cbt 3 week Flashcards
(55 cards)
What are some simple behavioral strategies for managing MDD?
- Goal setting
- Self-monitoring
- Activity scheduling
- Problem solving
- Graded task assignment
Dimidjian et al. (2006) highlighted these strategies as effective for MDD.
What is one of the most important initial goals for depressed patients?
Scheduling activities
This helps patients re-engage with activities that previously provided pleasure.
What behaviors do depressed patients frequently increase that maintain their dysphoria?
- Staying in bed
- Watching television
- Sitting around
These behaviors usually lead to further withdrawal from activities.
What is the cognitive triad in depression?
- Negative thoughts about myself
- Negative thoughts about my life experiences
- Negative thoughts about my future
This triad shapes how individuals with depression perceive their situation.
What should clinicians learn about previous suicidal attempts during an intake evaluation?
- Number of previous attempts
- Timing of attempts
- Patient’s mood at the time
- Methods used
- Influence of substances
This information aids in predicting future behavior and necessary actions.
Is it acceptable to ask patients about suicidal thoughts during a mental health interview?
Yes
It is crucial to inquire about suicidal thoughts even if no hints have been given.
What is the importance of following up on a ‘Yes’ answer to suicidal thoughts?
To expand on the response with open-ended questions
This helps gather more context about the patient’s feelings and intentions.
What is an Activity Chart used for in behavioral activation?
To track patient’s activities and their effect on mood
This helps identify correlations between activities and emotional states.
How is the Mind Over Mood Depression Inventory scored?
By adding up the numbers circled or marked for all items
A decreasing score pattern over time indicates improvement.
What does the Beck Depression Inventory (BDI) measure?
Behavioral manifestations of depression
The BDI consists of twenty-one self-report items.
What were the relapse rates for patients following CBT for depression?
- 29% relapsed within 1 year
- 54% relapsed within 2 years
These rates are still better than those following discontinuation of antidepressants.
What did the CBT Component Study find regarding low and high severity depression?
For low severity: no difference in effectiveness among treatments; for high severity: BA and ADM equivalent, both more effective than CBT
All treatments were more effective than placebo.
What is the role of behavioral activation in treating depression?
To provide rationale and guidance for scheduling activities
Therapists must be persistent in encouraging patients to become more active.
How prevalent is comorbidity in individuals with MDD?
72.1% had at least 1 co-morbid DSM-IV diagnosis
Comorbidity often complicates the treatment of MDD.
What percentage of people with MDD may die by suicide?
4 – 7%
This statistic highlights the serious risk associated with MDD.
Fill in the blank: The Negative Cognitive Triad includes negative thoughts about _______.
[myself, my life experiences, my future]
What is the prevalence of attempted suicide among individuals with Major Depressive Disorder (MDD)?
8.8%
This statistic indicates the proportion of individuals with MDD who have attempted suicide.
What is the range of people who die by suicide that have a history of MDD?
23–52%
This data shows the significant link between MDD and suicide.
What are the severity percentages for MDD?
- 10.4% mild
- 38.6% moderate
- 38.0% severe
- 12.9% very severe
These percentages indicate the distribution of severity levels in individuals diagnosed with MDD.
What percentage of individuals with MDD have at least one co-morbid DSM-IV diagnosis?
72.1%
This statistic emphasizes the high rate of co-morbidity in individuals with MDD.
What is the most common type of co-morbid diagnosis with MDD?
Anxiety disorders (59.2%)
This indicates that anxiety disorders frequently co-occur with MDD.
What are the DSM-5 criteria for Major Depressive Disorder (MDD)?
- Depressed mood
- Markedly diminished interest or pleasure
- Significant weight loss or gain
- Insomnia or hypersomnia
- Psychomotor agitation or retardation
- Fatigue or loss of energy
- Feelings of worthlessness or excessive guilt
- Diminished ability to think or concentrate
- Recurrent thoughts of death or suicidal ideation
These criteria must be met for a diagnosis of MDD.
What is the mean age of onset for Major Depressive Disorder?
30.4 years
This statistic provides insight into the typical age at which individuals first experience MDD.
What is the mean number of episodes experienced by individuals with MDD?
4.7
This reflects the chronic nature of the disorder for many individuals.
