Week 5 - Mental Health and Aging Flashcards

(76 cards)

1
Q

Definition of Mental Disorders

A

Condition impairing psychological functioning through disorganized personality, emotions, or behaviour causing distress or disability.

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2
Q

How were mental disorders historically viewed?

A

Different from physical diseases. blamed on fixed traits.

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3
Q

What is the etiology of mental disorders?

A

No organic/physiological cause.

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4
Q

Historically, how was the treatment for mental disorders?

A

Ineffective

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5
Q

Historically, how did society react to those with mental disorders?

A

Society would isolate them.

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6
Q

What role does ageism play in mental health perceptions?

A

More stigmatized, seen as expected or hopeless reinforcing stereotypes.

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7
Q

How many people, as of January 1, 2025 had dementia in Canada?

A

About 772,000 people, with 61.8% being women.

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8
Q

How many more cases of dementia were reported in January 1, 2025 compared to January 1, 2024.

A

40,000 more reports.
414 daily.

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9
Q

What is the projected number people of people in Canada to be living with dementia?

A

999,600

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10
Q

How many Canadians have experience caring for someone with dementia?

A

1 in 5 Canadians.

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11
Q

At what age can dementia begin?

A

As early as 40.

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12
Q

Are women or men more affected by dementia?

A

Women

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13
Q

Why are women more affected by dementia?

A

Longer life expectancy and higher lifetime risk.

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14
Q

Do women or men have a larger incidence risk for dementia?

A

Both are the same.

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15
Q

What is dementia?

A

General term for several diseases that affect memory, thinking, and the ability to perform daily activities.

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16
Q

Is dementia a natural process of aging?

A

No

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17
Q

What is the most common type of dementia?

A

Alzheimer’s disease

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18
Q

What are some early symptoms of Alzheimer’s disease?

A

Memory deficits, confusion, irritability, aggression, mood swings and behavioral changes.

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19
Q

What causes Alzheimer’s disease?

A

Not yet known, but vascular issues and lifestyle factors are big contributors. 7 risk factors.

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20
Q

What are the 7 modifiable risk factors for Alzheimer’s disease?

A

(Highest risk to lowest)
1. Low education
2. Smoking
3. Inactivity
4. Depression
5. Hypertension
6. Diabetes
7. Obesity

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21
Q

What is the implication of modifiable risk factors?

A

Preventative measures could reduce up tp 50% of dementia cases.

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22
Q

Does well-being improve with age?

A

Yes! Learn to compensate and manage emotions better.

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23
Q

Is aging merely a negative experience?

A

No, aging can be positive, not ignoring the biological changes either.

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24
Q

Are depression rates higher or lower in old age?

A

Lower, an earlier diagnosis can create more awareness.

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25
Are older adults with depression usually diagnosed?
No, symptoms of depression in older adults are often underrecognized, underreported, and undertreated.
26
What are two imporant points about mental health of older adults?
1. Improvement with age 2. Resilience
27
How did older adults handle mental health during Covid-19?
Were more resilient, smaller increases in mental issues.
28
Which concept measures disease burden on individuals/society?
Disability-adjusted life years (DALY)
29
Plasticity
The brain's ability to change structurally and functionally in response to learning and experience.
30
What is the mental reserve capacity?
The brain's ability to compensate for age-related changes and brain damage. Not fixed or determined by genes.
31
How can one enhance their mental reserve capacity?
Through education, social status and a stimulating lifestyle (exercise, social network, occupation).
32
Can the brain grow new cells later in life?
Yes, brain cell growth and reorganization continue later in life.
33
How do the brain's emotional centers change with age.
They become more balanced.
34
How does brain hemisphere use change with age?
Older adults tend to use both hemispheres more equally.
35
What is memory encoding?
Linking new information with already stored information.
36
What happens to memory encoding in old age?
Encoding new information slows, but old information recall remains stable. Use more context and clues to figure out memories.
37
WHy should context be considered in cognitive testing?
Older adults may perform better, in familiar supportive environments.
38
What happens to brain mass in later life?
Loss of brain mass observed in imaging.
39
Can cognitive training improve mental function in aging?
Yes.
40
What is the key to effective intervention in aging brains?
The right amount of challenge, not too hard not too easy.
41
What is Lawton's Ecological Model?
Older people are vulnerable to the ill effects of their environment, due to age-related limitation. Relationship between someone's capabilities and the demands of their environment.
42
What are some functional disorders in abnormal brain aging?
Paranoia, anxiety, neuroses, and schizophrenia.
43
What are some organic disorders in abnormal brain aging?
Alzheimer's or Parkinson's disease.
44
How is abnormal behaviour judged in older adults?
Not accepted socially, due to expectations of wisdom and composure.
45
Stigma
Receiving a label, facing stereotyping and discrimination. Losing status and access to social and healthcare services.
46
How did media portray older adults during Covid-19?
As victims, reinforcing tragedy narrative.
47
What is the difference between competence and capacity?
Competency is a legal term, capacity is a clinical term that means a person's ability to function.
48
What happens when a older adult loses competence?
May lose the ability to understand their situation and consequences of their decisions.
49
Sensory Memory
A person perceiving information
50
Short-Term Memory
Person acting on this information
51
Long-Term Memory
Stores knowledge, also includes rules for organizing knowledge.
52
Non-Episodic Memory
Information with no time as to when it was acquired, like general knowledge. ex. sky blue??????
53
Episodic Memory
Memory acquired at a specific time and place.
54
How does aging affect fluid vs. crystallized intelligence?
Fluid intelligence declines with age, crystallized intelligence remains stable or improves.
55
Fluid Intelligence
Ability to process new information, learn and solve problems.
56
Crystallized Intelligence
Stored knowledge, accumulated over the years.
57
What does the constant-probability-of-success model propose?
Quality of output remains stable across a lifestyle even in total output decreases.
58
Neurogenesis
Creation of new neurons and neuronal connections.
59
Flexibility
The adaptation through reconfiguration of existing behaviours without changes in the brain's structure.
60
What are the four patterns of Psychological Aging?
1. Successful aging 2. Normal aging 3. Mild Cognitive Impairment (MCI) 4. Dementia
61
Successful Aging "the super-normals"
Small subgroup of older people, with socioeconomic or genetic advantage. Generally maintain high level of mental function shortly before death.
62
Normal Aging
Reach mental peak in early mid-life.Show dramatic decline before death.
63
Mild Cognitive Impairment (MCI)
Experience greater than normal mental decline in early old age. Some in this group eventually develop dementia.
64
Stereotype Threat
When an older person's fear of failure on a memory test leads to poor performance.
65
Contextual View of Memory
When conditions influence memory.
66
Semantic Memory
Facts and information we have stored in memory. ex. Knowledge about cars (or this dih😛)
67
Executive Function
Higher order thinking, decision making.
68
Cognitive Control
Complex thinking, making choices among items.
69
How does physical activity affect cognitive perfermance?
Greater physical activity is associated with a reduced risk in cognitive decline.
70
Developmental Intelligence
Growth of intelligence in later life.
71
What are the four components of wisdom?
1. Intellectual humility 2. Recognition of uncertainty and change 3. Other's perspective/broader contexts 4. Compromise
72
Intellectual Disability
Disorders that lead to limited mental capacity and problems with daily activities. Begins before age 18.
73
Developmental Disability
Effects of diseases such as Down syndrome. Usually begin at birth and affect a person's function in society.
74
What are some recommendations made by the Alzheimer Society of Canada as a response to the increase in dementia cases?
1. Increase investment in dementia research 2. Provide support for informal caregivers 3. Emphasize prevention and early intervention 4. Build integrated system of care 5. Strengthen dementia workforce
75
What are the three stages in Alzheimer's disease decline?
Stage 1: Changes in memory Stage 2: Memory decline, loss of speaking ability, end to normal daily activity Stage 3: Needs institutionalization, can't speak
76
What are the three D's of psychological distress?
Delirium, Depression, Dementia.