42
Q

Which ethnic group in the US has the lowest 12 month prevalence of alcohol use disorder

A

ASIAN AMERICANS AND PACIFIC ISLANDERS