Flashcards in Depression Disorders Deck (18):
1
Prolonged emotional tone
Mood
2
Moment to moment emotional state
Affect
3
Psychodynamic factors of depression
- Unresolved, often unconscious conflict
- Loss, disruption of significant attachments
- Traumatic disillusionments regarding self and others
4
Cognitive factors of depression ("negative cognitive triad")
Unrealistically negative and demeaning view of oneself, world, future
5
- Excessive recall of negative material
- Catastrophizing and overgeneralizing
- Dismissive of positive experience
- Personalize failures
- Rigidity of expectations
Negative cognitive style
6
interpersonal stressors leading to depression
- Unresolved grief
- Problematic role transitions
- Interpersonal disputes
7
- Follows experiences with uncontrollable events
- Outcome is independent of effort
- Animal model of depression
- Hopelessness and loss of self-esteem
- relationship to “culture of poverty”
Learned helplessness
8
Psychobiological or traumatic factors leading to depression
- Physical or Sexual
- Chronic Brain and Neuroendocrine Abnormalities
- Increased vulnerability to new stressors
- Genetic predisposition
- Disturbance of sleep and circadian rhythms
- Regional disturbances in rain
- Treatment Resistant Depression
- Posttraumatic Stress Disorder
9
Social and cultural predispositions to depression
- Cohort effect - baby boomers, depression, suicide
- Immigration - integration, assimilation, rejection, marginalization
10
What is the major risk factor for suicide?
Depression
11
Depression can be a major risk factor for what illness?
Cardiovascular
12
What medical illnesses have the highest prevalence of depression?
Stroke, Parkinson's, cancer
13
What drugs are often used in depressed HIV-positive outpatients?
Paroxetine, Imipramine
14
Three major types of depressive disorders?
1. Major depressive episode - single episode
2. Dysthymic Disorder - persistent depression disorder
3. Bereavement
15
Example of a depressive disorder not otherwise specified (NOS)
Premenstrual dysphoric disorder - during final week before menses, improves after onset - affective lability, interpersonal irritability, anger, depression/self-depreciation, anxiety/tension
16
Maladaptive rxn to social stressor (marital, job, illness), impaired social/occupational function plus excessive symptoms
Adjustment disorder w/ depressed mood
17
Loss of pleasure in all or almost all activities or lack of reactivity to usually pleasurable stimuli
Melancholia
18