Panic Disorders Flashcards
Long-standing debate about whether anxiety should be included in …..
mood disorders
Why should anxiety be grouped in with mood disorders (4 reasons)
- high rates of comorbidity
- serve as a predisposition to mood disorders
3.can shape severity of symptoms
- those with cormorbid disorders = greater illness severity ( with anxiety)
Why should anxiety NOT be included in mood disorders ( 3 reasons)
1.earlier age of onset
2.more of a feeling that we all experience
3.may be more independently transmitted
Why do depression and anxiety cooccur at high rate? (4 reasons)
- high prevalance rate
- overlapping symptoms
- poor placement of diagnostic boundaries
- shared etiology
4 causes of shared etiology between depression and anxiety …
- Shared genetic liability
- Shared environmental risks / responsible brain regions
- Shared temperament/personality traits
- Shared maintaining processes
Neuroticism is defined as sensitive to ______, tendency to experience ______.
negative stimuli, subjective distress
Neuroticism __________ vulnerability to almost all ___________, especially _______ and ______ disorders.
increases, psychopathology, mood, anxiety,
The shared maintaining process between depression and anxiety include
Attentional biases to ________
Also ________ and _______, which involve the same ________
negative stimuli, worry, rumination, processes
Tripartate model is a framework for parsing out _______ and ______ symptomology based on their _______ and _______
depressive, anxiety-like, similarities, differences
Triparte model has three dimensions
- depression
- anxiety
- both/overlapping
Triparte model: Depression is characterized by ….
low positive affect
Triparte model: Anxiety is characterized by….
physiological hyperarousal
Triparte model: Both/Overlapping is characterized by …
negative affect
Triparte model was intended to …
help diagnostic accuracy
other self questionnaire scales meant to help diagnostic accuracy ….
(PANAS)
(MASQ)
(DASS)
HiTOP (Hierarchical Taxonomy of Psychopathology) Pros: (4) …..
- Developed from real clinical data
- Multi-dimensional
- Higher reliability
- Comorbidity is built into the system
HiTOP (Hierarchical Taxonomy of Psychopathology) Cons (3) : ……
- Does not consider developmental course
- Does not consider etiology
- Harder to use to make categorical decisions
Anxiety Disorders are between ________ and _________ disorders
Depressive, Obsessive compulsive
Anxiety Disorders include excessive _______, _________, and ______ to these emmotions.
fear, anxiety, abnormal responses
Anxiety is defined as an …
emotional response to anticipation of
future threat
Fear is defined as an ….
emotional response to real/perceived
imminent threat
Anxiety includes increased ________ and ________ in preperation
muscle tension, vigilance
Fear includes surges of __________, and _________.
autonomic arousal, fight -or-flight response
Panic disorder 12 month prevalence……
2-3%
Panic disorder has a ______ ratio of biological females to males
2:1
Panic disorder lifetime prevalence….
4.7%
Panic disorder median age onset is ..
20-24 years old
Development of Panic Disorder is _____ in children, while _______ in older adult population
Low, declining
Panic Attack Symptoms (list (approximately 13 symptoms presented )…
- Palpitations/accelerated heart rate.
- Sweating.
- Trembling or shaking.
- shortness of breath
- Feelings of choking.
- Chest pain or discomfort
- Nausea or abdominal distress.
- Feeling dizzy, light-headed
- Chills or heat sensations.
- Paresthesias (numbness or tingling sensations)
- Derealization or depersonalization
- Fear of losing control or “going crazy.”
- Fear of dying
panic attacks is what defines ________, and can also act as a ________ for a majority of all disorders.
panic disorder, specifier
Specifier: with panic attack follows the same symptoms as described in ……
panic attack symptomology
Panic attack is not a _______ disorder. Panic attacks can occur in the context of any ______ disorder as well as other _______ disorders, and some _________.
mental, anxiety, mental, medical
conditions
Type of panic attacks …
Unexpected, Expected, Limited symptom attacks
Unexpected panic attack =
no obvious cue / trigger of an attack
Expected panic attack =
obvious cue / trigger of an attack