Unit 3 Flashcards Preview

Ab Psych > Unit 3 > Flashcards

Flashcards in Unit 3 Deck (52):
1

illness anxiety disorder (FRM: hypochondriasis)

unrealistically interpret bodily symptoms as signs of a serious illness- chronic anxiety/ preocupation- symptoms change as body changes
DC: - physical symptoms due to mild condition disproportionate to anxity
-can experience almost panic state
-repeated medical visits/ checking body
-worry despite assurances
-often aware that fear is exaggerated, not delusional
-1-5%
-treatments= antidepressants, tricyclic and SSRI- CBT and ERP used

2

conversion disorder (aka. functional neurological symptom disorder)

people experiencing a physical symptom without cause- neurological symptoms
-symptoms are REAL- not delusional, usually start suddenly in time of stress
-at least 1/3 of primary care visits involve unexplained symptoms
-historically, it was believed that psych trouble was CONVERTED Into physical illness (freud)
DC= 1+ symptom involving altered motor or sensory function, inconsistent with real physical disorder, symptoms are inexplicable by medicine, distress/ dysfunct

3

la belle indifference

patient sometimes dismisses the symptoms as minor, though they are incapacitated, NOT part of the DC

4

somatic symptom disorder

disproportionate and persistent concern about seriousness of one's physical symptom- NOT neuro symptoms; often has history of large number of medical appts. (predominant pain and somatization subtypes)
-anxiety about illness, but symptoms are real and severe and physical with SSD> IAD

5

malingering

NOT an actual disorder- motivated by external incentives

6

factitious disorder (munchausens)

DC: intentionally produced physical or psych symptoms, person is motivated by internal incentives, may undergo multiple procedures, may have history of travel and different hospitals, person creates additional symptoms when test yields negatives
-can be imposed on self or another

7

psych factors affecting medical

coping, maladapt health behavior, stress etc can increase chance of MI

8

psychosis

severe disturbance in one's experience of reality- difficult to discern what is real

9

positive symptoms

distortions or excess of normal behavior
-delusions, hallucinations, disorganized speech, abnormal motor behavior

10

negative symptoms

functioning below normal level
-avolition, affect flattening, alogia, anhedonia, sociality

11

delusion

deeply held, false belief (grandeur, persecution, somatic...)

12

disorganized speech

loose association, tangentiality, incoherence, neologisms

13

abnormal motor behavior (positive symptoms)

catatonic, agitation, staring, tick, bizarre/ purposeless movements

14

avolition

lack of self motivation

15

affect flattening

decreased emotional expression

16

alogia

poverty of speech- decreased speaking/ mute

17

anhedonia

decreased pleasure

18

schizophrenia

DC: 2+ active phase symptoms, at least one must be hall or delusion and present for significant portion of one month
-symptoms must last at least 6 months with one month active phase
-not due to subs use

19

schiz stats

10-25 year reduction in life expectancy due to suboptimal lifestyles and antipsychotic drug side effects
- affect less than 1% pop (equal males and females)
1/3 homeless pop has severe mental illness

20

DA hypothesis

overactive DA in schiz leads to positive symptoms

21

brain abnormalities

increased synaptic pruning
increased ventricle size
decreased white matter
shrinkage of frontal and temporal lobe
--flu exposure during second trimester

22

expressed emotion

extent to which close family members express negative attitudes towards the patient during private interview- hostile and critical
-4x more likely to relapse if in environment with EE

23

brief psychotic disorder

at least one psychotic symptom present for 1-30 days
-sudden onset (within 2 weeks)= reactive psychosis due to the nature of the disorder to be in response to something
(peripartum onset/ post partum response)

24

schizophreniform disorder

same symptoms as schiz, shorter duration (symptoms= 1-6 mo)... 2/3 will develop schiz
-those most likely to recove= no negative symptoms, sudden onset, and good functioning before the disorder presentation

25

schizoaffective disorder

combo of schiz and mood episodes at the same time (2-5 symptoms of schiz with a depressive or manic episode)
females>males

26

delusional disorder

just one symptom of psychosis= delusions for 1+ mo
-.2% prev
-common delusions= erotomanic, grandiose, paranoid, somatic

27

milieu therapy

humanistic approach- creating safe social environment with independence and responsibilities
-Maxwell jones

28

token economy

identify target behavior, token as reinforcer
**requires consistent application

29

antipsychotic drugs

1950s= 1st generation= neuroleptics (1954= thorazine/ chlorpromazine), work on positive symptoms- d2 receptors
-unwanted side effects= tardive dyskinesia
2nd gen= atypicals= clokaril/ dispersal- help reduce positive and negative symptoms with less side effects- metabolic Side effects= higher BP/ cholesterol and weight gain
** reduce symptoms in 65% people, but 75% stop taking meds within 18 mo

30

extrapyramidal syndrome

involuntary movement problems- may be reversible or irreversible

31

new wave CBT

mindfulness meditation to gain distance from symptoms

32

ACT

cost effective way to provide community based care- small case loads, assertive outreach- interdisciplinary team approach
-voluntary

33

AOT

court ordered and often time constrained
-40 to 60% schiz receive no treatment at all in a given year

34

paranoid PD

pervasive distrust and suspiciousness of others- not usually delusional- hypersensitive and hold grudges
4% pop
-attachment issues

35

schizoid PD

persistent avoidance of social relationships bc they don't want them- socially isolated, loners, may be awkward
1% pop. men>women

36

schizotypal PD

schiz-like, but like prodromal stage and still in contact with reality- peculiar thought patterns, oddities of perception, difficulty with conversation
2-4% pop. men>women

37

antisocial PD

persistently violate other's rights- lack of empathy
DC: must be 18yo, with history of conduct disorder as child and violation of rights behavior (3)
40-75% of prison pop meets criteria
males> females
2-3% pop

38

maturation hypothesis

suggests that people are better able to manage their behavior with age (reduced impulsivity)

39

borderline PD

great instability- prone to anger and aggression or directed at self harm
suicidal or self harm is a major symptom

40

dialectic behavioral therapy (DBT)

recognizes need for such clients to enhance emotional and behavioral self regulation- modified CBT for borderline PD
=intensive 1:1 and group therapy

41

histrionic PD

extremely emotional and seek to be center of attention- shifting and shallow emotions- engage in attn seeking behavior

42

narcissistic PD

extreme grandiosity, need for excessive admiration, entitlement, lack empathy
50-75% men, 1% adults

43

avoidant PD

avoid social relationships- sense of social inferiority and inadequacy
-get lonely and WANT relationships

44

dependent PD

excessive dependence on others- cannot make small decisions for themselves and difficulty with separation- feel lonely
-comorbid= eating disorders, suicide, and anxiety

45

obsessive compulsive PD

pattern of preoccupation with orderliness, perfectionistic, mental and interpersonal control
-may be inflexible about morals, excessively devoted to work
-cognitive therapy and SSRIs are best

46

ASD

refers to 4 previously different disorders
DC= deficits in communication, restricted and repetitive patterns of behavior, and symptoms must be present in early development period
80% boys, 1/68 of pop
genetics= strong connection
-tend NOT to learn via observation or modeling
treatment= applied behavior analysis (modeling training) or augmented communication symptoms

47

Aspergers from DSM IV

significant impairment in social interaction, but no demonstrated language deficiency as in ASD

48

intellectual disability

3% pop worldwide- higher rates in low income areas
DC= early dev onset, adaptive and intellect deficiency
mild= 85% Individuals with ID- able to learn up to 6th grade level ("concrete learners")

49

VABS

assessing adaptive function when ASD or ID is suspected

50

ADHD

symptoms of inattention AND/ OR hyperactivity
-symptoms onset before age 12
-impairment seen in 2 settings
-7% kids, 70% boys
*symptoms of hyperactivity are less obvious in adolescence/ adulthood (fidget)

51

type I vs II attention processes

I= involuntary control, focusing attn on unexpected occurrences in surroundings
II= voluntarily controlled, effortful focus of attention
-in ADHD, may have difficulty overriding the type I response

52

stimulants on ADHD

stimulants work for 70-80% ADHD kids, they help bc they increase the release of NTs, BUT slow the reuptake (increased ability to focus)