Psychological problems Flashcards
How many people will experience mental health problems in their lifetime?
As many as 1 in 2
In England in 2009 how many people had depression, anxiety and EDs?
Depression- 2.6 in 100
Anxiety- 4.7 in 100
ED- 1.6 in 100
How many more men than women are diagnosed with depression?
Twice as many
In 2007 what percentage of people 16-74 in the UK were accessing treatment?
24%
In 2014 what percentage of people 16-74 in the UK were accessing treatment?
37%
How many more adults in the UK does MIND estimate will have mental health problems than in 2013?
2 million more
What are two reasons for rises in mental health problems?
Economic deprivation
Social isolation
Are people in higher or lower income households more likely to have mental health issues?
Lower income households
27% of men vs 15% in higher income households
Who does social isolation increase the chance of mental health problems for?
People living in cities
Older people living on their own
What is a culture-bound syndrome?
Mental health problems that are only recognised in certain cultures
Give an example of a culture-bound syndrome:
Koro- when a young man believes his penis or nipples will retract into his abdomen resulting in death- found almost entirely in Asia
What are Jahodas six categories of mental health?
Self-attitudes- high self esteem and a strong sense of identity
Personal growth- extent to which an individual develops full capabilities
Integration- eg being able to cope with stressful situations
Autonomy- being independent and self-regulating
Having an accurate perception of reality
Mastery of the environment- eg ability to love, function at work, solve problems
How has social stigma lessened?
Once a person is called “mentally ill” then other people have expectations on what they will think and do
These might act as a stigma and be harmful to the person as it will affect how they are treated
Overtime the label itself becomes a problem and so new labels are invented
These new labels have less stigma
“Mental health problem” has less stigma attached and so is currently preferred
How do mental health problems damage relationships?
Mental health problems affect a persons ability to talk to others. Someone who is depressed might focus on themselves and find it difficult to understand what other people are thinking.
Mental health problems are isolating. They tend to avoid being with other people as they feel bad about themselves and fear being judged. People might misunderstand why they are avoiding them- this may be damaging to the relationship.
How does difficulty coping with day-to-day life affect mental health problems?
It is one of the characteristics used to define mental health problems. It’s normal for an adult to be able to get up and do everyday tasks so it is regarded as mentally unhealthy if a person can’t do these things. While it may cause little distress to the individual someone else may have to help look after the person. This means it can be distressing to the individual and others.
How do mental health problems have a negative impact on physical well-being?
When anxious or stressed the body produces a hormone called cortisol. This hormone prevents the immune system functioning as well as it should. This means psychological problems make physical illness more likely.
What are the social effects of mental health issues?
Need for more social care
Increased crime rates
Implications for the economy
What are the individual effects of mental health issues?
Damage to relationships
Difficulties coping with day-to-day life
Negative impact on physic well-being
How do mental health issues increase the need for social care?
Taxes are used to fund a social care system which ensures people in need are offered the basic necessities of life
It can also help people learn to care for themselves so they feel less isolated and more competent
As well as the state being expected to look after others we can feel personal responsibility.
How can mental health issues increase crime rates?
Research indicates an increased risk of violence in patients with mental health issues, as much as four times higher
Other factors may explain the link eg substance abuse, lower living standards and isolation which may increase their violence levels
Fazel and Grann found only 1 in 20 violent crimes were linked to mental health problems
What implications do mental health issues have for the economy?
McCrone report suggests mental health in England costs about £22 billion a year. This includes health and social care but not impacts on the criminal justice system and loss in employment. The increase in dementia is a major issue. Since older people are living longer they will require care for longer which will cost more.
What is the difference between sadness and depression?
Sadness is an emotion that us not totally debilitating whereas depression stops a person being able to function- difference between normality and abnormality
What is bipolar depression?
When the person switches between two mood states- depression and mania. Mania is a state of euphoria when the person becomes frenzied and impulsive. In between these two states there may be periods of ‘normal’ mood and the states can last between weeks and months.
What is unipolar depression
Only experiences one emotional state (depression)
What are the key symptoms of unipolar depression?
Low mood
Loss of interest and pleasure
Reduced energy levels
What are other symptoms of depression
Changes in sleep patterns
Changes in appetite levels
Decrease in self-confidence
Reduced concentration
How many symptoms qualify for mild, moderate and severe depression?
All symptoms should be present all/most if the time for longer than two weeks
Mild-2 key and 2 other
Moderate- 5 or more symptoms
Severe-7 or more
What are neurotransmitters?
Chemicals that transmit messages from one neutron to another
What neurotransmitter has been linked to depression?
Serotonin
What do low brain levels of serotonin do?
This means levels in the synapse will be low and the message isn’t transmitted resulting in low mood
What does having plenty of serotonin mean?
If there is plenty of serotonin in the synaptic cleft the message will be transmitted and mood will improve
What does serotonin affect?
Mood
Memory
Sleep
Appetite
What are reasons for low serotonin levels?
Nature vs nurture
Genetics- a person can inherit a poor ability to produce serotonin
Environmental- tryptophan is a key ingredient- if your diet lacks this you won’t produce much serotonin- it comes from high protein foods and carbohydrates
What are the the three evaluation points of the biological explanation of depression?
Strength- There is supporting research evidence
Weakness-Low serotonin levels could be an effect of depression instead of a cause
Weakness-Depression may not be just down to abnormal levels of neurotransmitters
Explain a strength of the biological explanation of depression:
There is supporting research evidence
McNeal and Cimbolic found lower levels of serotonin in the brains of people with depression compared to not depressed control group
Suggests a link between low levels of serotonin and depression
Explain two weaknesses of the biological explanation of depression:
Low levels of serotonin could be an effect of being depressed instead of a cause
Depressed people think negative thoughts about themselves, their world and their future which lead to changes in the brain
This means low serotonin levels may be an effect of psychological experiences instead of just being the cause
Depression might not be solely caused by abnormal levels of neurotransmitters
Research shows so,e people with low levels of serotonin don’t have depression. Better explanation is diathesis-stress explanation, depression is a result of being born with vulnerabilities eg low serotonin levels and stressful experiences.
So depression is a result of the combination of a diathesis and a stressor
What are the reasons for depression in the cognitive approach?
Faulty thinking
Negative schemas
Attributions
Influence of nurture
What part does faulty thinking play in depression?
When a person is depressed they pay attention to the negative aspects and ignore the positives. Their thinking is not logical. They tend to have black or white thinking- something is either all bad or all good. This thinking doesn’t represent the true situation but it causes feelings of hopelessness and depression.
What part do negative schemas play in depression?
Schemas are a package of ideas and information developed through experience. These act as a mental framework to interpret sensory information. A self-schema is the package of information we have on ourselves.
This means if you have a negative self-schema you are likely to interpret all information about yourself in a negative way.