Depression Flashcards

(37 cards)

1
Q

MDD symptoms

A

sad, loss of interest; sleep difficulty, lethargy, appetite, loss of desire, extreme fatigue, worthless and guilt, suicidality,, concentration problems,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

MDD prevalance

A

lifetime 11 %; 1 year 4.5; 80 % experience 1 episode; avg 4 ep. duration: 3-5 months; 12% last 2 years; gender ratio 2-1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Chronic depression PDD

A

4-5 years; intermittent normal mood; chronic low-grade depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Double-depression

A

MDD superimposed on PDD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

MDD etiology: biological: Genes

A

heritability is 35 %; 1 st degree relative 3x higher risk; depressegenic reaction to stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

MDD etiology: biological: Genes

A

5 htt Allells: dysfunction; temperament (neuroticism);

hyperarousal/hyperresponse to stress stimulus; vulnerability to depression/anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

MDD etiology: biological: 5 ht >

A

sad depressed, persistent grief

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

MDD etiology: biological: DA >

A

loss of interest: pleasure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

MDD etiology: biological: NE>

A

psychomotor retardation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MDD etiology: biological: 5ht >

A

death and suicidal thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MDD etiology: biological: 5ht >

A

permissive theory: regulates other NT’s: >NE & DA = depression; < NE & DA = mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

MDD etiology: biological: tryptophan

A

depletion = relapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

MDD etiology: psychological: dependent stressor

A

relationship problem or failing a test: dependent on behaviors or characteristsc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

MDD etiology: psychological: independent stressor

A

independent of individual: ie death of family member

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Beck’s cognitive theory

A

negative interpretations and thoughts = depression; lack of positivity bias; less access to positive thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Beck’s cognitive theory

A

diathesis: formation of dysfunctional beliefs// stressor: critical incident > activates beliefs> automatic thoughts result> depressive symptoms

17
Q

negative cognitive triad

A

self: I’m unloveable/ world: no one loves me// no one will ever love me

18
Q

helplessness theory

A

learned helplessness// depressive attributional style// negative outcomes are ones fault// stable attributions/ future negative outcomes will be one’s fault// global attributions/ negative events disrupt life events/ hopelessness//

19
Q

helplessness theory:

A

uncontrolled event/ sense of helplessness/ emerging depression

20
Q

hopelessness theory

A

uncontrolled event/ sense of hopelessness/ emerging depression/

21
Q

hopelessness theory

A

explains comorbidity between anxiety and depression: helplessness = anxiety// helplessness+ hopeless = depression

22
Q

helpless/hopeless

A

pessimism/ diathesis/ will not result in depression unless experiences hopelessness

23
Q

depression attributions( explanatory) internal

A

“I failed because I am no good”: I always fail” (a stable attribution). “I fail in everything”( global)

24
Q

depression attributions: internal

A

if someone loses a job, and they
attribute it to some failing on their part (internal),
see things as similarly not working out for them
in other areas (global), and see a long term
pattern of failure and disappointment in the
future (stable) they are likely to become
depressed.

25
depression attributions: external
if they were to see this as due to circumstances beyond their control (external), as an event that was unique to this situation (specific), and as something that did not represent any future pattern (unstable) they should be able to handle this well emotionally.
26
depression attribution: stable vs unstable
This has to do with how you perceive the permanence of a situation. Is it changing across time or unchanging? Do you expect things to get better or worse, or stay exactly as they are for a long time? This can make a difference in how stressful something seems. If you are taking a stressful class in school, you at least know that the class will be over in a few months (whereas a stressful job may be something to deal with for years).
27
depression attribution: global vs local
Is a stressor universal throughout your life (that is, pervasive)? Or is it specific to a part of your life? A good example of this is the feeling of having good or bad luck. If you feel yourself to be unlucky (bad luck pervades throughout your life), one negative experience may seem like an omen that more bad things are to come. Likewise, if you attribute a poor performance at work as being due to something global like a perceived inability to do the job well, one failure may seem like a sign of more failures to come. Someone who views one poor performance as being a sign of a bad day or lack of sleep—something more local and less global—will have an easier time shaking off one failure.
28
depression attribution: internal vs external
Do you see the cause of an event as within yourself (personalization) or outside yourself? If you are having a difficult day and you see it as being "your fault," you'll feel more stressed than if you see it as due to factors other than you. Likewise, when you are facing conflict with others, seeing the problem as being rooted in something that is "their problem" rather than "your fault" can help you to take things less personally and feel less hurt. If many people have the same complaints about you, it helps to look at what they are saying to assess whether there is something you may want to change. But generally, it helps to know that many of people's complaints can have more to do with them than with you.
29
Depression: etiology: psychosocial/ interpersonal theory
People who are depressed may act in ways: | genuinely negative effect on others// alienation from social support network
30
Depression: etiology: psychosocial/ interpersonal theory
Evidence Poor social networks (all eggs in few baskets) Few positive social behaviours Elicit negative reactions from others Marital discord Insecurity in relationships (e.g., frequent reassurance-seeking)
31
Depression: gender ratio
``` Why 2:1 Bio Cortisol Gender ratio Estrogen : progesterone ratio Psycho Rumination Social Interpersonal (cost of caring) Type of traumatic events Chronic negative events Poverty Sexual harrassment Lack of affirmation/power in intimate relationships ```
32
Depression: rumination
``` Predicts • Low confidence in own solutions • Failure to act on solutions Drives others away Depressed ruminators more likely to stay depressed Focus on emotion Women – sadness Men – anger Anxiety link? ```
33
depression: integrative model
schema> stress hormones(bio)> lack of social support/relationship problems = mood disorder
34
MDD depression : treatment
pharma> SSRI/SNRI 3 - 12 weeks/ SAD light therapy
35
treatment resistance:
ECT - risk: confusion/memory loss// works quickly// electricity induced seizure
36
TMS
magnetic stimulation of brain> new, poorly understood > non-invasive
37
treatment: cognitive
CBT Primary Control Problem-solving Secondary Control Maladaptive cognitions Attention Behavioural activation