Epidemiology Flashcards
Scientific development that made NIMH epidemiological catchments area studies possible (9x)
THE DEVELOPMENT OF OPERATIONALIZED DIAGNOSTIC CRITERIA AND STANDARDIZED INSTRUMENTS
According to NIMH Epidemiologic Catchment Area Program’s reports on ethnicity & prevention of mental disorders, the lifetime rates of APD are: (5x)
EQUAL AMONG ASIANS, HISPANICS, AFRICAN- AMERICANS, AND WHITES.
Which is listed on President’s New Freedom Commission on Mental Health (2003?) (2x)
ADDRESSING MENTAL HEALTH AS VIGOROUSLY AS PHYSICAL HEALTH
Core characteristic of the “system of care” movement in community mental health?
EMPOWERING FAMILIES TO PARTICIPATE IN TREATMENT PLAN DECISIONS
Stage that panic d/o presents?
LATE ADOLESCENCE
1 preventable cause of death in USA
TOBACCO USE DISORDER
In a QI project which outcome indicator that is feasible to measure and relevant to mental health
CHANGE IN DEPRESSION SCORE FROM ADMISSION TO DISCHARGE ON A RATING TOOL
Outcome of deinstitutionalization
HIGHER RATIO of MENTALLY ILL PATIENTS IN PRISONS AS COMPARED TO HOSPITAL
What psychiatric illness is the leading cause of disability in persons 15-44y?
MDD
Pts with unipolar depression differ epidemiologically from pts with bipolar d/o in what way?
THE DISCREPANCY BETWEEN MALE FEMALE LIFETIME PREVALENCE RATES IS GREATER.
What is an example of secondary prevention?
SCREENING FOR DEPRESSION.
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?
INTERVENTIONS THAT FOCUS ON HIGH-RISK INDIVIDUALS TO ENHANCE RESILIENCE AND PREVENT ONSET OF THE ILLNESS
Check fasting lipid panels before starting treatment before atypical antipsychotics. Which health quality implemented according to the aims of the Institute of Medicine?
SAFETY
Which of the following probabilities most accurately describes the likelihood of patients with schizophrenia committing homicide compared with the general population?
EQUAL LIKELIHOOD
Which of the following factors is most closely associated with child abuse and neglect?
HOUSEHOLD POVERTY
Which of the following is the most common method of completed suicide in female children and adolescents?
FIREARMS
In the US, what is the most common method of completed suicide?
SHOOTING ONESELF
A finding regarding epidemiology of nicotine use:
YOUNG ADULTS REPORT THE HIGHEST RATES OF SMOKING
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:
VULNERABILITY TO THE IMPACT OF STRESSFUL LIFE.
Which population has highest prevalence of Schizophrenia?
MONOZYGOTIC TWIN OF SCHIZOPHRENIC PT
When compared to younger age groups, the prevalence estimates of MDD in persons older than 65 years are:
LOWER IN BOTH MEN AND WOMAN
Prevalence of psychotic disorders after age 65 is:
LOWER IN BOTH MEN & WOMEN
What somatoform d/o has male=female?
HYPOCHONDRIASIS
What distinguishes hypochondriasis from delusional d/o, somatic type?
INSIGHT
Leading cause of death for 15-24 y/o African American males?
HOMICIDE
What best characterizes the current explanation for group differences in prevalence of psychiatric illness?
FACTORS THAT PROMOTE VULNERABILITY TO STRESS
Past years annual prevalence much higher than annual incidence
DISEASE IS CHRONIC
According to the WHO, the world’s greatest cause of mortality, ill health and suffering is what?
DEPRESSION AND SUICIDE
The rate of illicit drug usage in high school is highest among which groups in USA?
CAUCASIAN AMERICANS
Highest prevalence psych d/o?
ANXIETY DISORDERS
What is prevalence of Alzheimer’s in >85 y/o?
16-25%
Lifetime prevalence rate for ETOH abuse and dependence
15%
Lifetime prevalence of schizophrenia
1%
Risk factor most predictive of a pt having emergent SI:
PERVASIVE INSOMNIA
Assessment instrument used in epidemiology study relies solely on subjects report:
GENERAL HEALTH QUESTIONNAIRE
Intimate partner violence is most common in which of the following demographics ?
LOW INCOME FAMILIES
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?
IRRITABLE BOWEL SYNDROME
Disorder carrying greatest global burden of disease?
MDD
What is the best predictor of healthy aging in elderly individuals?
REMAINING IN CONTACT WITH FRIENDS
Way sexual health changes in older individuals
REFRACTORY PERIOD FOR MEN INCREASES
According to USPSTF ,which demographic group has highest prevalence of depression?
PREVIOUSLY MARRIED
Which ethnic group in the US has the lowest 12 month prevalence of alcohol use disorder
ASIAN AMERICANS AND PACIFIC ISLANDERS
