Psychopathology - Depression Flashcards
Emotional characteristics of depression
Low mood
Anger/hostility
Behavioural characteristics of depression
Changes in activity
Changes to sleeping
Changes to eating
Aggressive acts
Cognitive characteristics of depression
Poor concentration
Poor decision making
Absolutist thinking
Focus on negatives
What changes to activity levels would a person with depression show
Lethargy (reduced activity)
Psychomotor agitation (increase in activity)
What changes to sleep may a person with depression show
Hypersomnia (increase)
Insomnia (decrease)
What changes to eating may a person with depression show
Increased/decreased appetite (binging or anorexia)
Physical changes to weight
How may a person with depression show aggression
Aggressive acts to self or others (self harm, fighting with others)
What does it mean for a person with depression to experience low mood
Feeling sad or unhappy
What does it mean for a person to feel anger in depression
Feelings of annoyance and hostility
Absolutist thinking
Rigid expectations for self and others
Seeing everything in ‘black and white’
Cognitive explanations of depression
Ellis’ ABC model
Beck’s negative triad
ABC model of depression
Suggests that irrational beliefs lead to depression
A in ABC model
Activating event
B in ABC model
(Irrational) Beliefs
C in ABC model
Consequences
Types of irrational belief in ABC model
Musturbation
I-Can’t-Stand-It-Itis
Utopianism
Musturbation
The belief that you must always succeed or achieve perfection
‘I-can’t-stand-it-itis’
The belief that it is a disaster every time something goes wrong (catastrophising any situation)
Utopianism
The belief that life should always be fair and life is not fair when something goes wrong
Who proposed the ABC model of depression
Ellis (1962)
Who proposed the negative triad
Beck (1967)
Beck’s theory on depression
Idea that the way people think makes them vulnerable to depression:
Negative self schemas,
Faulty information processing,
The negative triad
Negative self schemas
Interpreting all information about ourselves in a negative way
Faulty information processing
Idea that depressed people dwell on negatives and catastrophise situations
Beck’s negative triad
Negative views about:
The self
The world
The future
Strengths of the cognitive explanation of depression
Real world application
Supporting evidence (Grazioli and Terry, March et al)
Weaknesses of the cognitive explanation of depression
Only explains reactive depression (due to an activating event)
Ignores other explanations (biological- serotonin on depression)
Cognitive behavioural therapy (CBT)
Talking therapy
5-20 sessions
Sessions are 50-60 minutes
Two elements of CBT
Cognitive- identify irrational and negative thoughts
Behavioural- patients test their beliefs through experiment and ‘homework’
Beck’s cognitive therapy
Identify
Challenge
Test
Identify (Beck’s CBT)
Therapist helps patient identify negative thoughts (self, world, future), called thought catching
Challenge (Beck’s CBT)
Patient and therapist challenge irrational thoughts by discussing evidence for and against them
Test (Beck’s CBT)
Patient as scientist- the patient is encouraged to test the validity of their negative thoughts, and is set ‘homework’ outside of therapy
Ellis’ CBT
Rational Emotional Behavioural Therapy (REBT)
REBT acronym
Rational Emotional Behavioural Therapy
Process of REBT
Extends ABC model with D (dispute) and E (effect)
Challenges irrational beliefs through vigorous argument to replace them with effective beliefs/attitudes
Types of dispute in REBT
Empirical- therapist seeks evidence for the person’s beliefs
Logical- therapist questions logic of a person’s beliefs
Strengths of the cognitive treatment of depression
Research support (March et al)
Weaknesses of the cognitive treatment of depression
Less effective for people with worse irrational beliefs
Other treatments have advantages (drug therapies are less time consuming)
March et al (2007)
P- 327 depressed adolescents. Looked at the effectiveness of CBT, and a combination of CBT and antidepressants
F- 81% of the CBT group and the antidepressant group significantly improved. 86% of the combined group improved.
Grazioli and Terry (2000)
P- Assessed pregnant women before and after birth for vulnerability to depression
F- Cognitively vulnerable (irrational beliefs and negative thoughts) women were more likely to experience post natal depression