Lecture 10: Trauma and Stress Related Disorders Flashcards
Trauma has recently been added to the DSM-5. What are the disorders included?
- Acute Stress Disorder
- Adjustment Disorder
- Posttraumatic Stress Disorder
- Reactive Attachment Disorder
- Disinhibited Social Engagement Disorder
What are the possible disordered outcomes of a child with an insecure anxious-avoidant type relationship?
a. Nothing to worry about
b. Phobias and anxiety
c. Personality Disorder
d. Conduct Disorder and aggressive behaviour
d. Conduct Disorder and aggressive behaviour
Anxious-avoidant children engage in exploration with little affective interaction with the caregiver, shows little wariness with strangers
What are the possible disordered outcomes of a child with an insecure anxious-resistant type?
a. Nothing to worry about
b. Phobias and anxiety
c. Personality Disorder
d. Conduct Disorder and aggressive behaviour
b. Phobias and anxiety
They show resistance in exploration and play, they tend to be anxious and wary of new situations and people
What is the “Serve and Return” effect on babies?
a. Makes connections
b. Builds language
c. Helps form the amygdala
d. All of the above
d. All of the above
We need to return babies emotions because this is how they learn emotional control
What is Reactive Attachment Disorder (RAD)?
They are emotionally withdrawn from caregivers, they rarely seek comfort and have limited positive affect. They have often suffered from social neglect, emotional neglect, unstable living arrangements. They are the anxious avoidant type, they risk developing conduct disorders, aggression and depression.
What is Disinhibited Social Engagement Disorder?
They have no fear of adult figures and they are overly familiar with verbal and physical behaviour that is not age appropriate. They have suffered from social neglect, emotional neglect, unstable living arrangements.
What is Acute Stress Disorder?
The development during or within 1 month after exposure to an extreme traumatic stressor of at least nine symptoms associated with intrusion, negative mood, dissociation, avoidance, and arousal
What is Post Traumatic Stress Disorder?
Intrusive and recurrent thoughts, dreams, flashbacks that are constantly present and you can not get rid of. It is possible to believe that the experience is recurring - you lose awareness of your current surroundings. Duration must occur for over 1 month to receive diagnosis.
What is Job Burnout?
A syndrome of emotional exhaustion and cynicism that occurs frequently among individuals who do ‘people work’ of some kind”
- Emotional exhaustion (drained)
- Depersonalization (cynical, callous, distance colleagues and clients)
- Ineffectiveness (a reduced sense of personal accomplishment, inefficacy, not feeling productive in helping others)
Do brain pathways change in the face of trauma?
a. Yes
b. No
c. Sometimes
a. Yes
In child abuse where multiple negative events occur over a long period, brain functioning changes in many ways that are difficult to treat, increasing the risk of disorder and the more chronic symptoms seen in complex developmental trauma
What is ACES?
A person who has experienced child maltreatment, neglect, domestic violence, parental substance abuse or mental illness
What are the effects of having four or more ACES?
a. 2x chance of getting HPV
b. 4x as likely to be depressed
c. 12x as likely to commit suicide
d. all of the above
d. all of the above
How many children in the US will be exposed to an ACES?
a. 1/3
b. 2/3
c. 1/2
d. 1/4
b. 2/3 - most will not develop PTSD
Who is most as risk for PTSD?
a. Females
b. Males
c. No gender difference
d. Anyone
a. Females - twice as likely to develop PTSD and they’re symptoms last longer
Children and adults with a history of child abuse show alterations in the
a. Prefrontal cortex
b. HPA axis
c. Norepinephrine systems
d. A and B
e. B and C
e. B and C - these alterations have a significant effect on responsiveness to stress
The norepinephrine system becomes highly sensitive to stress
