Mental Health Questions Flashcards
What does SSRI stand for?
Selective Serotonin Reuptake Inhibitor
What is the biochemical explanation of depression?
Low levels of serotonin in the nervous system
What is the biochemical explanation of schizophrenia?
High levels of dopamine in the nervous system
What was the sample of Gottesman’s 2010 study?
2.7 million people and parents
What are the three historical views of mental illness?
- Animism
- Humourism
- Animalism
What are the four humours?
- blood= sanguine (positivity/ optimism)
- phlegm= phlegmatic (cool/calm/relaxed)
- yellow bile= choleric (anger)
- black bile= melancholic (low mood)
What are the three types of phobia?
- agoraphobia
- social phobia
- specific phobia (eg claustrophobia, arachnophobia)
What are the three types of SOCIAL phobia?
- performance (public speaking)
- limited interaction (authority)
- generalised (agoraphobia)
What are the four definitions of dysfunctional behaviour?
- statistical infrequency
- failure to function adequately
- deviation from social norms
- deviation from ideal mental health
What is statistical Infrequency?
Common is normal, if everyone does it or not
What is failure to function adequately?
Cannot function properly- eg keep a job or maintain a stable relationship
What is deviation from social norms?
Each culture has its own norms, some people decide to rebel against them
What is deviation from ideal mental health?
Not following anything ‘normal’ eg unable to process emotions ‘properly’
How many disorders does the DSM-5 have?
300
What are three ways of categorising mental disorders in the DSM-5?
- type of disorder
- lifespan order- childhood to adulthood
- internalising vs externalising symptoms
How many categories of disorder are in the DSM-5?
22
How many hospitals were used?
ROSENHAN
12
What 3 words did the pseudo-patients report hearing?
ROSENHAN
- thud
- hollow
- empty
How many pseudo-patients were used?
ROSENHAN
8
How long were the pseudo-patients kept in the hospitals?
ROSENHAN
7-52 days, average of 19 days
What were the pseudo-patients diagnosed with?
ROSENHAN
- with schizophrenia
- once with manic-depressive psychosis
How many patients went for a diagnosis in three months in study 2?
ROSENHAN
193
How many patients were thought to be pseudo-patients by a psychiatrist?
ROSENHAN
23
How many patients were thought to be pseudo-patients by 2 members of staff?
ROSENHAN
41
Diagnostic criteria
DSM-5
The time frame of showing symptoms before diagnosing
Prevalence
DSM-5
The frequency of the issue within different age groups
Co-morbidity
DSM-5
Which disorders are most likely to occur together
Gender related diagnostic issues
DSM-5
Is the disorder likely to affect a particular gender over the other
What is Serotonin?
A neurotransmitter, a natural mood stabiliser, regulates mood, anxiety and happiness
Issue with biochemical explanation of depression
Cause+effect- unsure if depression is caused by lack of serotonin or serotonin production reduces due to depression
How to treat schizophrenia- biochemical explanation
Anti-psychotic drugs bind to dopamine receptors and block release of dopamine
Issue with biochemical explanation of schizophrenia
Unsure if schizophrenia is caused by excess of dopamine or if dopamine production increases due to schizophrenia
Identical twins outcome
GOTTESMAN+SHIELDS 1976
One twin with schizophrenia, 58% of time other twin had schizophrenia too (called concordance rate)
non-identical twins concordance rate
GOTTESMAN+SHIELDS 1976
12%
Patients with schizophrenia
BROWN
Brain abnormality as an explanation of schizophrenia
- brains 6% lighter
- enlarged ventricles
- (thinner parahippocampal corticles)
than people without schizophrenia
Patients with depression can have…
SHELINE 1995
Brain abnormality as an explanation of depression
- Smaller hippocampi than non- depressed people
- And smaller hippocampal volume
What is the cause of a smaller hippocampi?
Brain abnormality as an explanation of schizophrenia
Caused by cortisol (a stress hormone) destroying hippocampal cells that are normally receptive to serotonin
How many couples were studied?
GOTTESMAN 2010
1,278,977
Group A
GOTTESMAN 2010
2 parents with either schizophrenia, depression or bipolar