psyc3505 final Flashcards
unipolar
a single depressive mood experience
bipolar
involves mania and depression
major depressive disorder
- one or more major depressive episodes or irritable mood episodes
- loss of pleasure
- change in weight or appetite
- sleep problems
- fatigue or loss of energy
- feelings of worthlessness or guilt
- difficult thinking or concentrating
- thoughts of death or suicidal thoughts and behaviour
persistent depressive disorder
same symptoms of MDD but symptoms are less severe and more chronic (symptoms must be present for at least one year)
along with 2 or more of the following:
- poor appetite or overeating
- sleep disturbances
- low energy or fatigue
- low self-esteem
- difficulty concentrating or making decisions
- feelings of hopelessness
epidemiology of depression
MDD is the most prevalent form of affective disorder among children and adolescents
- clinical sample: 80%
- community sample: 0.4-2.5%
- lifetime prevalence rates of diagnosable depressive disorders are 20-30%
SES, ethnic, and cultural considerations
lower ses = higher rates of depression
- possible influences of income on MDD:
1) chronic stress (on mood and physical symptoms)
2) family disruption
3) environmental adversities
4) racial and ethnic discrimination
etiology of depression (biological)
- genetics (highly heritable, higher rates in first-degree adult relatives, genetic effects may influence personality and temperament)
- neurochemistry and brain functioning (serotonin, norepinephrine, acetylcholine, and builds on research that finds certain classes of medication are effective as antidepressants): low levels of serotonin and norepinephrine are a result of too much reabsorption by the neuron and the breakdown of neurotransmitter too efficiently
etiology of depression (sociopsychological)
- separation and loss (can produce adverse circumstances including lack of care, changing family structure, SES problems)
- cognitive and interpersonal perspective (interpersonal skills cognitive distortions, views of self, control beliefs, self regulation, and stress)
impact of parental depression
children from homes with a depressed parent are at a greater risk of developing MDD and other disorders (genetic and non biological factors)
assessment of depression
- self-reported measures: children’s depression index (CDI) and revised children’s anxiety and depression scale
- parental/teacher measures: behavior assessment system for children (BASC)
- observations and clinical judgment
treatment of depression (medications
-past: tricyclic antidepressants
-present: SSRIS and second-generation anti-depressants
treatment of depression (cbt and interpersonal psychotherapy)
-challenge maladaptive thoughts and negative attributions, teach problem-solving/coping skills
- understand interpersonal issues and problem solving
bipolar disorder
involves the presence of mania as well as depressive symptoms
mania
period of abnormally elevated euphoric mood
euphoria
inflated self-esteem, high rates of activity, speech and thinking, distractability, exaggerated feelings of physical and mental well-being