Mood Disorders Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is the cardinal criteria for MDD? And for how long do they have to be present

A
  • 5 of the symptoms are either 1 or 2 (depressed mood most of the day, nearly every day or markedly diminished interest or pleasure in all or almost all activities)
  • for a 2 week period
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2
Q

Is MDD episodic? What does that mean? for how long if untreated?

A
  • Typically yes
  • It means that there is an end
  • 2-9 months
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3
Q

Recurrent vs relapse? About percentage of the population will experience 1+ recurrences?

A
  • relapse is a return of symptoms of the same episode
  • recurrent is a return of a whole new episode
  • 40-50%
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4
Q

Is depression common? What percent of patients who are depressed will fail to be detected?

A
  • Yes
  • 50% so half!
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5
Q

What is the most common age of onset? Does it have high rates of comorbidity?

A
  • late teens/early 20s
  • anxiety disorders
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6
Q

What are some functional consequences of depression?

A
  • leading cause of disability worldwide
  • even those that don’t fill full DSM criteria are associated with significant impairment
  • long term effects in teen years are often felt through young adulthood
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7
Q

What is the hallmark of bipolar disorder? Do you need MDD for bipolar 1 or 2?

A
  • Severity and duration of mania
  • need it for bipolar 2
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8
Q

Are mixed symptoms common? What does that mean? And what is it high risk for?

A
  • Yes
  • A bit of N pole and S pole (sad and happy) @ same time
  • suicide
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9
Q

Is Manic episode more severe for bipolar 1 or 2?
What is the cardinal? Lasting for how long?

A
  • Bipolar 1
  • A distinct period of persistently elevated or irritable mood and increased goal directed activity
  • lasting for 1 week
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10
Q

What is the average age of onset? Is there any gender differences like in MDD?

A
  • In 20s
  • There are no gender differences
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11
Q

Is there a high rate of misdiagnosis and how long is the diagnostic delay?

A
  • Yes
  • the diagnostic delay is long
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12
Q

What are some consequences of bipolar disorder?

A
  • episodic and recurrent
  • high rates of suicide
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13
Q

Are heritability estimates higher in MDD or in BPD? Are they polygenic?

A
  • Higher in BPD
  • Highly polygenic
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14
Q

Is depression just an imbalance of serotonin?

A
  • No, it is not!
  • There is now a growing focus on complex interactions between neurotransmitters
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15
Q

Depression & Social Factors: Life Stress

A
  • Early adversity
  • Major life events
  • Chronic stress
  • Interpersonal stress
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16
Q

About how many cis women experience perinatal depression? What is a major challenge with postpartum depression?

A
  • 1/7
  • distinguishing postpartum depression from postpartum “baby blues”
17
Q

What personality trait (OCEAN) is most associated with depression?

A
  • neuroticism
18
Q

What are the two behavioral theories?

A
  • learned helplessness
  • absence of + reinforcement and/ or high rate of negative experiences, low levels of engagement
19
Q

What is the cognitive theory?

A
  • negative thoughts, beliefs and biases cause depression
  • perception matters!!!
20
Q

What is the important ingredient in treatment/recovery for depression?

A
  • HOPE!
  • How we perceive life events may be key
21
Q

Becks theory of depression

A
  • negative views of, beliefs about delf, world, future (will process everything in negative ways)
22
Q

What are some predictors of mania?

A
  • reward sensitivity
  • disruption of sleep, circadian rhythms, “social rhythms”
23
Q

What are some issues with all these etiological models?

A
  • cause vs. effect
  • effect sizes
  • specificity (lack of it)
24
Q

What is the most common treatment for MDD?

A
  • antidepressant medications (mostly SSRIs)
25
Q

What is the file drawer problem?

A

they pick and choose what they show us

26
Q

Evaluating medications for depression

A

Only 50% of those who take meds for depression have full symptom relief and that is with 2 different meds

27
Q

Non medicine biological and psychological treatments for depression

A
  • brain stimulation
  • psychotherapies
28
Q

CBT is a REALLY good treatment! Better in the long run for depression. It is just as efficacious as medication for severe depression

A
29
Q

Medications for Bipolar disorder

A
  • meds are the foundation for both acute and maintenance treatment
  • associated with reduced all-cause mortality (b/c of mood stabilization)
  • Lithium
30
Q

Are complex many drugs the norm?

A

Sadly yes they are

31
Q

Strong evidence that psychological treatments can be really helpful like they are with depression

A