L8 Flashcards

1
Q

defining feature of major depression

A

loss of pleasure AKA anhedonia/dysphoria.

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2
Q

chronic vs severe depresion

A
chronic = persist for at least 2 weeks
severe = dramatically impact daily functioning
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3
Q

major depression generally accompanied by?

A

feelings of guilt and grief

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4
Q

take in factual info but misinterpret to align with depression-related beliefs

A

delusion of facts

– walk around hospital more than yesterday, improvement! no, they changed the halls, it was only half as much.

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5
Q

symptom of depression - remembering images study

A

clinical depression vs healthy
depression = remembered negative pics better
healthy = remembered positive pics better

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6
Q

slowing down of physical ability to move

A

psychomotor retardation

  • no energy to move
  • sleep disturbance impedes deep sleep = impede restfulness less energy.
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7
Q

atypical depression characterized by?

A

not mobilizing enough stress hromones - can contribute to psychomotor retardation

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8
Q

depression presentation & glucocort

A

usually significantly elevated stress hormones = impede deep sleep, less restful, less energy = psychomotor retardation

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9
Q

3 forms of depression - work on what?

A

unipolar: depressed or ok
bipolar: ok, depressed, manic
seasonal: affected by enviro aka no sun.
cycle = cycle’s have strong biological underpinning to depression

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10
Q

heritability % in genes?

A

38% in genes.
- likely people are predisposed to depression.
twin study: corrleation between twin diagnosed with depression and likelihood of other twin being diagnosed.
f-f MZ = 0.44, mm- dz & mf dz = 0.11. ff-dz > risk than MM MZ

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11
Q

NT and depression

A

abnoraml NA, 5-HT, DA - treatments act on these.
- SSRI: prevent 5-HT reuptake into presynaptic neuron = greater chance to hit post-synaptic neuron
MAO inhibitors: stop MAO from degrading 5-ht, more time in synapse = more downstream neuronal activation

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12
Q

relation btw gut and 5-ht

A

gut is hgih in 5-ht receptors. correlation with gut bacteria out of whack & depression.
- deficiency in magnesium, important as enzyme for 5-ht and da

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13
Q

low 5-ht and depression

A

= incessant ideation, perseverating on idea.

  • ocd affected by this as well.
  • need more 5-ht
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14
Q

NA and depression

A

increase = increase brain activation

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15
Q

DA fxn in brain

A

pleasure centre

- maybe decrease in depression therefore anhedonia

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16
Q

anterior cingulate cortes - function

  • activated when?
  • prolonged depression on acc?
A

attune to emotion, especially negative emotion.
activated when excluded, lack social support
- prolonged depression = sever connection btw acc and limbic system

17
Q

stress and depression tend to go togehter

A

prone to depression, experience stressors at higher than expected rate.

  • more stressors experiences w depression
  • more stressors assoc w social exclusion
18
Q

more life stress & depression

A

more life stressors = more likely to succumb to major depression (first episode) compared to someone with fewer stressors
DA - need more to feel pleasure when stress hormones are elevated.

19
Q

cushing’s syndrome

A

cushing - excess glucocort = more depression than those w equal severity, but diff tumor.
- synthetic glucocort treatment - higher depression in those treated with synthetics than not

20
Q

genes, stress & depression.

A

twin study: stress effects major depression onset. - no stress = twin affected or not makes no difference.
with stress:
affected MZ twin = highest risk, affected dz, unaffected mz, unaffected dz.

21
Q

personality protective factor against depression

A

conscientiousness

22
Q

diathesis-stress model

  • alcoholism
  • ptsd, hippocampus
  • interplay btw genetics and enviro
A

genetic vulnerability to alcoholism, expression of predisposition may be dependent on access to alcohol.

  • small hippocmpus + stressor = more likely to develop PTSD.
  • if highly vulnerable, smaller stressor will affect you more.
23
Q

atypical depression

A

lower than normal glucocorticoid levels

- incapacitating physical and psychological exhaustion contribute to psychomotor retardation.

24
Q

typical depression

- feedback resistance

A

elevated levels of glucocorticoids. overactive stress response.
- smaller hippocampus + major depression = high glucocort. damage to hippocampus (= memory impairment) - hippo wont turn hypo off = constant gluco release = more damage to hippo.

25
Q

glucocorticoids affect NT receptors and hormones can cause:

A

immunosuppression, osteoporosis, heart disease.

26
Q

anitglucocorticoids?

A

adrenal steroidogenesis inhibitors = stop adrenal from producing. problem - need for natural waking up, may cause fatigue
block glucocort receptors = fewer side effects.

27
Q

psychodynamics - freud & depression

A

believed depression involved loss of a love object (something you feel strongly about)
- ambivalence to love, when lose love object deal w ambivalence.

28
Q

psychodynamics transient bad mood

A

mourning. reconcile +/- feelings & moves on.

29
Q

psychogynamics major depression - characterized by?

A

melancholia - can’t reconcile.
guilty: had negative feeling, in a way happy they’re gone.
characteristics: take on characteristics, honour by embodying love object.
aggression turned inward = depressino, anger = exhausting - no energy.

30
Q

learned helplessness in animals

A

similar to major depression

  • pathological exposure or excessive negative aspects of psychological factors to stress = no longer care. give up.
  • found in humans in card sorting task with no rules.
31
Q

avoidance box rats

A

escape with signal, or no escaping. after both receive escape training. much fewer of the previously non-escapable rate didnt escape when they couldve = passively accepted what was givven.

32
Q

depression + deficits

A

motivational deficit: no response initiated
cognitive deficit: failed to show learning, didnt connect reward to moving
emotional deficit: passively accepted shocks.

33
Q

immunization effect

A

if animals/humans have prior exposure to actions do influence consequences. less likely to generalize that actions dont influence outcome therefore less likely to develop learned helplessness.

34
Q

learned helplessness related to?

A

depression and optimism.

35
Q

depression & uncontrollable events lead to?

A

depression and uncontrollable events lead to motivation, cognitive and emotional deficits.

36
Q

generalization of loss of control &depression

A
  • generalize that uncontrollable situation was their fault & everything else that sucks is your fault too.
  • uncontrollability attributed to failures = assumed to be persistent and global
37
Q

pessimistic explanatory style

A
  • actions dont influence what happens, = persistent.

- global: own personal failures, everything sucks.

38
Q

optimism

A

events are globally and persistently affected by one’s behaviour

  • more in control: bad things won’t be permanent, wont pervade other areas of life.
  • less likely to develop learned helplessness
39
Q

external vs internal locus of control - who’s more likely to develop learned helplessness

A

external locus of control - event is due to situation, not me. something happens - more likely to generalize, globally and persistently = more likely to develop learned helplessness.
internal more stressed from uncontrollable stressor