Test 2 (Case study quiz) Chapter 25 - Depressive disorders Flashcards Preview

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Flashcards in Test 2 (Case study quiz) Chapter 25 - Depressive disorders Deck (17):
1

What is MDD

major depressive disorder

2

MDD is characterized/diagnosed by?

depressed mood or loss of interest or pleasure in usual activities.

evidence of impaired social and occupational functioning for at least two weeks.

no history of manic behavior

not caused by substance or medication

3

MDD is specified according to whether it is _____ or ______

single or recurrent

4

MDD The diagnosis of MDD will also identify the degree of severity of symptoms which are _____,_____ or _____ and whether there is evidence of psychotic, catatonic, or melancholic features

mild, moderate or severe

5

Persistent Depressive Disorder is somewhat milder than MDD. It is also known as _______

dysthymia

S&S milder level for majority over a 2 year period

6

_______ theory says that the underlying cause of the depressive affect is seen as cognitive distortions that result in negative, defeated attitudes.

1. Negative expectations of the environment
2. Negative expectations of the self
3. Negative expectations of the future

cognitive

7

T or F: when grief is prolonged or exaggerated, a person can become fixed in anger or grief response, then turn the anger in on oneself causing dysthymia.

True

8

T or F: The individual who is severely depressed may demonstrate a loss of contact with reality

True.

May also have lack of pleasure in activities, and ruminations of suicide are common.

9

Treatments for depression include...

TCA
MAOi
SSRIs

REFER TO MEDS LIST FOR REVIEW

10

Risk factors for depression include?

recent negative stressors and losses
childhood abuse or neglect
loss of parent
lack of social support
bullying
having significant physical or mental disorder
being a woman higher risk
low socioeconomic class
marital status
not working outside home
substance abuse and dependency

LACK OF SLEEP (EB)

11

Causes of depression?

biochemical (low on 5HT NE and DA
high cortisol (dst test)
genetics
race/culture
negative thinking
anger turned inward
Bowlby - loss theory
seasons
electrolyte, hormone disturbances
nutritoinal deficiencies

12

What tool can you use to assess for depression?

sigecaps

13

T or F: Must have depressed S&S for at least one week for DSM diagnosis

False,

2 weeks!

14

On the depression continuum, what does transient mean?

everyday disappointments, not dysfunctional
sad/crying
difficulty getting mind off of issue
tired

15

On the depression continuum, what does mild mean?

normal grief
denies feelings
preoccupied with loss

16

On the depression continuum, what does moderate mean?

dysthymic, powerless, hopeless, slow thinking, sleep disturbance, concentration problems

17

On the depression continuum, what does severe mean?

major depression
despair, apathy, worthless
psychomotor retardation
delusional
somatic is common along with bipolar depression