LMBR Study Grp: Emotional and Mental Well-being Flashcards
The attitudes of mindfulness include all of the following EXCEPT:
A. Non-judging. B. Acknowledging what is happening. C. Concentrating in meditation. D. Self-reliance. E. Having a beginner’s mind.
Answer: C
p. 245
Mindfulness differs from other meditation because it’s not a concentrative practice.
Which of the following is incorrect? (multiple answers)
1) The US preventive services task force has given grade B recommendation to screen for depression and anxiety for everyone aged above 12yo.
2) Someone who has been diagnosed with diabetes has a higher chance of going on to develop depression.
3) People with diabetes are more likely to have suicidal ideation if they have recently been diagnosed, are on insulin and have inadequate hba1c control.
4) Heart rate variability is higher in people with depression.
5) Treatment of depression improves survival in people with coronary artery disease.
Answers: 1, 3, 4, 5
1 is incorrect as only depression, not anxiety
3 is incorrect- more likely if long duration of diabetes
Pg 236, 237
Practical techniques to escape suffering include:
A - Awareness of thoughts
B - Acceptance of the situation
C- Imagining the worst outcome
D- Both A & B
Answer D
pg 244
Which of the following nutrient deficiencies were not found to be more common among depressed, child-bearing age women?
a. Folate
b. Zinc
c. Magnesium
d. Calcium
Answer c.
Folate, Iron, Calcium, Selenium, Zinc, O-3, B12 were nutrients more commonly deficient in depressed vs non-depressed women of child-bearing age
p240
Regarding Coronary Disease and depression, which is correct?
a. Depression is a primary risk factor for both developing ischaemic heart disease and worsened prognosis.
b. Depression generally precedes coronary artery disease by several months.
c. Treatment of depression in patients with CAD improves survival.
d. Depression increases cardiac risk by 15-20% in CAD and doubles cardiac events even when controlling for Ejection Fraction and number of blocked arteries.
Answer d.
pg 237.
a. incorrect as is a secondary RF for worsened prognosis.
b. incorrect as depression generally precedes CAD by several yrs.
c. incorrect as treating depression improves Sx and QoL but no findings demonstrating improved survival.
Patients with depression suffer from all except:
a. Worse adherence to lifestyle changes
b. Increased heart rate variability
c. Endothelial dysfunction
d. Increased abnormal platelet adherence
Answer b.
pg 237
Treatment of depression, select all that are true.
A – Lifestyle modification includes mindfulness, sleep management, social support, exercise and book therapy – which involves storytelling or the reading of specific texts with the purpose of healing.
B – SSRIs/SNRIs are first line pharmacotherapy, have a more prominent effect in severe depression and 2/3 will experience side effects from them.
C – Omega-3 fatty acids have a strong level of evidence, however, should not be considered in pregnancy as they are associated with maternal depression.
D – Unhealthy diet is associated with depression in some studies, higher trans-fat intake is linked to depression rates, and adults with frequent intake of meat and fried foods are 40% more likely to develop depression.
E - Cognitive behavioural therapy includes the ABC model = Actions, Beliefs, Control.
Answer A, B.
A – True p239
B – True p239
C – False mixed evidence, the second part of this statement is true. P240
D – False, all is true except for ‘meat’, the study only found increased risk for fried food. P240
E – False, ABC Actions, Beliefs, Emotional Consequences p241
