Generalised Anxiety Disorder Flashcards

1
Q

what are the physiological symptoms produced from an anxiety response?

A

muscle tension, tiredness, high BP, tense, restless, difficulty sleeping, headaches

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2
Q

who is GAD most common in?

A

women, people living alone

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3
Q

what is the average age of onset of GAD?

A

21 years

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4
Q

what triggers anxiety?

A

uncertainty

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5
Q

give some of the features of GAD that are different to normal worry

A

worry about all sorts of things, expect the worst, uncontrollable, worries = extremely upsetting and stressful, significantly disrupts job and social life, worrying almost everyday for at least 6 months

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6
Q

what are the 2 types of beliefs about worrying?

A

positive (if i worry about a negative event ill be prepared) and negative (I will lose my mind with worry)

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7
Q

what behaviours are associated with feelings of anxiety and worry?

A

avoid situations, check up on things/others, seek reassurance, try to stop thoughts, distracting activity, excessive preparing

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8
Q

what causes anxiety when facing different situations?

A

worried they won’t know how to cope with each situation

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9
Q

how often does symptoms of worry and anxiety have to occur for it to be a GAD diagnosis?

A

most days on a regular basis

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10
Q

list the different theories of aetiology for GAD

A

biological, heritable influences, environmental factors, cognitive biases

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11
Q

GAD runs in families but heritability is ____

A

low

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12
Q

if GAD isn’t inherited what may be the heritable influence?

A

personality trait that predisposes the individual to any type of anxiety

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13
Q

in what brain area do GAD sufferers show hyper-responsivity?

A

amygdala

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14
Q

in female GAD sufferers, what was shown with the amygdala in brain imaging scans?

A

fMRI > showed greater response, larger in GAD patients than controls, greater activation to negative images

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15
Q

what are the 3 environmental factors that affect GAD?

A

negative life events, attachment style, modelling

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16
Q

increase risk by questioning stability and predictability of the world > leads to constant anxiety in order to prepare for unpredictable events =

A

negative life events

17
Q

individuals who develop anxious or insecure attachments during infancy is associated with anxiety later in life =

A

attachment styles

18
Q

what are young adults more likely to report about their parents if they have a GAD diagnosis?

A

felt rejected by parents, over-controlling, emotionally cold

19
Q

if children see parents acting in anxious way to environment this will influence them =

20
Q

bias that maintains hypervigilience for threat, create further source of worry and maintain anxiety =

A

information processing bias

21
Q

a sufferer who is constantly focusing on the negative and seeking things that go wrong have a bias in?

A

information processing

22
Q

what does evidence suggest sufferers focus their attention on?

A

threatening stimuli and info

23
Q

when presenting patients with happy or sad faces and positive and negative events, what were the findings?

A

largely focused on sad faces and negative events

24
Q

the cognitive bias model (attentional and information processing bias) gave rise to what intervention?

A

attention bias modification

25
what are the 3 different drug treatments for GAD?
benzodiazepines, B-blockers, SSRIs
26
what are benzodiazepines also known as?
anxiolytics (for anxiety relieving properties)
27
how do benzos work?
help patient relax by stimulating GABA receptors > block excitatory activity
28
what are the issues with benzos?
addictive, unpleasant withdrawal effects
29
how do B-blockers work?
block effects of adrenaline > dampen down stress response > relax patient
30
why are SSRIs the most common and effective drug for GAD?
anxiety is comorbid with depression so when given SSRIs they are effective in managing anxiety
31
what is the aim of stimulus control treatment?
stop worrying in all situations and limit worry to a specific time of day in a specific location (LIMIT CONTEXT IN WHICH WORRYING OCCURS)
32
what are the 4 different components of CBT for GAD?
self-monitoring, cognitive restructuring, relaxation training, behavioural rehearsal
33
targets maladaptive cognitions with the aim to target distorted cognitions, cognitive biases in attention and information processing =
CBT
34
describe the CBT process
asked to imagine worst possible outcome of a worry, practice ways to cope with situations that don't go to plan