Module 5 - Mood Disorders - Bipolar/Depression Flashcards Preview

NURS353 - Practice of Nursing 2 > Module 5 - Mood Disorders - Bipolar/Depression > Flashcards

Flashcards in Module 5 - Mood Disorders - Bipolar/Depression Deck (159)
Loading flashcards...
1

Depressive Disorders

Disturbance in psychological, physiological and social functioning

Has a wide range of symptoms with disturbances in daily patterns

2

Depressive Disorder Symptoms

Sleep, Appetite, ADL problems, weight, attention, memory, libido

Impulse control, suicidal ideation, social withdraw

physical symptoms like H/A, stomachache, muscle tension

*Symptoms present differently between patients*

3

Physical Symptoms are common in depression and are often called ___ symptoms

somatic

4

Levels of Depression

Transient Depression

Depressive Disorder

5

Transient Depression Level

A normal reaction to loss

everyone experiences this at some point

sadness directly attributable to a situation or disappointment - "reactive or secondary depression!"

6

Depressive Disorder Level

sad mood can be related to external events or not

symptoms range from dissatisfaction with life to sudden and abrupt changes in function that suppress or take away the will to live

7

The most common illness of any medical or psychiatric illness is?

Major Depression / Major Depressive Disorder

8

Depression affects who?

all ages and backgrounds

9

Depression is the current leading cause of __ in the US in ages 15-44, and is predicted to be the 2nd leading cause in all ages by 2020

disability

10

Average Age of Depression disorder

32 yo

11

How much of the Us population has major depression?

14.8 million people aged 18 yo or older

that is 6.7% of the population

12

15% of those with depressive disorder will....

die via suicide

very prevalent in older people

13

Comorbidities that frequently accompany other psychiatric disorders like depression?

Schizophrenia

Substance Abuse

Eating Disorders

Anxiety Disorders

Personality disorders

14

Risk Factors for Depression

Higher in women than men

Past episodes of depression

Family history

Stressful life event

Current substance use

Medical illness

Limited social supports

*know the persons PMH and the whole picture*

15

Etiology for Depression

Exact cause is Unknown!! but.. there is a combination of Interactions Between:

-Genetics (increased risk if first degree relative has it, NT deficiency in Dopamine, NEP and Serotonin)

-Environment

-Individual life history

-Development

-Neurobiological

-Irregularities in the thyroid as especially important in relation to major depressive disorder

16

Regions of the Brain affected by depression

Thalamus

Cingulate Gyrus

Amygdala

Prefrontal Cortex

17

Thalamus

Assoc with changes in emotion and stimulates the amygdala

In depression there is INCREASED levels of activity

18

Amygdala

responsible for negative feelings

In depression there is INCREASED levels of activity / overactivity

19

Cingulate Gryus

Helps associate smells and sights with pleasant memories of past emotions and takes part in emotional reaction to pain and regulation of aggression

In depression there is INCREASED activity

20

Prefrontal Cortex

helps regulate emotions

In depression there is DECREASED activity

21

Primary Depressive Disorders

Major Depressive Disorder

Persistent Depressive Disorder (Dysthymia)

Post Partum Depression

22

Major Depressive Disorder

Potential for pain and suffering in all aspects of life

Affects kids, teens, adults, elderly, everyone

it is a depressed mood or inability to feel pleasure from previously enjoyed activity - this is the key thing!

23

What is needed for diagnosis of Major Depressive Disorder

1. 4 out of 7 Symptoms (Suicidal Ideation, Sleep disruptions, Appetite disruptions/weight issues, disruption in concentration, disruption in energy level, psychomotor agitation/retardation, or excessive guilt/feelings of worthlessness)

2. Must occur over a MINIMUM OF 2 WEEKS

24

What features may major depressive disorder symptoms include?

Psychotic Features

Catatonic Features

Melancholic Features

25

Dysthymia

Persistent Depressive Disorder

It is a chronic depressed mood with symptoms of poor appetite or over eating, insomnia or excessive sleep, low energy, fatigue, low self esteem, poor concentration, difficulties making decisions and feelings of hopelessness

Less severe than MDD but presents as a LIFE LONG struggle against depression, chronic negativity and irritability

26

How long must Dysthymia occur for diagnosis?

>1 year for children and adolescents

>2 years for adults and the elderly

27

What are the must have symptoms for MDD diagnosis?

1. Depressed Mood

2. Loss of Interest

28

What is the average length of MDD?

4-12 months

29

What is the average length of Dysthymia?

averages more days than not with s/s for at least 2 years

30

Post Partum Depression

more serious and persistent

Lasting weeks of months after a pregnancy

can emerge any time during the 1st year after childbirth