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PEL > Lect 3 - Mood disorders > Flashcards

Lect 3 - Mood disorders Flashcards

1
Q

What two categories do mood disorders divide into?

A
  1. Depressive disorders

2. Bipolar and related disorders

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2
Q

What is the name given to poor mood which has not reached the levels of depression?

A

Dysthymia

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3
Q

What are the four types of mood disorder we studied?

D M P P

A

C M P P

  1. Disruptive Mood Regulation Disorder
  2. Major Depressive Disorder (MDD)
  3. Persistent Depressive Disorder
  4. Premenstrual Dysphoric Disorder

D M P P

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4
Q

Which is the mood disorder that only occurs in children?

A

Disruptive Mood Regulation Disorder

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5
Q

What is Disruptive Mood Regulation Disorder?

A

The one that appears only in kids. Tantrum stuff. Quite new

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6
Q

What’s the age of onset requirement for Disruptive Mood Regulation Disorder?

A

Must be prior to 10 years

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7
Q

With MDD, what are the two symptoms that MUST be present for a diagnosis

A
  1. Diminished mood

2. Diminished pleasure/interest

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8
Q

With MDD, of the nine symptoms, how many must be present, and for how long?

A
  • Five of the nine

- Two weeks

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9
Q

What is the rough lifetime prevalence of MDD?

A

20%

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10
Q

According to Hasin (2018), what proportion of MDD patients are ‘anxious distressed’?

A

75%

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11
Q

What did Otte et all (2016) tell us about MDD

A
  • Equally prevalent in rich and poor countries

- Associated with heaps of other health problems

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12
Q

Roughly what proportion of MDD patients recover in a stable way?

A

40-60%

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13
Q

Roughly what portion of MDD patients exhibit chronic course? (Steinert (2014))

A

15%

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14
Q

What did the STAR*D study show us?

A

Likelihood of achieving remission is limited and declines with each treatment attempt

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15
Q

What did Turecki & Brent tell us about?

A

Suicide risk

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16
Q

What distinguishes Persistent Depressive Disorder (PDD) from MDD?

A

It’s less severe, but must be long lasting (more days than not for 2 years)

Think go it as low level, chronic depression

17
Q

Is PDD more or less likely to be treatment resistant than MDD?

A

More (treatment resistant)

18
Q

What is the estimated heritability of unipolar depression?

A

40-70%

Otte, 2016

19
Q

What neural region was mentioned on the slides as being implicated in depression?`

A

The Hippocampus

Otte, 2016

20
Q

How much more likely are depressed patents to have experienced stressors in their life?

(Otte, 2016)

A

2.5 times

21
Q

Roughly what proportion of MDEs are preceded by a major life event?

A

80%

22
Q

What are the three components in the ‘negative triad’conceived of by Beck

A
  1. Negative views about the WORLD
  2. Negative views about the FUTURE
  3. Negative views about SELF
23
Q

How to Ellis and Beck differ in their approaches to CBT?

A

Ellis says target the underlying assumptions/schema

Beck says target the negative automatic thoughts

24
Q

What are some of the cognitive aetiologies of depression?

A
  1. Fear of losing control
  2. Fear of abandonment
  3. Social undesirability
  4. Incompetence
  5. Deserve to be punished
25
Q

What are the two main differences between Bipolar I and Bipolar II?

A

Bipolar II never reaches full ‘mania’, only gets as far as ‘hypomania’

ALSO - Bipolar I doesn’t NEED to have MDE (but usually does

26
Q

Does the ‘mixed features’ symptomatology appear in Bipolar I, Bipolar II, or both?

Vieta (2018)

A

Both

Vieta (2018)

27
Q

How long does the mania have to last to be called a ‘manic episode’?

A

A week (unless hospitalised - this is automatic qualification)

28
Q

Can you have psychotic features with a manic episode?

A

Yup

One Aust study had it at ~89%

29
Q

What’s the difference between a manic and a hypomanic episode?

A

Hypomania is shorter - only 4+ days

30
Q

What is Cyclothymic disorder

A

2 years of despressive and hypomanic symptoms, but which never hit the levels of Mania or MDE

31
Q

Rough age of onset for Bipolar?

A

~20

32
Q

Is ‘anxious distress’ a specifier for Bipolar?

Vieta 2018

A

Yes

33
Q

Can CBT alone treat Bipolar?q

A

Nope, not alone

34
Q

What is the go to treatment for Bipolar?

Vieta 2018

A

Pharmacology - mood stabilisers and antipsychotics

Vieta 2018

PEL (17 decks)

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