Exam 2 - Mood Disorders Flashcards
What is the defining feature of mood disorders?
extremes of emotion
What are the two key moods of mood disorders?
depression and mania
Depression
feelings of extraordinary sadness and dejection
Mania
intense and unrealistic feelings of excitement and euphoria
Unipolar depressive disorders
only depressive episodes
Bipolar depressive disorders
manic/hypomanic and depressive episodes
Who are mood disorders more prevalent in?
women
What type disorder has a lifetime prevalence rate that is higher than all other anxiety disorders put together?
mood disorders
Major depressive disorder can cause changes to the brain, true or false?
True, too much cortisol can damage the hippocampus
Major depressive disorder (MDD), how long do feelings last, and are there any intermittent normal moods in this disorder?
a major depressive episode without having manic, hypomanic, or mixed episodes for at least 2 weeks
- no intermittent normal moods
What are some symptoms of major depressive disorder?
fatigue, suicidal ideations, hopelessness, sleep disturbances, etc.
What are the three subtypes of major depressive disorder?
- major depressive episode with melancholic features (no response to positive stimuli)
- severe major depressive episode with psychotic features (delusions, hallucinations, etc.)
- major depressive episode with atypical features (response to positive stimuli)
Persistent depressive disorder
persistently depressed mood most of the day for at least 2 years
What is the main difference between persistent depressive disorder and major depressive disorder?
persistent depressive disorder has intermittent normal moods that occur briefly that do not occur in major depressive disorder
Bereavement-triggered depression
prolonged mourning
Postpartum depression
depression that occurs after childbirth
Is major depressive disorder a unipolar or bipolar disorder?
unipolar
What are the biological causal factors of major depressive disorder?
- heredity
- altered neurotransmitter activity (norepinephrine and serotonin)
- hormones
- combination of alleles
- enter REM earlier (less sleep)
What is the negative cognitive triad?
- The self (ex: I’m ugly/worthless)
- The world (ex: no one loves me)
- The future (It’s all hopeless because things will always be this way)
What are the psychological causal factors of major depressive disorder?
- stressful life events
- risk-related vulnerability factors
- Beck’s cognitive model
- learned helplessness
- excessive rumination (overthinking)
- lack of social support
Beck’s cognitive model of depression
- early experience
- formation of dysfunctional beliefs
- critical incidents
- beliefs activated
- negative automatic thoughts
- symptoms of depression
6a. somatic
6b. cognitive
6c. affective
6d. motivational
6e. behavioral
Cyclothymic disorder, how long do symptoms have to last, and is it as severe as BPD?
- cyclical mood swings
- at least 2 years
- less severe than those of bipolar disorder
Bipolar 1 disorder (BPD1)
includes at least one manic or mixed episode, or depressive episode
What is the difference between BPD2 and BPD1?
individuals with bipolar 2 disorder only have hypomanic episodes, not full-blown manic episodes like individuals with bipolar 1 disorder
Bipolar 2 disorder (BPD2)
includes hypomanic episodes but not full-blown manic or mixed episodes
What are the biological causes of bipolar disorder?
- heredity
- norepinephrine, serotonin, dopamine, cortisol
- shifting patterns of blood flow to prefrontal cortex (causes poor planning, impulsivity, less motivation, etc.)
- disturbances in biological rhythms (different amounts of sleep)
What are the psychological causal factors of bipolar disorder?
- stressful life events
- personality events (neuroticism, pessimism, etc.)
- low social support
Seasonal affective disorder
2 episodes that occur at the same time of the year two years in a row
What are the treatments for bipolar and depressive disorder?
- pharmacotherapy
- alternative biological treatments
- psychotherapy (cognitive behavioral therapy)
What three types of drugs are used to treat bipolar and depressive disorder?
antidepressants, mood stabilizers, antipsychotic
What is the most commonly used mood stabilizer for bipolar disorder?
lithium
What were the four types of alternative biological treatments?
- electroconvulsive therapy
- transcranial magnetic stimulation
- deep brain stimulation
- bright light therapy
Suicidal self-injury
harming oneself with the intent of dying
Nonsuicidal self-injury (NSSI)
harming oneself without the intent to die (cutting, burning, etc.)
Who attempts suicide more?
women
Who dies by suicide more?
men
What age groups attempt/die by suicide?
adolescents, elderly, and college students
What disorders have an increased risk of suicide?
- PTSD
- Bipolar disorder
- conduct disorder (early version of antisocial disorder)
- intermittent explosive disorder
What are the characteristics of individuals who are suicidal?
- more vocal about their thoughts, and are unsure about their decision until the last moment
- impulsive
What are the effective forms of psychotherapy for bipolar and depressive disorder?
- cognitive behavioral therapy
- behavioral activation treatment (engaging with environment)
- interpersonal therapy (improving relationships)
- family and martial therapy
What are some of the psychosocial factors associated with suicide?
- impulsivity
- aggression
- pessimism
- family psychopathology or instability
- hopelessness
- negative affectivity
What are the biological factors of suicide?
- genetics
- reduced serotonergic activity
Prevention of suicide can take the form of treatment of the underlying mental disorder(s) like:
- antidepressants or lithium
- benzodiazepines
- cognitive behavioral therapy