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Block 8 Week 6 Rhonda > Kohlenberg > Mental Health, Diversity, & Disparity > Flashcards

Kohlenberg > Mental Health, Diversity, & Disparity Flashcards

1
Q

What proportion of Americans will meet the criteria for a DSM diagnosis of a mental disorder over their lifetime?

A

about half

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2
Q

What is the 12 month prevalence for any mental health disorder?

A

26.2%

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3
Q

how many people (%) with sx receive tx in a 12 month period?

A

41.1%

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4
Q

T/F: depression is global

A

true

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5
Q

T/F: mental health disorders increase risk for communicable & non-communicable diseases

A

true

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6
Q

what is the #1 most disabling disorder worldwide measured in years lived w/ disability?

A

depression

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7
Q

Regarding suicide, (blank) % of ppl are in low & middle income countries

A

86%

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8
Q

(more/less) than half of ppl who commit suicide are btwn 15-44 yo

A

more

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9
Q

in india, suicide was the leading cause of death among what age group?

A

10-19 yo

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10
Q

which gender does suicide in India impact more?

A

women (75% of deaths)

only 24% of all deaths in boys

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11
Q

how many suicides happen annually in Japan?

A

30,000

10 years running

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12
Q

T/F: mental health awareness needs to be integrated into ALL aspects of health & social policy, health system planning, & delivery of primary & secondary general healthcare

A

TRUE

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13
Q

T/F: Interpersonal therapy in Uganda is not effective

A

false

after 2 weeks only 6% of treated pts still had depression

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14
Q

What is the Thinking Healthy Program?

A

in Pakistan
taught basic CBT for 2 days to female community health workers (Lady Health Workers) > integrate therapy into visits w/ pregnant women & new moms

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15
Q

How is the Thinking Healthy Program framed to be socially acceptable in Pakistan?

A

as a way to help the baby

which is true because women’s mental health is crucial to baby’s development

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16
Q

Did the Thinking Healthy Program impact infant growth indices?

A

nope

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17
Q

what were the benefits for infants and mothers were in the Thinking Healthy Program?

A

less diarrhea
more likely to be immunized
moms more likely to use contraceptives (spacing)
both parents spent more time playing w/ baby

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18
Q

T/F: minorities bear a greater burden from unmet mental health needs

A

true

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19
Q

why are there healthcare disparities w/ minorities?

A

less access

lower quality of care

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20
Q

what ethnic & socioeconomic class do clinicians usually represent?

A

white
middle-class
(cultures, values, beliefs, biases, stereotypes, misconceptions)

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21
Q

what are the 4 major racial or ethnic minority groups?

A

african american
asian/pacific islander
hispanic american
native american

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22
Q

what racial minority group makes up the largest percentage?

A

african american (12.8%)

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23
Q

what racial minority group is PROJECTED to make up the largest percentage?

A

hispanic american (24% by 2050)

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24
Q

which ethnic group experiences PTSD more than 2x the general population?

A

american indians

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25
Q

African Americans are (under/over) represented in outpt settings & (under/over) represented in inpt settings

A

under in outpt

over in inpt

26
Q

Is somatization higher or lower among african americans (compared to whites)?

A

higher

15% vs 9%

27
Q

suicide rates in african americans in what age group are increasing?

A

10-14 yo

BOYS

28
Q

what percentage of psychiatrists are african american?

A

2% :(

29
Q

what doctors are african americans more likely to see than a specialist?

A

ER

primary care MD

30
Q

what is unique about african americans & psych meds?

A

may metabolize slower but are generally prescribed higher doses

31
Q

T/F: asian americans consider expression of mental illness a personal weakness

A

true

so reporting is lower

32
Q

asian american women have (higher/lower) rates of suicide than other women of comparable ages

A

higher

33
Q

rates of substance use disorders are (higher/lower) among asian americans (esp women) than the US population

A

lower!

34
Q

(more/less) Latino youth have pervasive feelings of sadness & hopelessness than whites

A

more

35
Q

do Latinos or whites attempt suicide more?

A

Latino (10% vs 6%)

36
Q

Hispanic youth are (more/less) likely than non-Hispanic ppl to use alcohol/illicit drugs

A

less

37
Q

Native Americans use & abuse alcohol/drugs at (younger/older) ages & at (higher/lower) rates than all other ethnic groups

A

younger

higher

38
Q

Suicide is the 2nd leading cause of death in native americans of which age group?

A

10-34 yo

39
Q

what are the 6 protective factors for native americans?

A 
strong ID w/ culture
family
connection w/ past
traditional health practices
adaptability
wisdom of elders
40
Q

what are the 5 challenges to health & well-being for native americans?

A 
alcohol misuse
enduring spirit (stubborn)
clashes btwn cultural views of mental health
long memories (wtf)
trauma is communal
41
Q

What are individuals w/ a strong tribal spiritual orientation HALF as likely to do?

A

report a suicide attempt

42
Q

the fuck is ethnopsychopharmacology?

A

cultural & ethnic influences on responses to meds (genetic & cultural)

43
Q

African Americans & Asians have high proportions of slow metabolizers of what 2 drusg?

A

TCAs

SSRIs

44
Q

what proportion of US women will experience intimate partner violence?

A

1 in 4

45
Q

what is the leading cause of injury to american women?

A

domestic violence

46
Q

more than 3 women/day are murdered by who?

A

current or former intimate partners

47
Q

what age group of women has the highest incidence of partner violence?

A

16-24 yo

48
Q

pregnant & recently pregnant women are more likely to die of THIS than any other cause

A

homicide

“significant portion” by partners

49
Q

T/F: men are not at risk of domestic violence

A

false

28.5% report lifetime victimization

50
Q

1 in 5 high school students reports being physically or sexually abused by WHO?

A

a partner

51
Q

what is the ACE study?

A

adverse childhood experiences & how they influence health/leading causes of death

52
Q

what are the 7 categories of adverse childhood experiences?

A 
physical
sexual
emotional
family w/ alc or drugs
someone incarcerated
someone depressed/mentally ill/institutionalized/suicidal
mother treated violently

Google search adds 3 more:
one or no parents
physical neglect
emotional neglect

53
Q

how many adverse childhood experiences did over half of the ACE study participants have?

A

1 or more

54
Q

1 in 16 ACE study participants had HOW MANY adverse childhood experiences?

A

4

55
Q

did ppl w/ 4+ adverse childhood experiences have higher or lower risks for health problems?

A

HIGHER

56
Q

what health probs are ACE sufferers more likely to have?

A 
alcoholism
drug abuse
depression
suicide attempt
smoking
poor self-rated health
(50+) sex partners & STDs
physical inactivity
severe obesity
hepatitis
heart disease
fractures
occupational health & job performance
57
Q

80% of attempted suicides can be contributed to what?

A

adverse childhood experiences

58
Q

pushing, shoving, kicking, punching, slapping, choking, restraining, and refusing to help when sick/injured are examples of WHAT?

A

physical abuse

59
Q

threats of harm, falsely accusing, blaming for everything, extreme jealousy, deprivation, criticism, and intimidating are all examples of WHAT?

A

emotional abuse

60
Q

what 2 things define sexual abuse?

A

trying to force sexual performance against pt’s will or when not fully conscious or when afraid to say no
OR
physically hurting the pt during sex or assaulting the pt’s genitals

61
Q

T/F: screening for domestic violence & abuse is not recommended

A

false

can provide benefits w/ minimal adverse effects

62
Q

how stupid was this lecture on a scale of 1-10

A

1000000000000

Block 8 Week 6 Rhonda (12 decks)

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