Mental Health 1

Question 1

• Depression is a major public health concern
• __________ people suffer from depression worldwide
• Leading cause of disability and a major contributor to overall burden of disease globally
  (morbidity)
• Impacts all facets of health
• Associated with additional co-morbidities:
• __________ concerns (e.g., )
• __________ concerns (e.g., )
• Link to …
• Depression exists on ….
• From episodes of unhappiness that effect most people from time to time, to persistent low mood
  and inability to find enjoyment
• Depression can be either __________ or __________ depending on…..
• Not all forms of depression reach … levels

Answer 1

• Depression is a major public health concern
• 264 MILLION people suffer from depression worldwide
• Leading cause of disability and a major contributor to overall burden of disease globally
  (morbidity)
• Impacts all facets of health
• Associated with additional co-morbidities:
• PHYSICAL HEALTH concerns (e.g., heart disease, diabetes mellitus, asthma, arthritis)
• MENTAL HEALTH concerns (e.g., anxiety, stress)
• Link to mortality
• Depression exists on A CONTUMM
• From episodes of unhappiness that effect most people from time to time, to persistent low mood
  and inability to find enjoyment
• Depression can be either CLINICAL or NON CLINICAL depending on severity and duration of symptoms
• Not all forms of depression reach clinical levels

Question 2

Depression is characterized by one or more of the following symptoms:

ACRONYM?

• Sustained feelings of …
• Feelings of … or …
• Disturbances in …
• Disturbances in … patterns
• Lack of ….
• Difficulty ….
• Loss of … in all or most activities
• Problems with ….
• Thoughts of …

Answer 2

SIGECAPS
sleep, interest, guilt, energy, concentration, appetite, sleep, suicide

• Sustained feelings of sadness
• Feelings of guilt or worthlessness
• Disturbances in appetite
• Disturbances in sleep patterns
• Fatigue or lack of energy
• Difficulty concentrating
• Loss of interest in all or most activities
• Problems with memory
• Thoughts of self-harm/suicide

Question 3

• Depression Diagnosed with ….
• Clinical Diagnosis:
  *
• Both __________ and __________ factors interact
• …. interacts with individual’s…
• Factors such as …., …, and … influence degree to which depression manifested
• Impact of the …

Answer 3

• Diagnosed with DSM-V
• Clinical Diagnosis:
• 5+ symptoms including depressed mood,
  loss of interest/pleasure lasting for at
  least 2 weeks
• Both PSYCHOLOGICAL and PHYSIOLOGICAL factors interact
• neurotransmitter function interacts with individual’s stress responses
• Factors such as heredity, coping skills, and social support influence degree to which depression manifested
• Impact of the environment

Question 4

Exercise for depression?
what can it help

as a TOOL?

AFTER

Evidence for Preventative Effects

• Cross-sectional and prospective studies show an association between … and … across age spectrum
• People who are __________ or __________ at greater risk for depression than people who are __________
• Physical activity offers defense against …
• Regular physical activity is useful for __________ mental health problems

Answer 4

all natural treament
can help just as much as meds

PREVENTATIVE
TREATMENT

• Cross-sectional and prospective studies show an association between inactivity and depression across age spectrum
• People who are less active or SEDENTARY are at greater risk for depression than people who are MORE ACTIVE
• Physical activity offers defense against depressive symptoms
• Regular physical activity is useful for PREVENTING mental health problems

Question 5

Treatment of depression

2 types

eg.
downsides

Answer 5

___pharmalogical_______
* E.g., medication
* Side-effects
* Cost
* Stigma

____psychotherapy______
* E.g., cognitive behavioural therapy
* Duration and intensity
* Cost
* Stigma

Question 6

Exercise Versus ‘Traditional’ Treatments

Answer 6

• Exercise has been shown to be as effective as therapies such as relaxation, psychotherapy, and in some instances medication
• Exercise in conjunction with psychotherapy and/or medicine yielded the best results
• Combined approach when necessary
• Exercise is both cost-effective and can improve other aspects of physical health and mental health
• Aids in prevention of other physical maladies
• It is WHOLE BODY!

Question 7

Exercise Prescription for Depression
* Mode
*

• Intervention length
• __________

Frequency
* __________

Intensity
* Aerobic ….% HR max, Resistance …% of 1RM better than …% of 1RM

• Duration
• Sessions … mins; greatest benefit at … mins

Answer 7

• Mode
• Does not matter
• Intervention length
• at least 10 weeks

Frequency
* 3-5 times a week

Intensity
* Aerobic 50-85% HR max, Resistance 80% of 1RM better than 20% of 1RM

• Duration
• Sessions 30-60 mins; greatest benefit at 45-60 mins

Question 8

Consensus Statements

1. Exercise __________ against symptoms of
   depression
2. Protective effects of exercise seem to increase
   with….
3. Exercise associated with __________ of mild to
   moderate depression
4. Exercise may be …. to the professional
   treatment of….
5. Optimal types and/or amounts of physical
   activity __________

Answer 8

1. Exercise VERY PROTECTIVE against symptoms of
   depression
2. Protective effects of exercise seem to increase
   with greater levels of physical activity
3. Exercise associated with DECREASED LEVEL of mild to
   moderate depression
4. Exercise may be adjunct to the professional
   treatment of severe depression
5. Optimal types and/or amounts of physical
   activity REMAIN UNKNOWN