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
Q

Depressive Ruminative Style

A

Pessimistic outlook

26
Q

Amount of kids who think about suicide that attempt it

A

1/3

27
Q

Most common suicide attempt methods

A

Wrist cutting

Drug overdose

28
Q

2 strongest global risk factors for suicide

A

Mood disorder

Young female

29
Q

Peak age for first suicide attempt

A

13- 14

30
Q

Psychodynamic Theory

A

Conversion of aggressive instinct into depresisve affect following an actual or symbolic loss

31
Q

Behavioural Theory

A

Importance of learning and environmental consequences

32
Q

Depressogenic Cognitions

A

Negative styles and beliefs associated with depression

33
Q

Hopelessness Theory

A

Internal, stable, global attributions to explain negative events

34
Q

Beck’s Cogntiive Theory

A

Negative interpretations due to biased and negative beliefs

35
Q

3 cognition problems in depression

A

Information- processing bias
Negative cognitive triad
Negative cognitive schemata

36
Q

Negative Cognitive triad

A

self
World
Future

37
Q

Self Control Theory

A

Difficulty organizing behaviour in relation to long term goals

38
Q

Socioenvironmental Theory

A

Relationship between stressful life events and the onset and maintenance of depression

39
Q

Heritability of depression

A

30- 45%

40
Q

4 brain region abnormalities in depresison

A

Amygdala
Cingulate
Pre frontal cortex
Hippocampus

41
Q

What hemisphere experiences cortical thinning in depression

A

Right

42
Q

Emotional Regulation

A

Arousal is controlled or modified to facilitate adaptive functioning

43
Q

Primary and secondary control enhancement training

A

Primary Control Skills: Change objective events

Secondary: Change subjective reactions

44
Q

Action Program

A

Reduction of mood disturbances, behavioural deficits and cognitive symptoms

45
Q

ACTION

A
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
Q

Adolescent coping with depression program

A

Skill training to promote control over mood and enhance coping abilities

47
Q

Interpersonal Psychotherapy for adolescent depression

A

Focus on depressive symptoms and social context in which they occur

48
Q

What medications dont help depression at all

A

Tricyclic

49
Q

Most common medication for depression

A

SSRI

50
Q

Mixed bipolar episode

A

Manic and depressive episode within a week or moe

51
Q

Hypomanic episode

A

Less severe and shorter manic episode

52
Q

Bipolar I

A

Manic or mixed episode and one or more major depressive episodes

53
Q

Bipolar II

A

Hypomanic episode in combination with one or more depressive episodes

54
Q

Cyclothymic

A

Numerous and persistent hypomanic and depressive symptoms for a year or more

55
Q

Prevelence of bipolar

A

0.4 - 2.9%

56
Q

Least common bipolar subtype

A

Bipolar I

57
Q

Gender ratio of bipolar

A

Equal

58
Q

% of BP patients with first episode before age 19

A

60%

59
Q

Age of onset for BP

A

15 - 19