Treatments Flashcards

(35 cards)

1
Q

what is prevalence in relation to MDD

A

The proportion of individuals in a given population who are affected by MDD at a specific time or over a specific period.

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2
Q

are more women or men diagnosed with MDD, what else do women get more of within that

A

women
also get more severe symptoms

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3
Q

why are women more likely to become depressed and feel severe symptoms- 5 arguements

A

its a job, not a gender effect
the difference is the result of reporting bias
men and women have different symptoms
men and women have different biology
the origin in depression is in gender roles

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4
Q

what are the two arguements for gender difference in MDD that you have chosen?

A

its a job effect, not a gender effect
the difference is reporting bias

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5
Q

its a job effect not a gender effect

A

One argument is that higher rates of depression in women may reflect socioeconomic roles, not gender itself — a “job, not gender” effect. Ensel (1982) tested this by comparing men’s and women’s depression scores while controlling for income, education, and occupation. Even when these factors were matched, women still scored higher on depression measures. This suggests that gender differences in depression aren’t fully explained by socioeconomic status alone.

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6
Q

who tested its a job not a gender effect

A

ensel 1982

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7
Q

two studies for the difference is reporting bias

A

amenson and lewinsohns 1981
padesky and manneb 1977

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8
Q

difference is because of reporting bias

A

Another explanation for higher reported rates of depression in women is reporting bias — the idea that women may be more willing to acknowledge symptoms. Padesky & Hammen (1977) found that female college students said they would seek therapy at lower levels of depressive symptoms than males. However, this was based on hypothetical situations, not actual behaviour. Amenson & Lewinsohn (1981) addressed this by studying real help-seeking patterns and found that men and women with similar levels of self-reported symptoms were equally likely to seek help, suggesting that reporting bias may not fully explain the gender difference.

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9
Q

what other disorders are there that have gender gaps (+stats)

A

The lifetime prevalence rate for alcohol abuse is more than twice as high in men than women. In developed countries, approximately 1 in 5 men (compared to 1 in 12 women) develop alcohol dependence during their lives.

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10
Q

3 main types of antidepressant medication

A

tricyclics
SSRI’s
MAOIs

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11
Q

antidepressants work by controlling what

A

process of neurotransmissio

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12
Q

how do SSRI’s work

A

they inhibit the reuptake of serotonin, leaving more serotonin in the synapse for longer

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13
Q

fact about tricyclics

A

among the first drug treatments for depression in the 1950’s

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14
Q

most common prescription for MDD? Drug name?

A

prozac
fluoxetine

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15
Q

what does MAOIs stand for

A

monoamine oxidase inhibitors

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16
Q

how to MAOIs work

A

the inhibit the action of monoamine oxidase, and enzyme that normally breaks down neurotransmitters in the synaptic cleft

17
Q

studies for biological treatments for depression

A

kirsh and sapirstein 1998
elkin et al 1989

18
Q

advantages of biological treatments

A

use of biological treatments can provide relief from symptoms
drug treatments allows for patient outcare
no dependent on language ability

19
Q

disadvantages of biological treatments

A

side effects
high relapse rate
not addressing the root
discontinuation syndrome

20
Q

what is the basis of psychological treatments

A

the client will sit and talk with a therapist

21
Q

three types of psychotherapy

A

cognitive behavioural therapy
computerised cognitive behavioural therapy
transactional therapy

22
Q

what does CBT focus on

A

on the way individuals process information and how that affects behaviour

23
Q

what is the primary aim of CBT

A

to identify and correct faulty cognitions and unhealthy behaviours

24
Q

what is cognitive restructuring CBT

A

. The client is encouraged to find out which thoughts are associated with depressed feelings, and to correct them – this is called cognitive restructuring. This is based on the assumption that people’s interpretations and inferences about the things that happen to them affect their thinking and behaviour

25
three aspects of cognitive behavioural therapy
validity testing cognitive rehearsal homework
26
why did CCBT come about
lack of appropriate funding means access to CBT is difficult with year long waiting lists computerised CBT to help ths
27
effectiveness of CCBT with mild depression
rates of success for mild depression are broadly similar for CCBT as they are for CBT
28
other words for transactional analysis
interpersonal therapy modern freudian therapy
29
who developed transactional anaylsis and what did they believe
Developed by Eric Berne, it combines Freud’s ideas (id, ego, superego) but focuses on relationships rather than the unconscious mind.
30
purpose of transactional anylsis
Helps patients (e.g., with depression) and their families communicate better by reducing blame (Parent/Child) and promoting rational (Adult) interactions.
31
which therapy focuses on here and now, which ehlps with future transaction
bernes therapy is future focuses CBT is present focussed
32
strengths of psychological treatments
CBT clients have lower relapse rates individualised therapy and focus on specific thinking patterns- not a generic treatment
33
weaknesses of psychological treatment
take time to start showing improvements doesn't apply cross culturally- individualistic vs collective symptomology can be so bad they can't do the treatment doesnt look at past
34
according to who, what are three sociocultural barriers that might affect a group's willingness to seek help
leong et al 2011 cognitive barriers affective barriers sociocultural barriers
35