Psychopathology: Depression Flashcards

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1
Q

Define Depression.

A
  • A mental disorder characterised by low mood and energy levels.
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2
Q

Behavioural Characteristics Of Depression.

A

Ways In Which People Act:
- Aggression And Self-harm: Sufferers are often irritable which can lead to aggression. It can also lead to physical aggression towards themselves.
- Disruption To Sleep And Eating Behaviour: May experience insomnia or hyper insomnia. May increase or decrease.
- Activity Levels: Typically sufferers have reduced energy levels. It can also have the opposite effect - psychomotor agitation (struggle to relax).

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3
Q

Emotional Characteristics Of Depression.

A

Ways in which people feel:
- Anger
- Lowered Self-Esteem: Emotional experience of how we like ourselves.
- Lowered Mood: Patients often describe themselves as worthless and empty.

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4
Q

Cognitive Characteristics Of Depression.

A
  • Poor levels of concentration: Unable to stick to a task.
  • Adding to and dwelling on the negative: Tend to focus on negative aspects of a situation.
  • Absolute thinking: Black and white thinking, it is either good or bad.
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5
Q

Cognitive Approach Explanation Of Depression: Beck’s Cognitive Theory Of Depression Overview.

A
  • Suggests the way people think creates a vulnerability for depression, and suggested there are three parts to cognitive vulnerability.
  • Includes faulty informative processing, negative schema and the negative triad.
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6
Q

Cognitive Approach Explanation Of Depression: Beck’s Cognitive Theory Of Depression - Faulty Informative Processing.

A
  • Depressed people focus on the negative aspects of a situation and ignore the positive.
  • Tend to blow small problems out of proportion and think in ‘black and white.’
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7
Q

Cognitive Approach Explanation Of Depression: Beck’s Cognitive Theory Of Depression - Negative Schema.

A
  • A schema is a package of ideas and information developed through experience, which act as a mental framework for the interpretation of information.
  • A self-schema is a package of information that we have about ourselves.
  • Use it to interpret the world, so if someone has a negative schema they interpret all information negatively.
  • Helps maintain the negative triad.
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8
Q

Cognitive Approach Explanation Of Depression: Beck’s Cognitive Theory Of Depression - The Negative Triad.

A
  • Three kinds of automatic negative thinking that contribute to becoming depressed which are negative views of the world, the future and the self.
  • Leads to interpret their experiences in a negative way and so make them more vulnerable to depression.
  • Negative view about world makes them believe that there is no hope anywhere -> Negative views of future reduce hopefulness and enhance depression -> negative views of the self enhance existing depressive feelings.
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9
Q

Cognitive Approach Explanation Of Depression: Ellis’ ABC Model.

A
  • Based on the argument that good mental is due to rational thinking.
  • Conditions such as anxiety and depression are thought to be due to negative thoughts which interfere with us being happy and pain free.
  • A = Activating event leads to an irrational belief = B, the consequences = C may be depression.
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10
Q

Beck’s Cognitive Theory Of Depression Evaluation: Strength - Supporting Evidence.

A
  • Cognitive explanation for depression has supporting evidence for the ideas that depression is associated with faulty information processing, negative schema and the negative triad.
  • Grazioli and Terry assessed 65 pregnant women for cognitive vulnerability and depression before and after birth.
  • They found that those women judged to have been high in cognitive vulnerability were more likely to suffer post-natal depression.
  • This supports the cognitive explanation that depression is due to mental processes.
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11
Q

Beck’s Cognitive Theory Of Depression Evaluation: Strength - High Application.

A
  • Useful applications to treating depression.
  • For example, Beck’s explanation has been applied to therapy in the form of CBT.
  • All cognitive aspects of depression can be identified and challenged in CBT.
  • Include components of the negative triad that are easily identified.
  • The therapy has consistently been found to be the best treatment for depression.
  • This means that if depression is treated by challenging thoughts that have a role in causing depression.
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12
Q

Ellis’ ABC Model Evaluation: Weakness - Not All Irrational Beliefs Are Irrational.

A
  • Not all irrational beliefs are irrational.
  • For example, Alloy and Abrahamson found that depressed people gave more accurate estimates of the likelihood of disaster than non-depressed people (the sadder but wiser effect).
  • This suggests that depressive realists tend to see things for what they are rather than seeing things through rose coloured glasses.
  • This meant that some ‘irrational’ beliefs may simply seem irrational rather than be irrational.
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13
Q

Ellis’ ABC Model Evaluation: Weakness - Not Always A Cause.

A
  • There is no doubt that some cases of depression follow an activating event.
  • Psychologists call this reactive depression and see it as a different from the kind of depression that arises without any obvious cause.
  • This means Ellis’ explanation only applies to some kinds of depression and therefore only a partial explanation for depression.
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14
Q

Ellis’ ABC Model Evaluation: Strength - Successful Therapy.

A
  • A strength of this explanation is that it has lead to successful therapy.
  • The idea that by challenging irrational beliefs a person can reduce their depression is supported by evidence such as Lipsky et al.
  • This in turn supports the basic theory because it suggests that the irrational beliefs had some role in depression.
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15
Q

The Cognitive Approach Evaluation: Weakness - Biological Explanation.

A
  • Depression can also be explained in terms of genetic factors and neurotransmitters.
  • For example, studies have found low levels of the neurotransmitters serotonin in depressed people, and a gene related to this is 10x more common in depressed people.
  • It may be better to take a diatheses-stress model approach where the development of depression looks at biological and cognitive explanations together.
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16
Q

The Cognitive Approach Evaluation: Weakness - Does Not Provide Full Explanation.

A
  • Cognitive explanations do not explain all aspects of depressions.
  • Some sufferers of depression experience hallucinations and bizarre beliefs e.g. ‘Cotard Syndrome’ - the belief they are zombies.
  • Beck’s theory explains the basic symptoms of depression, but not the more complex ones.
  • Ellis model explains why some people are more vulnerable than others but again does not explain the anger some individuals feel, or their hallucinations and delusions.
  • This shows that other explanations may be needed to explain the condition in full.
17
Q

CBT Method Of Treating Depression.

A
  • CBT treats disorders based on both cognitive and behavioural techniques.
  • Cognitive viewpoint the therapy deals with thinking, such as challenging negative thoughts.
  • There are also behavioural elements.
  • CBT begins with assessment in which the patient and the therapist work together to clarify the patient’s problems. Both patients and therapist identify goals and how to achieve them. Negative or irrational thoughts are identified and challenged and replaced by more effective behaviours.
18
Q

Treatment Of Depression: Beck’s CBT.

A
  • Aim to identify automatic thoughts about the world, self and future, once identified they are challenged.
  • Patients are given homework (‘patient as scientific approach’) which may be used in future sessions by the therapist to disprove automatic negative thoughts.
19
Q

Treatment Of Depression: Ellis’ Rational Emotive Behaviour Therapy (REBT).

A
  • Aims to turn irrational thoughts into rational thoughts and resolve emotional and behaviour problems.
  • Expanded ABC model to ABCDEF.
  • D = Disputing irrational thoughts and beliefs, E = is the effects of disputing and effective attitude to life, F = is the new feelings that are produced.
  • REBT focuses on argument with irrational thoughts and replacing them with effective rational beliefs which produce new feelings.
  • Involves 2 different dispute: logical and empirical argument.
  • Empirical Argument: disputing whether there is actual evidence to support the negative belief.
  • Logical Argument: disputing whether negative thoughts logically follow the facts.
20
Q

CBT Treatment For Depression Evaluation: Strength - Research Support.

A
  • Research shows that CBT is an effective treatment for depression.
  • March et al compared the effect of CBT with antidepressants drugs and a combination of the two in 327 adolescents with a main diagnosis of depression.
  • After 436 weeks, 81% of CBT group, 81% of the antidepressant group and 86% of the combined therapy were significantly improved.
  • This shows that CBT is just as effective as medication at treating depression and that the most effective treatment is a combination of biological and cognitive therapies.
21
Q

CBT Treatment For Depression Evaluation: Weakness - Individual Differences.

A
  • A weakness of CBT is that individual differences influence its effectiveness.
  • Elkin et al found it is less suitable where people’s irrational beliefs are rigid and resistant to change.
  • Also, in some cases if depression, patients can have symptoms so severe that they cannot engage with the therapy which means antidepressants are needed before a patient can begin therapy.
  • This means that CBT cannot be used as the sole treatment for all cases of depression.
22
Q

CBT Treatment For Depression Evaluation: Weakness - Relies On Therapist-Patient Relationships.

A
  • Success of therapy relies on therapist-patient relationships.
  • Rosenzweig suggested differences found between different psychotherapies e.g. CBT and systematic desensitisation might be quite small and is actually the quality of relationship with the therapist that determines success rather than particular techniques.
  • This suggests that simply having the opportunity to talk to someone may be what is most effective in all types of psychotherapy.
23
Q

CBT Treatment For Depression Evaluation: Weakness - Alternative Treatment.

A
  • Research shows that exercise can be beneficial in alleviating depression.
  • Babyak et al found that aerobic exercise, anti-depressant drugs or both together treat depression effectively.
  • However, there was significantly lower relapse rates following exercise than drug treatments.
  • This shows that exercise used in the behavioural activation part of CBT can be highly effective.
24
Q

CBT Treatment For Depression Evaluation: Weakness - Overemphasis Of The Importance Of Cognition.

A
  • CBT overemphasises the importance of cognition.
  • There is a risk that because of its emphasis on what is happening the mind of the individual patient CBT may end up minimising the importance of the circumstances in which a patient is living.
  • For example, a person suffering from addiction or poverty may need to change their situation rather than focus on their thoughts.
  • CBT may focus so heavily on what is happening in the patients mind that they demotivate them to change their situation.