Mood Disorders Flashcards

1
Q

Dysphoria

A

Prolonged bouts of sadness

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2
Q

Anhedonia

A

Feeling little joy and loss of interest in activities

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3
Q

% of depressed kids who are irritabale

A

80

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4
Q

Euphoria

A

Exaggerated sense of well being

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5
Q

Prevelence of depression

A

5% of children

10- 20% of adolescents

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6
Q

% of depressed kids with significant functioning impairment

A

90%

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7
Q

Anaclitic Depression

A

Spitz- Infants raised in emotionally cold institutions displayed depressive symptoms

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8
Q

Depression as a symptom

A

Feeling sad or miserable without evidence of a serious problem

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9
Q

Depression as a syndrome

A

Group of symptoms that cluster together on a single dimension of negative affectivity

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10
Q

Minimum duration of MDD

A

2 weeks

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11
Q

Dysthymic Disorder

A

Less severe than MDD, lasts at least one year

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12
Q

Prevalence of MDD

A

2- 8% of children

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13
Q

How much does MDD increase in adolescence

A

2-3 x

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14
Q

% of MDD kids with another disorder

A

90%

50% have 2

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15
Q

% of MDD kids with a comorbid personality disorder

A

60%

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16
Q

MDD age of onset

A

13- 15 years

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17
Q

Average length of MDD episode

A

8 months

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18
Q

Chance of MDD recurrence

A

25% in one year
40% in 2 years
70% in 5 years

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19
Q

Bipolar switch

A

1/3 of kids develop bipolar within 5 years of initial depressive episode

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20
Q

Diagnostic criteria for DD

A

2 somatic or cognitive symptoms

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21
Q

DD prevalence

A

1% of children

5% of adolescence

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22
Q

% of DD kids who have an episode of MDD

A

70%

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23
Q

DD age of onset

A

11- 12 years

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24
Q

Average length of DD episode

A

2- 5 years

25
Depressive Ruminative Style
Pessimistic outlook
26
Amount of kids who think about suicide that attempt it
1/3
27
Most common suicide attempt methods
Wrist cutting | Drug overdose
28
2 strongest global risk factors for suicide
Mood disorder | Young female
29
Peak age for first suicide attempt
13- 14
30
Psychodynamic Theory
Conversion of aggressive instinct into depresisve affect following an actual or symbolic loss
31
Behavioural Theory
Importance of learning and environmental consequences
32
Depressogenic Cognitions
Negative styles and beliefs associated with depression
33
Hopelessness Theory
Internal, stable, global attributions to explain negative events
34
Beck's Cogntiive Theory
Negative interpretations due to biased and negative beliefs
35
3 cognition problems in depression
Information- processing bias Negative cognitive triad Negative cognitive schemata
36
Negative Cognitive triad
self World Future
37
Self Control Theory
Difficulty organizing behaviour in relation to long term goals
38
Socioenvironmental Theory
Relationship between stressful life events and the onset and maintenance of depression
39
Heritability of depression
30- 45%
40
4 brain region abnormalities in depresison
Amygdala Cingulate Pre frontal cortex Hippocampus
41
What hemisphere experiences cortical thinning in depression
Right
42
Emotional Regulation
Arousal is controlled or modified to facilitate adaptive functioning
43
Primary and secondary control enhancement training
Primary Control Skills: Change objective events | Secondary: Change subjective reactions
44
Action Program
Reduction of mood disturbances, behavioural deficits and cognitive symptoms
45
ACTION
``` Always find something to do to feel better Catch the positive Think about it as a problem to be solved Inspect the situation Open yourself to the positive Never get stuck in the negative muck ```
46
Adolescent coping with depression program
Skill training to promote control over mood and enhance coping abilities
47
Interpersonal Psychotherapy for adolescent depression
Focus on depressive symptoms and social context in which they occur
48
What medications dont help depression at all
Tricyclic
49
Most common medication for depression
SSRI
50
Mixed bipolar episode
Manic and depressive episode within a week or moe
51
Hypomanic episode
Less severe and shorter manic episode
52
Bipolar I
Manic or mixed episode and one or more major depressive episodes
53
Bipolar II
Hypomanic episode in combination with one or more depressive episodes
54
Cyclothymic
Numerous and persistent hypomanic and depressive symptoms for a year or more
55
Prevelence of bipolar
0.4 - 2.9%
56
Least common bipolar subtype
Bipolar I
57
Gender ratio of bipolar
Equal
58
% of BP patients with first episode before age 19
60%
59
Age of onset for BP
15 - 19