trauma et al. Flashcards

1
Q

What is the primary diagnostic criterion for Trauma- and Stressor-Related Disorders?

A

Exposure to a traumatic or stressful event

This category includes various disorders such as Reactive Attachment Disorder and PTSD.

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2
Q

What are the two main behavioral patterns in Reactive Attachment Disorder?

A
  1. Inhibited and emotionally withdrawn behavior toward adult caregivers
  2. Persistent social and emotional disturbances

These disturbances include minimal responsiveness, limited positive affect, and unexplained irritability.

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3
Q

What is a key requirement for diagnosing Reactive Attachment Disorder?

A

History of extreme insufficient care

Symptoms must onset before 5 years of age.

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4
Q

What characterizes Disinhibited Social Engagement Disorder?

A

Inappropriate interactions with unfamiliar adults

Symptoms include reduced reticence, overly familiar behavior, and willingness to accompany strangers.

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5
Q

What is the duration requirement for PTSD symptoms to be diagnosed?

A

More than one month

Symptoms must cause significant distress or impaired functioning.

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6
Q

What are the four symptom types associated with PTSD?

A
  1. Intrusion
  2. Persistent avoidance
  3. Negative changes in mood or cognition
  4. Alterations in arousal and reactivity
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7
Q

Which brain abnormalities are linked to PTSD?

A
  1. Hyperactive amygdala
  2. Hypoactive ventromedial prefrontal cortex
  3. Reduced hippocampal volume

Some studies show increased hippocampal activity while others show decreased.

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8
Q

What is a strong recommendation for psychological treatment of PTSD according to the APA Clinical Practice Guideline?

A

Cognitive-behavior therapy

Other recommended therapies include cognitive processing therapy and prolonged exposure.

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9
Q

What does the APA Clinical Practice Guideline say about the effectiveness of telepsychology for treating PTSD?

A

Comparable to face-to-face interventions

Effectiveness includes symptom reduction and client satisfaction.

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10
Q

What is the diagnosis criteria for Acute Stress Disorder?

A

Exposure to actual or threatened death, severe injury, or sexual violation, with at least nine symptoms from five categories

Symptoms must last for three days to one month.

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11
Q

What is required for the diagnosis of Prolonged Grief Disorder?

A

Death of a close person at least 12 months ago for adults

Symptoms must include intense yearning for the deceased and three or more additional symptoms.

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12
Q

What is Dissociative Amnesia?

A

Inability to recall important personal information not attributed to ordinary forgetfulness

Amnesia can be localized, selective, generalized, systematized, or continuous.

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13
Q

What characterizes Depersonalization/Derealization Disorder?

A

Persistent or recurrent episodes of depersonalization or derealization

Accompanied by intact reality testing.

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14
Q

What are the key features of Somatic Symptom Disorder?

A

One or more somatic symptoms causing distress or disruption in daily life

Accompanied by excessive thoughts or behaviors regarding the symptoms.

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15
Q

What does Illness Anxiety Disorder involve?

A

Preoccupation with having a serious illness despite having no or mild symptoms

Symptoms must be present for at least six months.

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16
Q

What defines Functional Neurological Symptom Disorder (Conversion Disorder)?

A

Symptoms involving a disturbance in voluntary motor or sensory functioning

Symptoms must be incompatible with known medical conditions.

17
Q

What distinguishes Factitious Disorder from malingering?

A

Factitious Disorder involves falsifying symptoms without obvious external rewards

Malingering is intentional symptom production for personal gain.

18
Q

What is the forced-choice method used for?

A

Detecting malingering

It involves presenting test items to differentiate between feigned and genuine symptoms.

19
Q

What is a significant difference between feigned memory loss and genuine memory loss?

A

Feigned memory loss has sudden onset and termination, while genuine loss has gradual changes

Individuals with genuine loss often remember fragments of events.