Depression Flashcards Preview

Y4 Compendium Exam > Depression > Flashcards

Flashcards in Depression Deck (24):
1

Who gets depressed?

10-25% women; 5-12% men; 18-44 year olds

2

What is depression generally thought to be about?

Loss to domain

3

What are the cognitive themes in depression as defined by Beck (1979)?

Actual Loss
Perceived Loss
Hopelessness
Helplessness

4

Who defined the cognitive themes in depression?

Beck (1979)

5

Of what does the negative cognitive triad consist?

Negative views of the self, world and others.

6

From where do core beliefs develop?

Childhood

7

What are the characteristics of core beliefs?

They are absolute and unconditional - 'I am...', 'The world is..., 'Others are...'

8

What are dysfunctional assumptions?

Conditions which must be met for a person to have an agreed sense of self.

9

What words let you know that it's an assumption?

Should, must, ought, if... then...,

10

What are cognitive biases the same as?

Negative automatic thoughts

11

Outline Beck's model of emotional disorders.

Early experiences -> Formation of conditional and unconditional beliefs -> Critical incident -> Beliefs activated -> Automatic Thoughts

12

Who recommends CBT for depression?

NICE; DeRubris et al. (1999); Williams et al. (1997)

13

What is the cognitive protocol for depression?

To monitor NATs
Recognise connections between cognition, affect and behaviour
Examine evidence for/against distorted automatic thoughts and substitute with more reality-orientated interpretations
Learn to identify and alter own dysfunctional beliefs which predispose person to distort experiences

14

When are behavioural techniques used for depression?

With more severely depressed people

15

Outline behavioural protocol for the more severely depressed.

Change behaviour to restore functioning to pre-morbid level
Elicit cognition associated with specific behaviours

16

If a thought is conditional is it a core belief or an assumption?

Assumption

17

What is emotional reasoning?

Person starts to base thinking on feelings rather than evidence

18

What do we look for in assessment of depression?

Trigger
Thoughts
Behaviours
Physiology
Emotions
Activity
Listen out for what they want and any avoidance
Any doubts?

19

Name three possible depression formulations

5-factor model (Greenberg & Padesky)
4P's+1 (Weerasekera)
Vicious Flower (Moorey, 2010)

20

What are the petals on the Vicious Flower?

NATs
Ruminations and self-attacking
Mood/emotion
Withdrawal and avoidance
Unhelpful behaviours
Motivation and physical symptoms

21

Outline behavioural interventions for depression.

Activity monitoring
Activity scheduling
Comparing 'planned to do' with 'actually did'
Graded task assignment

22

What should you listen out for in graded task assignment?

Patient wants/wishes/avoidance

23

Outline the steps for graded task assignment.

Defining the problem
Formulating the project and stepwise assignment of tasks
Immediate/direct observations by patient
Ventilation of patient doubts
Encouraging realistic evaluation of actual performance
Emphasis on reaching of goal
Devising new/more complex assignments with patient

24

What is the aim of a behavioural experiment?

Find out what happens - NOT testing a hypothesis.