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Flashcards in FIrst Aid: Mood Disorders Deck (110)
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1

What is another term for mood disorders?

affective disorders

2

Distinct period of time in which some abnormal mood is present.

Mood episode

3

List the 4 types of mood episodes.

-Major depressive episode
-Manic episode
-Mixed episode
-Hypomanic episode

4

When are 2 times you can see a major depressive episode?

-MDD
-Bipolar I/II disorder

5

Name the DSM IV criteria for a major depressive episode.

-Must have at least 5 of the 9 s/s of depression for at least a 2 week period and must include either depressed mood or anhedonia.
-Symptoms must cause social or occupational impairment.

6

Name the 9 s/s of depression.

-Depressed mood*
-SIGECAPS

7

List SIG E CAPS

Sleep disturbances (insomnia or hypersomnia)
Interest (anhedonia--lose interest in pleasurable activities)
Guilty or worthless feelings
Energy loss or fatigue
Concentration is diminished
Appetite or body weight changes
Psychomotor agitation or retardation
Suicidal thoughts (recurrent)

8

What is the likelihood for suicide in a pt who has been previously hospitalized for a major depressive episode?

15%

9

What is the DSM IV criteria for a manic episode?

-Period of abnormally and persistently elevated, expansive or irritable mood, lasting for at lease 1 week and including at least 3 of the s/s (4 if mood is irritable)
-Symptoms must cause social or occupational impairment

10

List the 7 s/s of mania.

DIGFAST
-Distractibility
-Insomnia (decreased need for sleep)
-Grandiosity (inflated self-esteem)
-Flight of ideas (racing thoughts)
-Activity is increased and goal directed (socially, at work, or sexually)
-Speech is pressured (rapid and uninterruptible) and pt is more talkative
-Thoughtlessness (excessive involvement in pleasurable activities that have high risk for negative consequences)

11

What percentage of manic patients have psychotic symptoms?

75%

12

What is the criteria for a mixed episode?

-Criteria met for both manic and major depressive episode
-Criteria must be present nearly every day for at least 1 week

13

What is the predominant mood state in mixed episodes?

Irritability

14

What are the treatment options for mixed episodes?

-Poor response to lithium
-Anticonvulsants may help

15

What is the criteria for a hypomanic episode?

-Distinct period of elevated, expansive or irritable mood that includes at least 3 of the sympoms of mania (4 if mood is irritable)
-Does NOT caused marked impairment in social or occupational functioning

16

What is the time difference between diagnosing a manic v. hypomanic episode?

Mania- at least 7 days
Hypomania- at least 4 days

17

Which type of episode may have psychotic features, mania or hypomania?

mania (psychiatric emergency)

18

What are some medical causes of a manic episode?

-Hyperthyroidism
-MS
-Temporal lobe seizures
-Neoplasms
-HIV

19

What is the DSM-IV criteria for MDD?

-At least 1 major depressive episode
-No history of mania or hypomania

20

What is the subtype of MDD only present during winter months (fewer daylight hours)?

SAD (seasonal affective disorder)

21

How do you treat SAD?

Light Therapy

22

What are the triad of symptoms for SAD?

Irritability
Carbohydrate drawing
Hypersomnia

23

What is the lifetime prevalence of MDD?

15%

24

When is the average age of onset for MDD?

40 yo

25

Is MDD more common in women or men?

women 2X more common

26

What is the prevalence of MDD in the elderly?

25-50%

27

Name the 4 sleep problems associated with MDD.

-Multiple awakenings
-Initial and terminal insomnia (problems falling asleep and early AM wakening)
-Hypersomnia
-REM sleep shifted to earlier in night; stages 3 & 4 decreased

28

Low CSF levels of what chemicals are found in depressed patients?

- Serotonin
- 5-HIAA

29

Abnormal regulation of what receptors are seen in depressed patients?

Beta-adrenergic

30

What do drugs that alleviate symptoms of depression do?

Increase availability of serotonin, NE, and dopamine