CM 598: Childhood Depression
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Questions and Answers

Prospective studies of children and adolescents have found that the age of onset for the first depressive episode is usually _____ year.

  • 7 to 10
  • 10 to 12
  • 16 to 18
  • 13 to 15 (correct)

When symptoms of depressed mood occur for most of the day on most days, and persist for at least one year, that is known as:

  • Disruptive mood dysregulation disorder (DMDD)
  • Major depressive disorder (MDD)
  • Chronic depressive symptoms disorder (CDSD)
  • Persistent depressive disorder (P-DD) (correct)

A history of depression during the school years increase the risk for later:

  • Underemployment
  • Aggressive behavior
  • Resilience
  • Suicidal behavior (correct)

Youngsters who have an onset of depression prior to age 15 and a recurrent episode prior to age 20 are likely to:

<p>Have severe depression as a teen and poor psychosocial outcomes as a young adult. (B)</p> Signup and view all the answers

Which of the following is true regarding gender differences in the prevalence of depression among males and females?

<p>Depression is equally common among preadolescent boys and girls, but after about age 13, the rate is higher (D)</p> Signup and view all the answers

The increased risk for depression among adolescent girls compared to boys has been attributed to:

<p>Their tendency to use ruminative coping styles to deal with stress (D)</p> Signup and view all the answers

Adolescent girls may be at higher risk for depression if they have a history of:

<p>Interpersonal stress and lack of social support (B)</p> Signup and view all the answers

A recent study found that in transition from adolescence to young adulthood, depressive symptoms were highest for which ethnic/racial groups?

<p>Hispanic and Asian (A)</p> Signup and view all the answers

Double depression occurs when:

<p>MDD is superimposed on P-DD (C)</p> Signup and view all the answers

The most prevalent co-occurring disorder/s with dysthymic disorder is/are:

<p>Major depressive disorders (D)</p> Signup and view all the answers

The central feature of _____ is chronic, severe persistent irritability.

<p>Disruptive mood dysregulation disorder (DMDD) (A)</p> Signup and view all the answers

Which of these diagnostic statements about DMDD is false?

<p>It cannot coexist with a diagnosis of MDD (C)</p> Signup and view all the answers

Which symptom interferes with normal youth development of interpersonal relationships?

<p>Social withdrawal (B)</p> Signup and view all the answers

Which of the following statements about suicide is true?

<p>Drug overdoes and wrist cutting are the most common means for adolescents who successfully complete (D)</p> Signup and view all the answers

Which of the following statements about DMDD is true?

<p>Effective courses of treatment for DMDD are unknown. (D)</p> Signup and view all the answers

The fact that depression occurs in many youngsters who do not experience loss or rejection, and does not occur in many children who do, is support again which theory of depression?

<p>Psychodynamic (B)</p> Signup and view all the answers

The _____ theory of depression focusses on parental separation and disruption of a bond as predisposing factors for depression.

<p>Attachment (D)</p> Signup and view all the answers

Which theory of depression claims that depression is related to a lack of response-contingent positive reinforcement?

<p>Behavioral (C)</p> Signup and view all the answers

Depression-prone individuals tend to make _____ attributions for the causes of negative events.

<p>Internal, stable, and global (C)</p> Signup and view all the answers

_____ are the negative perceptual and attributional styles and beliefs associated with depressive symptoms.

<p>Depressogenic cognitions (A)</p> Signup and view all the answers

Information-processing biases displayed by depressed individuals _____.

<p>Are based on poor faulty memory systems (A)</p> Signup and view all the answers

The “cognitive triad” refers to:

<p>A depressed individual's negative outlook about one's self, the world, and the future (B)</p> Signup and view all the answers

_____ view youngsters with depression as having difficulty organizing their behavior in relation to long-term goals

<p>Self-control theories (B)</p> Signup and view all the answers

The single best predictor of a child's risk for major depressive disorder is:

<p>Family history of depression (C)</p> Signup and view all the answers

Children of depressed parents have a higher rate of _____.

<p>Physical injuries (C)</p> Signup and view all the answers

In general, brain activity in youths with depression is LESS active than normal in regions of the brain associated with which of the following?

<p>Sensory processes (A)</p> Signup and view all the answers

What is not a typical characteristic of families of children with depression?

<p>Less warmth (A)</p> Signup and view all the answers

In comparison to nondepressed children, those with depression experience _____ in the year preceding their depression.

<p>More severe stressful events and more daily hassles (A)</p> Signup and view all the answers

The most successful treatment/s for major depressive disorder is/are:

<p>CBT and IPT-A (C)</p> Signup and view all the answers

A therapy for young people that focuses on helping the youth become more aware of pessimistic and negative thoughts, as well as casual attributions of self-blame for failure, is known as:

<p>Cognitive therapy (A)</p> Signup and view all the answers

The only SSRI that is currently FDA approved for the treatment of depression in children is _____.

<p>Fluoxetine (Prozac) (B)</p> Signup and view all the answers

Due to recent findings of possible increased risk of suicide and self-harm of young people using SSRIs to treat depression, the FDA has mandated:

<p>Warning labels on medication and patient education guides (D)</p> Signup and view all the answers

Which of the following regarding bipolar disorder in young people is false?

<p>Girls are more commonly diagnosed with bipolar disorder than boys. (B)</p> Signup and view all the answers

Regarding bipolar disorder, boys display _____.

<p>More manic behaviors than girls (A)</p> Signup and view all the answers

Children or adolescents who display numerous and persistent hypomanic and depressive symptoms can be classified as having _____.

<p>Cyclothymic disorder (D)</p> Signup and view all the answers

It cannot coexist with a diagnosis of MDD. Is this diagnostic statement about DMDD false?

<p>False (B)</p> Signup and view all the answers

Information-processing biases displayed by depressed individuals:

<p>Are based on poor faulty memory systems (C)</p> Signup and view all the answers

Children of depressed parents have a higher rate of:

<p>Physical injuries (B)</p> Signup and view all the answers

The most successful treatment/s for major depressive disorder is/are _____.

<p>CBT and IPT-A (D)</p> Signup and view all the answers

Girls are more commonly diagnosed with bipolar disorder than boys. Is this statement regarding bipolar disorder in young people false?

<p>False (B)</p> Signup and view all the answers

Regarding bipolar disorder, boys display:

<p>More manic behaviors than girls (B)</p> Signup and view all the answers

Common symptoms of BP (Bipolar spectrum) that are present in years preceding an initial manic episode include all of the following EXCEPT _______.

<p>Insomnia (C)</p> Signup and view all the answers

Which disorder is least likely to co-occur with bipolar disorder in young people?

<p>Mental retardation (D)</p> Signup and view all the answers

Bipolar disorder appears to be the result of _______.

<p>Genetic vulnerability in combination with environmental factors (D)</p> Signup and view all the answers

Brain imaging studies in adolescents with bipolar disorder point to abnormalities in parts of the brain that _______.

<p>Regulate emotion (C)</p> Signup and view all the answers

In general, _______ is the first choice in the treatment of bipolar disorder.

<p>Lithium (D)</p> Signup and view all the answers

Dr. Smith prescribes Sally a certain medication for the treatment of bipolar disorder; it causes weight gain. Which treatment is Sally taking?

<p>Valproate (B)</p> Signup and view all the answers

Which comorbid disorder is more frequently found in bulimia nervosa compared with anorexia nervosa?

<p>Alcohol abuse (A)</p> Signup and view all the answers

Anorexia has a higher prevalence rate than bulimia.

<p>False (B)</p> Signup and view all the answers

What is one key way in which bulimia nervosa and binge eating disorder differ?

<p>The compensatory behaviors are always present in bulimia nervosa, but not BED (D)</p> Signup and view all the answers

Which disorder is most commonly comorbid with eating disorders?

<p>Obsessive compulsive disorder (C)</p> Signup and view all the answers

Why was amenorrhea removed as a criterion for anorexia nervosa?

<p>Females with all anorexia nervosa symptomology and those with all symptomology but amenorrhea were psychologically identical (C)</p> Signup and view all the answers

Which model posits that the idealization of thinness and unremitting portrayals of slim role models in the media contribute to widespread body dissatisfaction?

<p>Sociocultural model (B)</p> Signup and view all the answers

BN in DSM-5 has two subtypes, purging and non-purging. True or False?

<p>False (B)</p> Signup and view all the answers

Which is an indicator of most severe psychopathology in females with eating disorders?

<p>Laxative use (D)</p> Signup and view all the answers

Which disorder is extremely rare in African American females?

<p>Anorexia nervosa (A)</p> Signup and view all the answers

What are the two forms of anorexia nervosa?

<p>Binge eating/purging and restricting (C)</p> Signup and view all the answers

What does exposure treatment describe?

<p>Treatments based on imaging, watching or actually doing phobia-related activities</p> Signup and view all the answers

Flashcards

Age of Onset for Depression

The typical age of onset for the first depressive episode in children and adolescents is between 13 and 15 years.

Persistent Depressive Disorder (P-DD)

Persistent Depressive Disorder (P-DD) involves depressed mood for most of the day, on most days, for at least one year.

Depression and Suicide Risk

A history of depression during school years increases the risk for suicidal behavior later in life.

Early Onset Depression Prognosis

Early onset depression (before 15) with recurrence before age 20 is likely to lead to severe depression as a teen and poor psychosocial outcomes as a young adult.

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Gender Differences in Depression

Depression is equally common among preadolescent boys and girls, but after about age 13, the rate is higher for girls.

Signup and view all the flashcards

Rumination and Depression in Girls

The increased risk for depression among adolescent girls is attributed to their tendency to use ruminative coping styles to deal with stress.

Signup and view all the flashcards

Interpersonal Stress and Depression

Adolescent girls may be at higher risk for depression if they have a history of interpersonal stress and lack of social support.

Signup and view all the flashcards

Ethnic/Racial Groups and Depression

Hispanic and Asian groups experience the highest depressive symptoms in the transition from adolescence to young adulthood.

Signup and view all the flashcards

Double Depression

Double depression occurs when Major Depressive Disorder (MDD) is superimposed on Persistent Depressive Disorder (P-DD).

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Dysthymia and Co-Occurring Disorders

The most prevalent co-occurring disorder/s with dysthymic disorder is/are anxiety disorders.

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Disruptive Mood Dysregulation Disorder (DMDD)

The central feature of Disruptive Mood Dysregulation Disorder (DMDD) is chronic, severe persistent irritability.

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DMDD Diagnostic Rules

DMDD cannot coexist with a diagnosis of MDD and BP.

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Social Withdrawal

Social withdrawal symptom interferes with normal youth development of interpersonal relationships.

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Suicide Methods

Drug overdoses and wrist cutting are the most common means for adolescents who successfully complete.

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Treatment for DMDD

Effective courses of treatment for DMDD are unknown.

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Psychodynamic Theory of Depression

The Psychodynamic theory of depression relies on parental separation and disruption of a bond as predisposing factors for depression.

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Behavioral Theory of Depression

The behavioral theory of depression claims that depression is related to a lack of response-contingent positive reinforcement.

Signup and view all the flashcards

Attributions of Negative Events

Depression-prone individuals tend to make internal, stable, and global attributions for the causes of negative events.

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Depressogenic Cognitions

Depressogenic cognitions are the negative perceptual and attributional styles and beliefs associated with depressive symptoms.

Signup and view all the flashcards

The Cognitive Triad

The "cognitive triad" refers to a depressed individual's negative outlook about one's self, the world, and the future.

Signup and view all the flashcards

Self-Control Theories

Self-control theories view youngsters with depression as having difficulty organizing their behavior in relation to long-term goals.

Signup and view all the flashcards

Predictors of Depression

The single best predictor of a child's risk for major depressive disorder is a family history of depression.

Signup and view all the flashcards

Brain Acitivity and Depression

In general, brain activity in youths with depression is LESS active than normal in regions of the brain associated with sensory processes.

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Stressful Events and Depression

In comparison to nondepressed children, those with depression experience more severe stressful events and more daily hassles in the year preceding their depression.

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Successful Treatments for MDD

The most successful treatment/s for major depressive disorder is/are CBT and IPT-A.

Signup and view all the flashcards

Approved SSRI for Children

The only SSRI that is currently FDA approved for the treatment of depression in children is Fluoxetine (Prozac).

Signup and view all the flashcards

Bipolar Disorder: Gender Differences

Regarding bipolar disorder, boys display more manic behaviors than girls.

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Cyclothymic Disorder

Children or adolescents who display numerous and persistent hypomanic and depressive symptoms can be classified as having Cyclothymic disorder.

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Bipolar Etiology

Bipolar disorder appears to be the result of genetic vulnerability in combination with environmental factors.

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First-Line Bipolar Treatment

In general, Lithium is the first choice in the treatment of bipolar disorder.

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Information-processing biases

Negative effortful thoughts.

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FDA Mandate

Parents are well-informed and monitor their children closely AND warning labels on medication and patient education guides.

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Bipolar Disorder Symptoms

Manic episodes aren't always clearly different from usual behavior.

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Bipolar Disorder Comorbidity

ADHD, anxiety disorders and substance abuse.

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Risperidone

Sally is most likely taking valproate.

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Bulimia's comorbidity

Eating disorders.

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Anorexia vs. Bulimia

False.

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Bulimia vs. BED

Compensatory behaviors are present in bulimia nervosa, but not BED.

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Common comorbidity with Eating Disorders

Most commonly comorbid with eating disorders.

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Thinness idealization

Sociocultural

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Purging vs. Non- Purging

False.

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Severe psychopathology's

Laxative use.

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Anorexia Rate

Anorexia is more rare in African American females.

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Anorexia Subtypes

Binge eating/purging and restricting.

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Exposure treatment

Treatments based on imaging, watching or actually doing phobia-related activities

Signup and view all the flashcards

Obsessions

Intrusive unwanted thoughts, images, or impulses that can be experienced as aversive, alien, or frightening.

Signup and view all the flashcards

Anticipated panic

The likelihood from 0% to 100%, that doing a task would result in a panic attack.

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In vivo exposure

When people directly perform their avoided activities.

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PTSD research

Hippocampus

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PTSD

Cognitive treatments

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"Out-of-body" experiences.

Depersonalization

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PTSD and ASD

Exposure to a threatened death, serious injury, or sexual violation

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Treatment for PTSD

Skills-based treatments

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Perception of Unreality

Derealization

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Trauma Diagnostic Criterion

Exposure to an event is a required diagnostic criterion.

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Neuroimaging studies of PTSD

Areas involved in fear conditioning and extinction.

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Treatment vs. Prevention

Treatment attempts to treat psychopathology once it develops

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Dual representation model

Sensory representation

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CBT Therapy

Cognitive therapy

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What about everyone else

Eating disorder not otherwise specified

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Study Notes

Preparation for Finals: CM 598

  • The typical age of onset for a first depressive episode in children/adolescents is 13-15 years.
  • Depressed mood symptoms occurring most days for at least a year is persistent depressive disorder (P-DD).
  • A history of depression during school years increases the risk for later suicidal behavior.
  • Youngsters with depression onset before 15 and a recurrent episode before 20 are likely to have severe depression as a teen with poor psychosocial outcomes as a young adult.
  • Depression is equally common in preadolescent boys and girls, but after age 13, it impacts females more.
  • Higher depression risk in adolescent girls compared to boys is due to their tendency to use ruminative coping styles to deal with stress.
  • Adolescent girls with a history of interpersonal stress and lack of social support are more likely to have depression.
  • Depressive symptoms in the transition from adolescence to young adulthood were highest for Hispanic and Asian groups in a recent study.
  • Double depression occurs when major depressive disorder (MDD) is superimposed on persistent depressive disorder (P-DD).
  • Anxiety disorders are the most prevalent co-occurring disorders with dysthymic disorder.
  • The central feature of disruptive mood dysregulation disorder (DMDD) is chronic, severe persistent irritability.
  • A false diagnostic statement about DMDD: it cannot coexist with a diagnosis of MDD.
  • Social withdrawal interferes with normal interpersonal relationship development.
  • A true statement about suicide is drug overdoses and wrist cutting are the most common means for adolescents who successfully complete suicide.
  • A true statement about DMDD is effective courses of treatment for DMDD are unknown.
  • Depression occurring in youngsters without loss or rejection supports a psychodynamic theory of depression.
  • Attachment theory focuses on parental separation and disruption of a bond as predisposing factors for depression.
  • Behavioral theory claims depression is related to a lack of response-contingent positive reinforcement.
  • Depression-prone individuals attribute negative events to internal, stable, and global causes.
  • Depressogenic cognitions are negative perceptual and attributional styles and beliefs associated with depressive symptoms.
  • Depressed individuals display information-processing biases that are based on poor faulty memory systems.
  • The "cognitive triad" refers to a depressed individual's negative outlook about one's self, the world, and the future.
  • Self-control theories view youngsters with depression as having difficulty organizing their behavior in relation to long-term goals.
  • The single best predictor of a child's risk for major depressive disorder is a family history of depression.
  • Children of depressed parents have a higher rate of physical injuries.
  • Brain activity in youths with depression is less active than normal in regions associated with sensory processes.
  • Under-involvement is not a typical characteristic of families of children with depression.
  • Depressed children experience more severe stressful events and more daily hassles in the year preceding their depression, compared to non-depressed children.
  • The most successful treatments for major depressive disorder are CBT and IPT-A.
  • Cognitive therapy focuses on helping youths become more aware of pessimistic and negative thoughts, as well as casual attributions of self-blame for failure.
  • Fluoxetine (Prozac) is currently FDA-approved for treating depression in children.
  • The FDA has mandated warning labels on medication and patient education guides due to findings of possible increased risk of suicide and self-harm of young people using SSRIs.
  • Girls are not more commonly diagnosed with bipolar disorder than boys.
  • Boys with bipolar disorder display more manic behaviors than girls.
  • Children/adolescents with numerous and persistent hypomanic and depressive symptoms can be classified as having cyclothymic disorder.
  • Major depressive disorder is the diagnosis a child is least likely to receive.
  • Lethargy or a lack of is not a common symptom of BP present in the years preceding an initial manic episode.
  • Mental retardation is least likely to co-occur with bipolar disorder in young people.
  • Bipolar disorder seems to result from a combination of genetic vulnerability and environmental factors.
  • Brain imaging studies point to abnormalities in brain parts that regulate emotion in adolescents with bipolar disorder.
  • Lithium is generally the first choice in treating bipolar disorder.
  • Valproate is a medication used for bipolar disorder that causes weight gain.
  • Alcohol abuse is more frequently found in bulimia nervosa compared to anorexia nervosa.
  • Anorexia does not have a higher prevalence rate than bulimia. This statement is false.
  • Binge eating episodes are always present in BED (Binge Eating Disorder), but not bulimia nervosa.
  • Obsessive-compulsive disorder is the most common comorbidity with eating disorders.
  • Amenorrhea may exclude women who are pre-menopausal or athletes which is why it was removed as a criterion for anorexia nervosa.
  • The sociocultural model posits idealization of thinness, and portrayals of slim role models in the media contribute to widespread body dissatisfaction.
  • BN in DSM-5 has two subtypes, purging and non-purging is a false statement.
  • Laxative use is an indicator of most severe psychopathology in females with eating disorders.
  • Anorexia nervosa is extremely rare in African American females.
  • The two forms of anorexia nervosa involve binge eating/purging and restricting.
  • Exposure treatment involves treatments based on imaging, watching or actually doing phobia-related activities.
  • Obsessions are defined as intrusive unwanted thoughts, images, or impulses experienced as aversive, alien, or frightening.
  • Panic attacks are defined as sudden rushes of intense anxiety or discomfort that can be disturbing and leave a lasting residue of dread and disability.
  • Panic is not an example of a psychosocial problem.
  • Perceived danger: The perceived likelihood, from 0% to 100%, of a harmful outcome resulting from a given action.
  • Anticipated panic: The likelihood from 0% to 100%, that doing a task would result in a panic attack.
  • In vivo exposure: When people directly perform their avoided activities.
  • The hippocampus is a brain area of interest to PTSD research due to its association with conditioned fear and associative learning.
  • Cognitive treatments in psychosocial treatment for PTSD focus on changes people's understanding of trauma and meaning in their life.
  • Depersonalization refers to "out-of-body" experiences
  • PTSD and ASD do not differ in the exposure to a threatened death, serious injury, or sexual violation
  • Skills-based treatments for PTSD do not focus on the trauma as much as other treatments.
  • Derealization is the perception of unreality of being in a dreamlike state.
  • What distinguishes trauma and stressor related disorders from other DSM disorders is exposure to an event is a required diagnostic criterion.
  • Neuroimaging studies of PTSD have primarily focused on areas involved in fear conditioning and extinction.
  • Prevention attempts aim to prevent psychopathology, as treatment attempts to treat psychopathology once it develops.
  • The dual representation model of memory in PTSD indicates sensory representations are overrepresented.

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Typical onset of depression is 13-15 years. Depression during school years increases the risk of suicide. After age 13, depression impacts females more. Adolescent girls with a history of interpersonal stress and a lack of social support are more likely to develop depression.

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