Mood disorders pt 1 Flashcards
Unipolar
Major depression
Major depressive episode
Dysthymia
Bipolar
Bipolar I
Bipolar II
Cyclothymia
Major depressive episode
extreme depression
2+ weeks
Duration 4-9 untreated
Manic episode
Exaggerated elation, joy, euphoria
1 week
Duration3-4 months untreated
Hypomanic episode
Shorter 4 days
Less severe, milder symptoms
less risky behavior
Major depressive disorder - single epsiode
No mania/ hypomania
single episode
rare
Major depressive disorder - recurrent
2+ 2 months apart
typically 4-7 episodes (lifetime)
Persistent Depressive Disorder (Dsythymia)
Milder symptoms
2+ years
Psychotic features (Depressive)
Hallucinations
Delusions
Perpartum onset
13-19%
Seasonal pattern
Seasonal affective disorders (SAD)
2.7%
Melatonin phototherapy
Risk in adolescence and young adult (depressive)
increase
Risk in middle adult (depressive)
decrease
Risk in old age
increase
Depressive prevalence
16
Depression in women
twice as common in women than men
Bipolar I
Presence of mani episode 7+
Depressive episode optional
If ever a manic episode, automatically Bipolar I
Bipolar II
Presence of a hypomanic episode 4-6
Depressive episode required
Cyclothymic disorder
alternating manic and depressive
less severe
persists longer
Chronic symptoms
ADULTS = 2+ YEARS
Rapid Bipolar
20-50%
Onset bipolar I
15-18
Onset bipolar II
19-22
Bipolar and gender
equal among men/women
Depression genetics
higher heritability for females, largely social
Bipolar genetics
Relatively equivalent, very high
Depression neurotrans
serotonin - maybe
Bipolar neurotrans
Dopamine
Endocrine system - stress
Overactive HPA axis
Elevated cortisol
Suppressed hippocampal neurogenesis
Sleep and circadian rhythsm
REM (reduced latency, increase intensity)
Decreased slow wave sleep
Sleep deprivation effect in bipolar
Brain wave activity in depression
Greater right side anterior activation
Less alpha wave
reduced basal ganglia and amygdala size
Brain wave activity in Bipolar
More left side activation
Larger basal ganglia and amygdala
Stressful life events
context and meaning
stressful life events are strongly related to onset
Depression + negative stress
Mania + positive stress
Depression attributional style
how you explain an event
Internal vs external
my fault or somebody else’s faults (internal depression)
Stable vs temporary
problem for right night or ongoing (stable depression)
Global vs Specific
Problem with the issue or globally affect alot
Cognitive theory of depression
Beck - negative schemas, automatic thoughts
Treatment implications CTD
Correcting the errors
Cognitive errors in depression
negative interpretations