CH.6 Flashcards

mood disorders and suicide

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1
Q

mood disorders

A

one of a group of disorders involving severe and enduring disturbances in emotionality ranging from elation to severe depression

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2
Q

major depressive episode

A

most common and severe experience of depression, including feelings of worthlessness, disturbances in bodily activities such as sleep, loss of interest, and inability to experience pleasure, persisting at least 2 weeks.
at least 4 additional physical or cognitive sympotms

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3
Q

mania

A

period of abnormally excessive elation or euphoria associated with some mood disorders
lasts for at least 1 week
inflated self-esteem, decreased need for sleep, excessive talkativeness, easy distractibility, increase in goal-directed activity or psychomotor agitation
impairement in normal functioning

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4
Q

hypomanic episode

A

less severe and less disruptive version of a manic episode that is one of the criteria for several mood disorders
last at least 4 days
less impairment (less risky behavior) than manic episode

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5
Q

mixed features

A

condition in which the individual experiences both elation and depression or anxiety at the same time. also known as dysphoric manic episode or mixed manic episode

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6
Q

major depressive disorder

A

mood disorder involving one (single episode) or more major depressive episodes (separated by at least 2 months without depression, recurrent)
may occur as part of the grieving process

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7
Q

recurrent

A

repeatedly occurring

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8
Q

persistent depressive disorder (dysthymia)

A

mood disorder involving persistently depressed mood, with low self-esteem, withdrawal, pessimism, or despair, present for at least 2 years, with no absence of symptoms for more than 2 months
no major depressive episodes (pure dysthymic syndrome)
mild depressive symptoms w/ additional major depressive episodes occurring intermittently (double depression)
major depressive episode lasting 2+ years (persistent major depressive episode)

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9
Q

double depression

A

severe mood disorder typified by major depressive episodes superimposed over a background of dysthymic disorder

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10
Q

integrated grief

A

grief that evolves from acute grief into a condition in which the individual accepts the finality of a death and adjusts to the loss

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11
Q

complicated grief

A

grief characterized by debilitating feelings of loss and emotions so painful that a person has trouble resuming a normal life; designated for further study as a disorder by DSM-5

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12
Q

premenstrual dysphoric disorder

A

clinically significant emotional problems that can occur during the premenstrual phase of the reproductive cycle of a woman

advantage: legitimizes difficulties some women face when symptoms are very severe
disadvantage: pathologiezes an experience many consider to be normal

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13
Q

disruptive mood dysregulation disorder

A

condition in which a child has chronic negative moods such as anger and irritability without any accompanying mania
diagnosed only in children 6-18
designed in part to combat overdiagnosis of bipolar disorder in youth

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14
Q

bipolar II disorder

A

alternation of major depressive episodes with hypomanic episodes (not full manic episodes)
average age of onset 19-22
chronic
10-25% progress to full bipolar I

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15
Q

bipolar I disorder

A
alternation of major depressive episodes with full manic episodes
average age of onset 15-18
chronic
suicide common
can be diagnosed after 1st manic episode
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16
Q

cyclothymic disorder

A

chronic (at least 2 years) mood disorder characterized by alternating mood elevation and depression levels that are not as severe as manic or major depressive episodes
more common among females
1/3-1/2 develop full-blown bipolar

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17
Q

neurohormones

A

hormone that affects the brain and is increasingly the focus of study in psychopathology

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18
Q

learned helplessness theory of depression

A

Martin Seligman’s theory that people become anxious and depressed when they make an attribution that they have no control over the stress in their lives (whether or not they actually have control).
leads to decrease attempts to improve own situation

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19
Q

depressive cognitive triad

A

thinking errors by depressed people negatively focused in three areas: themselves, their immediate world, and their future

20
Q

mood-stabilizing drug

A

a medication used in the treatment of mood disorders, particularly bipolar disorder, that is effective in preventing and treating pathological shifts in mood

21
Q

electroconvulsive therapy (ECT)

A

biological treatment for severe, chronic depression involving the application of electrical impulses through the brain to produce seizures. the reasons for its effectiveness are unknown

22
Q

cognitive therapy

A

treatment approach that involves identifying and altering negative thinking styles related to psychological disorders such as depression and anxiety and replacing them with more positive beliefs and attitudes- and, ultimately, more adaptive behavior and coping styles

23
Q

interpersonal psychotherapy (IPT)

A

brief treatment approach that emphasizes resolution of interpersonal problems and stressors, such as role disputes in marital conflict, forming relationships in marriage, or a new job.
it has demonstrated effectiveness for such problems as depression

24
Q

maintenance treatment

A

combination of continued psychosocial treatment, medication, or both designed to prevent relapse following therapy

25
Q

suicidal ideation

A

serious thoughts about committing suicide

26
Q

suicidal plans

A

the formulation of a specific method of killing oneself

27
Q

suicidal attempts

A

effort made to kill oneself

28
Q

psychological autopsy

A

postmortem psychological profile of a suicide victim constructed from interviews with people who knew the person before death

29
Q

internal attributions

A

negative outcomes are ones own fault

30
Q

stable attributions

A

believing future negative outcomes will be ones fault

31
Q

global attribution

A

believing negative events will disrupt many life activities

32
Q

Suicide

A

11th leading cause of death in USA (underreported)
most common among white and native americans
prevalent in young adults
males complete more/ females attempt more

33
Q

suicide risk factors

A
suicide in family
low serotonin levels
preexisting psychological disorder
alcohol use and abuse
stressful life event
past suicidal behavior
plan and access to lethal methods
34
Q

suicide prevention

A

clinician does risk assessment
clinician and patient develop safety plan
may sing no-suicide contract
preventative programs
removing access to lethal methods
talk to them –> not likely to place them at greater risk or “plant the idea”

35
Q

mood episodes

A

periods of depressed or elevated mood lasting days or weeks

36
Q

anhedonia

A

loss of ability to experience pleasure

37
Q

dysthymia

A

mild symptoms, falling short of major depressive episode

38
Q

rapid-cycling specifier

A
at least 4 manic or depressive episodes within a year
severe type of bipolar disorder
increases over time
does not respond well to treatment
rapid switching
39
Q

self-blame

A

personally responsible for bad things

40
Q

self-evaluation

A

belief that one cannot do anything correctly

41
Q

arbitrary inference

A

emphasizes negative rather than positive aspects of a situation

42
Q

overgeneralization

A

expanding the outcome or thought related to an event to other seemingly similar situations

43
Q

selective serotonin reuptake inhibitors (SSRIs)

A

block reuptake of serotonin so more serotonin is available in brain
fluoxetine (prozac) is most popular
pose some risk of suicide
neg side effects common

44
Q

lithium

A

lithium carbonate= common salt
treatment for bipolar disorder
teats depressive and manic symptoms (mood stabilizer)
why works remains unclear

45
Q

antidepressents used to treat mood disorders

A

Selective serotonin reuptake inhibitors
tricyclic antidepressants
monoamine oxidase inhibitors
Mixed reuptake inhibitors (e.g., serotonin/norepinephrine reuptake inhibitors)