intro and diagnostic issues Flashcards
point prevalence
could have had the disorder before but not now
lifetime prevalence
the proportion of a population who, at some point in life, has ever had disorder characteristic
epidemiology
- prevalence and distribution of a disorder in a pop
- determines what percent a disorder has in a pop
etiology
- cause(s) of a disorder
- often multi determined
disorders are heterogenous, meaning that ______
- they manifest differently in different people
- there is not one cause, there are multi factors
pathology
- underlying psychological/neurobiological features of a disorder
- ex. shows features in midst of disorder/episode but not after
- ex. stays with a person and increases relapse of a disorder
transdiagnostic
- part of etiology of many disorders, same factor can help manifest the disorder
- ex childhood trauma
dx and tx
diagnosis, treatment
essentialist approach to mental disorders
- ‘mental disorders are natural entities (categories) whose true nature can be discovered and described
- black and white thinking (either part of category or not)
- categories represent similarities and differences between ppl
- categories depict inherent structure of the world
natural category
- grouping that reflects the structure of the natural world rather than interests and actions of humans
- exists naturally, DSM approach
- clear boundaries separating members and nonmembers
- properties that can validate membership
sub threshold symptoms
- more prevalent than the full diagnosis
- they are equal to full diagnosis in terms of functional impairment
- associated with similar cog, bio, and social risk factors
- have similar impairment as full diagnosis
What did a study on major depressive disorder and an essentialist approach find
- DSM diagnostic criteria are not reflective of a natural cont. in symptoms in the general pop
- a line separating diagnosis from no diagnosis is arbitrary (not factual)
social constructionist approach
- concepts of mental disorder are social constructs and products of history and cultural understandings
- abstract ideas that are defined by ppl and reflect their values
reified
- taken categories we made up and see it as real and definitive
in a 2011 study, white americans were 1.5-3x more likely than other ethnicities to receive _______ diagnoses
anxiety or depression
in a 2011 study, black americans were 2x more likely than other ethnicities to receive _______ diagnoses
schizophrenia
In a 2011 study, ________ Americans were less than half as likely than other ethnicities to receive any diagnoses
asian, they are also less likely to receive treatment when diagnosed
biomarkers of depression
- none
- common stat distributions: low 5-T-H (serotonin) and low HV (hypocampo volume)
there are _____ symptom combos that fulfill DSM criteria for MDD dignoses
170
heterogeneity can inform ______ medicine, which can in turn help each individual more that are struggling with mental disorders
personalized
Alt options for diagnoses rather than DSMs natural category thinking
- RDoC (transdiagnostic domains)
- HiToP (dimensional model)