Essay Flashcards
(36 cards)
Why is diagnosis important?
Able to understand and treat conditions
Why was diagnosis introduced? 2
Poet war more people having mental.hslsth symptoms
Needed to be able to understand and treat
What is diagnosis?
A standardised categorisation of symptoms that fit a criteria of a menatl health condition
What are rhe issues of diagnosis for essay? 3
Validity- symptoms presented differently- are we treating same condition?
Outcomes- mixed outcomes of recovery from diagnosis method- link to stigmatisation
What is case formulation? 2
A c9gnitiv3 framew9rk used in clinical practice to identify potential causes of illness and most effective treatment.
Collaboration between clinicians and patient
What are the 5 P’s of formulation?
- Presenting problem
- precipitating factors
- predisposing factors
- perpetuating factors
- protective factors
What do fried and nesse (2015) evidence? 2
Challenges the validity of diagnosis
- through looking at depression profiles (unique profiles) of those diagnosed with MDD
What was the fried and nesse (2015) sample?
3703 diagnosed with depression
What we’re the common symptoms of depression I fried and nesse (2015)? 3
Sad mood
Loss of energy
Concentration problems
What did fried and nesse (2015) look for in symptoms profiles? 4
- unique profiles
-combination of symptoms
Severity
Presentation
What did fried and nesse (2015) find? 5
-median number if symptoms people report in dsm criteria is 6/9
1030 unique profiles
Average of 3.6 patient per profile
48.6% of profiles shared with 1 other
13.5% of profiles exclusive
What we’re the limitations of fried and nesse (2015)?
Patients were medicated- effect presentation of symptoms
How can the fried and nesse (2015) limitations be counteracted? 2
If the neural processes of depression are the same, it doesn’t matter
- however, medication doesn’t work for everyone so are chnrucal.proceeses fbe same?
What is the takeaway of fried Nd nesse (2015)
Challenges the validation of diagnosis- depression may be made of different conditions
What evidence dis used for validation of formulation?
Mumma (2011)
What is mummy (2011) doing?
Narrative review on validation of cog behba8oueal case formulation
What did mumma et al (2011) propose? 2
Limited empirical evidence of CF to conduct validity
- need to develop a content Nd construct measurement to validate case formulation
Who proposed a validation process of formulation?
Mumma and Fluck (2016)
How did mumma and fluck (2016) validate formulation?4
Validate CBCF through psychometroc validation process
Daily/weekly standardised check ins
- looking qr dysfunction, strength of symptoms and contextual factors
- calculate approximate internal validity
What are the takeaways from.mumma and fluck (2016)? 2
CF is very individual and therefore validation is difficult
- can only br validated on certain cases but not all
What argument will you make to move on from validation?
Validation doesn’t matter that much if the outcomes are good
What paper will you use to dicuss formulation outcomes and the tie to dtigma?
Berry et al (2009)
What paper will be used for good outcomes in formulation?
Rainworth et al (2013)
Ehat did Rainworth et al (2013) do?
Literature view of case formulation in clinical practice
