Mood Disorders Flashcards

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

The DSM IV distinguishes between two main categories of mood disorder. What are these two categories?

A

UNIPOLAR depression

BIPOLAR depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is unipolar depression?

A

When a persons mood changes from NORMAL to DEPRESSED and can range from MILD to SEVERE (a neurosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who is affected by unipolar depression?

A

Around 5% of pop

More prevalent in WOMEN - Britain around 7-8% of women suffer compared to 3-4% of MEN

Rates are SIMILAR in most WESTERN COUNTRIES such as the UK, USA and Canada

Average age of onset 40-50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 4 symptom domains of unipolar depression?

A

EMOTIONAL symptoms (feelings)

COGNITIVE symptoms (think)

BEHAVIOURAL symptoms (act/behave)

PHYSIOLOGICAL symptoms (body functioning)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two main symptoms that fall into the emotional domain, which are needed for a diagnosis of unipolar depression?

A

Intense feelings of SADNESS

LOSS of INTEREST and PLEASURE in USUAL ACTIVITIES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Give one typical symptom of the cognitive domain, for unipolar depression

A

Low SELF-ESTEEM/ self critical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Give one symptom of the behavioural domain, for unipolar depression

A

WITHDRAWAL from social activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Give two symptoms of the physiological domain, for unipolar depression

A

Sleep difficulties (INSOMNIA/HYPOSOMNIA)

LOSS of ENERGY or RESTLESSNESS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is needed for a diagnosis of unipolar depression?

A

Symptoms 1 and/or 2

Plus AT LEAST 4 OTHER for at least TWO WEEKS

Where there is no obvious external cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are mood disorders categorised as?

A

Disabling disturbances in emotions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is bipolar depression?

A

Characterised by PERIODS of DEPRESSION and MANIA

Diagnosis means symptoms have been SEVERE enough to cause SERIOUS SOCIAL/OCCUPATIONAL IMPAIRMENT or REQUIRED HOSPITALISATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is mania?

A

An EMOTIONAL STATE of INTENSE UNFOUNDED ELATION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Who does bipolar depression affect?

A

LESS FREQUENT than unipolar depression affecting around 1% of the pop

Average age of onset VARIES between 15 and 40, with the average age being 20

SIMILAR RATES between GENDERS, different SOCIAL CLASSES AND different ETHNICITIES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is a similarity between the unipolar and bipolar depression?

A

Both the depressed phase of unipolar and bipolar depression are the same

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The manic phase of bipolar depression is split into 4 domains. What are these domains?

A

Emotional

Cognitive

Behavioural

Physiological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the two main symptoms of the emotional domain that are needed for a diagnosis of bipolar depression?

A

Intense feelings of EUPHORIA (ELEVATED mood)

IRRITABILITY (at personal frustration or with others)

17
Q

Give examples of disrupted thought processes within the cognitive domain of bipolar depression

A

Delusions of GRANDURE

Delusions of PERSECUTION

HALLUCINATING

making RECKLESS/IRRATIONAL decisions

Inflated self esteem

18
Q

Give an example of a behavioural symptom of bipolar depression

A

Increase in pleasurable ACTIVITIES that have a HIGH RISK or PAINFUL CONSEQUENCES

19
Q

Give an example of a symptom form the physiological domain of bipolar depression

A

DECREASED need for SLEEP

INCREASED ENERGY levels

20
Q

What is needed for a diagnosis of bipolar depression?

A

Symptoms of BOTH DEPRESSION and MANIA

MANIC episode must involve symptoms 1 and/or 2

Lasting AT LEAST A WEEK, plus AT LEAST 3 ADDITIONAL symptoms

21
Q

Compared to schizophrenia, what is a strength of the diagnosis of mood disorders?

A

As there are ESSENTIAL SYMPTOMS REQUIRED for a diagnosis of depression, the classification is MORE PRECISE

As a result there is much LESS CHANCE of MISDIAGNOSIS leading to INCORRECT TREATMENT programmes

22
Q

What is one issue with the diagnosis of depression in older individuals?

A

Rates in older individuals (60+) are DIFFICULT to MEASURE as they are OFTEN COMPLICATED by MEDICAL DISORDERS and SOCIAL ISOLATION

23
Q

Give one issue with the diagnosis of depression due to the manic phase?

A

In the manic phase of bipolar, patients MAY be UNAWARE that there is ANYTHING WRONG, leading them to STOP taking their MEDICATION and causing further DETERIORATION