Depression Flashcards

(37 cards)

1
Q

What are the main symptoms of depression?

A
  • low mood
  • difficulty concentrating
  • irrational negative beliefs
  • loss of pleasure
  • change in appetite
  • change in sleep pattern
  • social withdrawal
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2
Q

Which symptoms are emotional?

A
  • low mood
  • loss of pleasure
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3
Q

Which symptoms are cognitive?

A
  • irrational negative beliefs
  • difficulty concentrating
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4
Q

Which symptoms are behavioural?

A
  • social withdrawal
  • change in appetite
  • change in sleep patterns
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5
Q

To be diagnosed with depression, a person must experience…

A
  • at least one emotional symptom
  • at least five symptoms of depression
  • more than two weeks of symptoms
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6
Q

What’s manic depression?

A
  • when a person cycles between depressive episodes and manic episodes
  • a manic episode is a period of high mood which lasts for at least one week
  • a depressive episode is a period of low mood which lasts for at least one week
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7
Q

what are the two types of depression?

A
  • manic depression
  • major depression
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8
Q

Cognitive explanations of depression - Ellis’ ABC Model

A
  • ellis believed depression resulted from irrational thoughts and blaming external events for unhappiness
  • activating event, belief, consequence
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9
Q

what’s the activating event?

A

an external event, usually of negative nature

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10
Q

what’s the belief?

A

you hold a belief about the event, usually irrational

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11
Q

what’s the consequence?

A

an emotional response to your belief

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12
Q

weakness of ABC model - partial explanation

A
  • some forms of depression don’t have an activating event
  • Ellis’ explanation only applies to some types of depression
  • therefore, it’s only a partial explanation
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13
Q

strength of ABC model - practical application in CBT

A
  • has led to successful therapy
  • by challenging irrational negative beliefs, depression can be reduced
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14
Q

weakness of ABC model - doesn’t explain all aspects of depression

A

doesn’t explain the anger associated with depression

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15
Q

weakness of ABC model - Wender et al (1986)

A
  • found that adopted children who develop depression were more likely to have a depressed biological parent, even though they’re raised in a different environment
  • implies that biological factors are more important than cognitive ones
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16
Q

what’s Beck’s cognitive theory of depression?

A
  • faulty information processing
  • negative self-schemas
  • the negative triad
17
Q

what’s faulty information processing/cognitive bias?

A
  • when depressed, you tend to focus on the negative and ignore the positive
  • you also tend to think in ‘black and white’ terms
  • arbitrary inference, selective abstraction, overgeneralisation, magnification and minimisation
18
Q

what’s arbitrary inference?

A

conclusions drawn in the absence of sufficient evidence

19
Q

what’s selective abstraction?

A

conclusions drawn from just one part of a situation

20
Q

what’s overgeneralisation?

A

coming to conclusions drawn on the basis of a single event

21
Q

what’s magnification and minimisation?

A

exaggerations in evaluation of performance

22
Q

what are negative self-schemas?

A
  • a schema is a mental package of ideas and information developed through experience
  • act as a mental framework
  • a self-schema is the package we have about ourselves
  • we interpret ourselves in a negative way
  • negative cognitive bias strengthens negative schemas
23
Q

what’s the negative triad?

A
  • negative view of the self (low self-esteem, feeling worthless)
  • negative view of the world (obstacles in the environment, no hope)
  • negative view of the future (no way to improve)
24
Q

strength of Beck’s theory - supporting evidence

A

Boury et al (2001)
- monitored students’ negative thoughts with the Beck depression inventory (BDI)
- found depressives misinterpret facts and experiences in a negative way and feel hopeless about the future
- however, this sample is limited so therefore can’t be generalised

25
strength of Beck's theory - practical application in CBT
- forms the basis of CBT - therapists can challenge cognitive aspects of depression - leads to successful therapy and treated depression
26
weakness of Beck's theory - doesn't explain all aspects of depression
- explains only basic symptoms - some depressed patients are angry, Beck can't explain this - some suffer hallucinations
27
weakness of Beck's theory - other approaches may explain depression better
- the genetic explanation focuses on the idea that vulnerability to depression is inherited - researched through twin and adoption studies - gene-mapping used - however, two explanations may be combined
28
cognitive approach to treating depression - CBT
- most common psychological treatment for depression - assessment (identify problem), identify irrational thoughts, work to change irrational thoughts - Beck's cognitive therapy - Ellis' rational emotive behaviour therapy
29
what's Beck's cognitive therapy?
- identify thoughts about the world, self, and future and challenge them - patient asked to investigate the reality of their negative beliefs (homework) - can be used as evidence in future sessions
30
what's Ellis' rational emotive behaviour therapy (REBT)?
- involves making patients' irrational negative thoughts rational and positive - technique is to identify and challenge thoughts - uses ABC model to record irrational beliefs
31
how does REBT work?
- challenge negative thoughts by reinterpreting ABC in a more positive way - patients are told to practice positive, optimistic thinking - educational phase - break link between negative life events and depression using the empirical argument (is there evidence to support negative belief?) and the logical argument (does negative thought logically follow from fact?) - behavioural activation - therapist encourages patient to become more active and engaged in enjoyable activities - after patient has experienced improvement, they're taught to identify faulty thinking and challenge it - between sessions, patient is given goals to boost self esteem - hypothesis testing of negative thoughts
32
strength of CBT - supporting research
David et al (2008) - 170 patients suffering with major depression were treated with 14 weeks of REBT - found they had better outcomes than those treated with drugs six months after treatment - suggests that REBT is a better long-term treatment than drug therapy
33
weakness of CBT - might not work for all cases
- in some cases, depression can be so severe that patients lack motivation to engage with therapy - difficulty concentrating in sessions - feel overwhelmed, strengthening depressive symptoms - patients may be treated with antidepressants initially, and attend CBT when they're more motivated - therefore, CBT can't be used as a sole treatment for all cases
34
strength of CBT - no side effects
- no side effects unlike drug therapy - may encourage more people to try it
35
strength of CBT - cost effective
- occurs over a short period of time and stops symptoms returning so is cost effective - gives patients practical techniques to use after CBT has ended so they're in control
36
weakness of CBT - some people want to explore their past
- CBT only focuses on the present and the future - some people are aware of the link between their childhood experiences and current depression and want to explore this
37
weakness of CBT - ethical concerns
- may be too therapist centred - therapists may abuse their power and force patients into certain ways of thinking - depressed patients are usually vulnerable and can become dependent on their therapists