Psych Exam 1 (STATS) Flashcards

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1
Q

By 2020 - Main demographic in the US

A

Non-White

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2
Q

Fraction of people suffering from mental illness at any point

A

1/5 (W > M)

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3
Q

Of the 20% suffering from mental illness, what percent get care?

A

40%

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4
Q

What fraction of people have serious** mental illness?

A

1/20 (4.5%)

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5
Q

Age group that suffers the most from mental illness

A

18-25

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6
Q

What fraction people get treatment for depression

A

2/3 (W > M)

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7
Q

What populations receive MORE care for depression (age/race/adolescent + race)

A

Age: Adults get more care
Race: White get more care
Adolescents: Blacks have the most care, hispanics have the least

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8
Q

Suicide is the ___ leading cause of death for Americans

A

10th

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9
Q

Suicide is the ___ leading cause of death for adolescents

A

2nd

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10
Q

Highest rate of suicides among adults:

A

45-54

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11
Q

Trends of suicide in adults by age:

A
  1. 45- 54
  2. 85 +
  3. Younger middle aged adults
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12
Q

Female age group for suicide that is most common

A

45-64 **RISING FAST (50% tin 15 yrs)

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13
Q

Men are ___ more likely to die from suicide (by lethal means) than women

A

3-4X more

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14
Q

WHO is more likely to commit suicide?

A

White women - whites in general

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15
Q

Lethal means of death:

A
  1. Firearms 50%
  2. Suffocation 25%
  3. Poisoning/other
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16
Q

Unmet need for tx: Three top reasons to not get tx

A
  1. 48.3% cannot afford
  2. Think they can handle dz without tx
  3. Do not know where to go for help
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17
Q

Number of adults 18+ that did not get health care in 2013

A

5.1 million

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18
Q

Mental health parity act of 1996:

A

Large employer-sponsored health care (>50 employees)

*NOT mandated coverage for MH tx

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19
Q

Mental health parity in FEHB

A

1999 –> 2001 (implemented)

*Only federal employees

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20
Q

Mental Health Parity and Addiction Act 2008

A

Now in private insurance

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21
Q

ACA

A

NOW addresses pre-existing conditions (mandated as one of the cores to be covered)

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22
Q

Provider shortages - ratio of doc/peoples]

A

1 psych doc for every 30,000 people

23
Q

Percent of people hospitalized and medically ill

A

30 - 60%

24
Q

Depressed people are __ more times to be non-adherent with medications

A

3X

25
Q

Circadian rhythm average amount of time

A

25 hours

26
Q

Most prevalent sleep disorder

A

Insomnia

27
Q

Hypopnea definition

A

50% decrease in nasal-buccal air flow or 4% decrease on O2 saturation that results in awakening

28
Q

Length of CBT

A

One 60-90 minute session weekly for 8-12 weeks

29
Q

Among people with a substance problem __ in __ have multiple substance disorders

A

1 in 5

30
Q

Most used street drug

A

Marijuana

31
Q

Second most common drug fro recreational use

A

Prescription drugs

32
Q

Peak of illicit drug use in Wisconsin (age group)

A

18-25

33
Q

2/3 of overdose deaths are due to:

A

Opioids

34
Q

Out of people that die fro opioids, what are the trends (including gender)?

A

Rise in death rates - men 2x more than women

35
Q

Do not prescribe __ and __ together

A

Benzos and Opioids

36
Q

The 5 D’s:

A

Dated, Duped, Disabled, Dishonest, Defiant

37
Q

Multi-racial, American Indian and black women are: (2)

A
  • More likely to be victimized than white or hispanic women

- More likely to be killed than white women

38
Q

____ mothers are more likely too be victims of IPV than ____

A

Single are more likely to be victims than married women

39
Q

IPV impact: ___ of those that experience IPV have had psychological violence

A

50%

40
Q

Lifetime prevalence of sexual violence, stalking or physical violence

A

1/3 women

1/4 men

41
Q

IPV is the ___ cause of injury for women ages 15-44

A

LEADING

42
Q

Health impacts of IPV are mainly related to:

A

Mental health

43
Q

Women that become pregnant from IPV have ___ risk of complications during the pregnancy

A

3X

44
Q

Is therapy useful for abusers?

A

Not really

45
Q

Victims may develop _____ Disorder

A

Dependent Personality

46
Q

Percentage of people that get PTSD from an IPV event:

A

75%

47
Q

Screening recommendation for IPV in reproductive age is a USPSTF grade ___

A

B

48
Q

All primary care providers should start screening for IPV at age:

A

12 and older

49
Q

Validated Screening Tools for Partner Violence

A

HITS and PVS

50
Q

People do NOT screen as much they should (percentages):

A

3-41% of physicians

11-39% tx by OBGYN

51
Q

Only ___ % of patients presenting to the ER with suspicious injuries are asked about IPV

A

33%

52
Q

With EHR prompts, the screening increases to ___%.

A

600%

53
Q

All states require mandatory reporting for vulnerable populations (3):

A

Children, elderly and disabled

54
Q

In WI to report IPV between two adults you need ___

A

Permission for the patient to report