Major Depressive Disorder Overview

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Questions and Answers

What is a major characteristic of major depressive disorder?

  • Loss of interest or pleasure in most activities (correct)
  • Constant happiness
  • Increased social interactions
  • High energy levels

Women are less likely than men to report a depressive disorder.

False (B)

What is the minimum duration for a major depressive episode (MDE)?

2 weeks

Major depressive disorder can involve feelings of __________ or worthlessness.

<p>guilt</p> Signup and view all the answers

Match the following risk factors with their descriptions:

<p>Genetic make-up = Important risk factor for major depression Age = Risk varies across different life stages Negative life events = Experiencing stressful situations Lack of social support = Absence of help from friends or family</p> Signup and view all the answers

Which of the following symptoms is NOT typically associated with major depressive disorder?

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

Memory loss is primarily the only cognitive symptom of major depressive episodes.

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

What is a common symptom of a manic episode?

<p>Grandiosity and enhanced senses (B)</p> Signup and view all the answers

What is the increased risk of monozygotic twins developing major depressive disorder if one twin is affected?

<p>Four times higher (A)</p> Signup and view all the answers

Individuals experiencing a manic episode are usually aware of their condition.

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

What three spheres of functioning are affected by depression?

<p>Affect, behavior, cognition</p> Signup and view all the answers

Dizygotic twins share all of their genetic material.

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

What might excessive planning during a manic episode lead to?

<p>Reckless pursuits or negative consequences</p> Signup and view all the answers

During a manic episode, an individual may engage in ______ that can lead to adverse outcomes.

<p>reckless activities</p> Signup and view all the answers

What is a hallmark of a manic episode?

<p>A discrete period of at least 1 week of euphoric feelings (B)</p> Signup and view all the answers

What term describes the negative cognitive patterns proposed by Aaron Beck that are seen in people with depression?

<p>Cognitive distortions</p> Signup and view all the answers

The attentional bias seen in depressed individuals often leads them to focus on __________ and __________ emotions.

<p>sad, angry</p> Signup and view all the answers

Which of the following is NOT typically a symptom of a mixed episode?

<p>Increased energy levels (D)</p> Signup and view all the answers

Bipolar disorders were previously known as manic-depression.

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

Which of the following is NOT part of Beck's negative triad of depression?

<p>Positive views about society (D)</p> Signup and view all the answers

Name one type of bipolar disorder.

<p>Bipolar I Disorder</p> Signup and view all the answers

Match the following symptoms to their respective episode types.

<p>Grandiosity = Manic Episode Insomnia = Mixed Episode Agitation = Mixed Episode Excessive talking = Manic Episode</p> Signup and view all the answers

List two symptoms associated with a mixed episode.

<p>Agitation and suicidal thinking</p> Signup and view all the answers

Match the type of twin with the amount of shared genetic material:

<p>Monozygotic twins = Share all genes Dizygotic twins = Share half of the genes</p> Signup and view all the answers

A person with depression in some cultures may describe their symptoms as _____ or headaches.

<p>nerves</p> Signup and view all the answers

Excessive sleep is a characteristic of a manic episode.

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

Match the types of mood episodes to their descriptions:

<p>Major Depressive Episode = A period of significant depression Manic Episode = A week of euphoric or irritable mood Mixed Episode = Simultaneous symptoms of mania and depression Hypomanic Episode = A milder form of mania lasting less than a week</p> Signup and view all the answers

Individuals without psychological disorders look equally at faces expressing different emotions.

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

Which episode is most commonly associated with Bipolar I disorder?

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

What might a man think of himself if he does not receive the big raise he hoped for, according to cognitive distortions?

<p>He might think he is worthless.</p> Signup and view all the answers

Individuals with bipolar disorder experience only manic episodes.

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

What is the term used to describe an individual's unusually euphoric mood during a manic episode?

<p>Expansive mood</p> Signup and view all the answers

What is required for a diagnosis of bipolar I disorder?

<p>A manic or mixed episode (B)</p> Signup and view all the answers

Individuals diagnosed with bipolar II disorder must experience at least one manic episode.

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

What term describes having four or more mood episodes within one year?

<p>rapid cycling</p> Signup and view all the answers

Bipolar disorder is more common in males than ______.

<p>females</p> Signup and view all the answers

Match the type of bipolar disorder with its characteristics:

<p>Bipolar I disorder = Includes manic or mixed episodes Bipolar II disorder = Includes hypomanic episodes and MDEs Both types = Can experience rapid cycling Neither type = Has manic episodes</p> Signup and view all the answers

Which of the following statements about mixed episodes is true?

<p>They may evolve into an MDE or manic episode. (B)</p> Signup and view all the answers

Rapid cycling is associated with better treatment outcomes in bipolar disorders.

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

What can trigger or intensify a manic, mixed, or hypomanic episode?

<p>Changes in the sleep-wake cycle</p> Signup and view all the answers

Which personality disorder is more likely to be manifested in women according to the evidence provided?

<p>Histrionic Personality Disorder (D)</p> Signup and view all the answers

Extreme versions of extraversion and neuroticism are characteristic of both antisocial and histrionic personality disorders.

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

What is a core dysfunctional belief associated with histrionic personality disorder?

<p>Unless I captivate people, I am nothing</p> Signup and view all the answers

Patients with histrionic personality disorder are particularly sensitive to __________ evaluation.

<p>negative</p> Signup and view all the answers

Match the following traits with their characteristics:

<p>Extraversion = High levels of gregariousness and excitement seeking Neuroticism = High levels of depression and self-consciousness Openness = High openness to fantasies Entitlement = A sense of deserving to manipulate for personal gain</p> Signup and view all the answers

Which of the following traits is NOT typically associated with patients having histrionic personality disorder?

<p>Low reward dependence (A)</p> Signup and view all the answers

Social factors such as childrearing practices are thought to be influential in the development of histrionic personality disorder.

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

What do cognitive theorists emphasize as important in histrionic personality disorder?

<p>Maladaptive schemas revolving around the need for attention</p> Signup and view all the answers

Flashcards

Depression

A mental disorder characterized by persistent feelings of sadness, loss of interest, and other symptoms like changes in sleep, appetite, and energy levels.

Major Depressive Episode (MDE)

A period of severe depression lasting at least two weeks, marked by symptoms like sadness, loss of interest, sleep disturbances, and feelings of worthlessness.

Genetic Make-up (Heredity)

A significant risk factor for depression, suggesting a genetic predisposition.

Age and Gender

A risk factor for depression that varies with age and gender, with women experiencing higher risks during young adulthood and men in early middle age.

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Negative Life Events & Lack of Social Support

Negative events and lack of support network can significantly increase the risk of depression.

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ABCs of Depression

The three key areas affected by depression: mood, behavior, and cognition.

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Unremitting Sadness

The feeling of sadness, hopelessness, or numbness that pervades during a depressive episode.

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DSM-IV-TR

A diagnostic system used by clinicians to classify mood disorders, specifically depression.

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Bipolar Disorder

A mental health condition characterized by alternating periods of intense elation (mania) and deep depression.

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Manic Episode

A distinct period of at least one week of abnormally elevated mood, increased energy, and unusual behavior.

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Major Depressive Episode

A period of intense feeling of sadness, hopelessness, and loss of interest in activities.

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Hypomanic Episode

The mood is abnormally elevated, but less severe than in a manic episode; lasts at least four days.

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Expansive Mood

A state of heightened enthusiasm and activity, with decreased need for sleep, racing thoughts, and impulsivity.

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Bipolar I Disorder

Involves both mania and depression, with periods of normalcy in between.

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Bipolar II Disorder

Experience periods of hypomania and major depression, but never full-blown mania.

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Cyclothymic Disorder

A chronic mood disorder characterized by fluctuating moods, from short periods of hypomania to mild depressive symptoms, but not meeting criteria for full-blown manic or depressive episodes.

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Flight of Ideas

A symptom of mania characterized by thoughts racing faster than they can be spoken, causing rapid speech and difficulty holding a conversation.

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Mania

A state of elevated mood, increased energy, and rapid thoughts, often accompanied by impulsive behavior and poor judgment.

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Mixed Episode

A psychological state characterized by symptoms of both mania and depression, often resulting in agitation, insomnia, and suicidal thoughts.

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Grandiosity

Overly positive self-beliefs, often inflated and unrealistic, common in manic episodes.

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Increased Activity & Planning

An increased ability to engage in activities, often with unrealistic goals and poor planning.

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Distractibility

The inability to filter distractions and focus on relevant information, often occurring during manic episodes.

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Sensory Enhancement

A heightened awareness of sensory experiences, such as sound and smell, often reported during manic episodes.

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Genetic Influence on MDD

Monozygotic twins share all their genes, while dizygotic twins share only half. Studies have shown that if one identical twin has Major Depressive Disorder (MDD), the other twin is four times more likely to develop it compared to fraternal twins. This highlights the influence of genetics on MDD.

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Attentional Bias in Depression

People with depression tend to focus more on negative emotions like sadness and anger, compared to positive emotions, and this can lead to a vicious cycle of negative thoughts and feelings.

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Cognitive Distortions

Cognitive Distortions are faulty thought patterns that can lead to negative views of the world, self, and future. This negative thinking can contribute to and maintain depression.

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Negative Triad of Depression

The Negative Triad of Depression refers to three negative views that often characterize depression: a negative view of oneself, the world, and the future. These views can be strengthened by cognitive distortions.

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Negative Interpretation of Events

People with MDD might interpret neutral events negatively, leading to a sense of hopelessness and despair. This can happen even when they don't receive negative feedback, but even a lack of positive feedback (e.g., not smiling back when greeted) can trigger this negativity.

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Genes and Stress Response

Genetic factors can influence how a person responds to stressful events, making some individuals more susceptible to developing depression in the face of adversity.

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Memory Bias in Depression

People with depression are more likely to remember negative experiences, further reinforcing their negative views and perpetuating the cycle of depressive symptoms.

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Cognitive Factors in Depression

The way a person thinks about themselves, the world, and the future plays a significant role in causing and maintaining depression.

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Rapid Cycling

A pattern of experiencing at least four mood episodes within one year, regardless of the type of episode.

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Mood Episode with Psychotic Features

The presence of psychotic symptoms, such as hallucinations or delusions, during a mood episode.

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Histrionic personality disorder

Histrionic personality disorder involves exaggerated emotional expression, attention-seeking behavior, and dramatic presentations of self. Individuals with this disorder often feel a strong need for validation and approval from others.

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Antisocial personality disorder

Antisocial personality disorder is characterized by a disregard for social norms, a lack of empathy, and impulsive behavior. Individuals with APD often engage in risky and manipulative actions.

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Genetic link between histrionic and antisocial personality disorders

Research suggests a possible genetic link between histrionic and antisocial personality disorders, indicating a shared predisposition.

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Histrionic personality and normal personality traits

Histrionic personality disorder might be linked to enhanced versions of two common personality traits: extraversion and neuroticism.

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Five-factor model and histrionic personality

The five-factor model of personality (OCEAN) suggests that histrionic personality disorder involves high levels of extraversion and neuroticism.

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Dysfunctional beliefs in histrionic personality

People with histrionic personality disorder often hold core dysfunctional beliefs centered on attention-seeking for self-validation. They might believe, "I am nothing if I don't captivate people" or "I will be abandoned if I don't entertain people."

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Self-perception and sensitivity to negative evaluation

Individuals with histrionic personality disorder often believe they are special and deserve admiration from others, leading to sensitivity to negative evaluations.

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Reinforcement of attention-seeking behavior

The dramatic outbursts of individuals with histrionic personality disorder are often reinforced by attention from others, inadvertently perpetuating the cycle of attention-seeking behavior.

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Study Notes

Psychological Disorders and Treatments

  • Abnormal psychology is the subfield of psychology that studies the causes and progression of psychological disorders, also known as psychopathology.
  • To diagnose a psychological disorder, a pattern of thoughts, feelings, or behaviours must cause significant distress, impairment in daily life, and/or risk of harm, unusual for the particular context and culture.
  • The "four Ds" are common features of psychological disorders: deviance (different, extreme, unusual, or bizarre), distress (unpleasant or upsetting to the person and others), dysfunction (interfering with daily activities), and danger (to oneself or others).
  • Current diagnoses use the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a standardized classification system that guides clinicians in treating patients, offering shorthand descriptions to group abnormal thoughts, feelings, and behaviors.
  • Psychological disorders can be viewed through multiple complementary lenses: biological, psychological, and socio-cultural factors.
  • The biological model emphasizes the role of the nervous system and genetic factors in mental disorders.
  • The psychological model focuses on psychological processes and cognitive factors in the development of mental disorders. The diathesis-stress model proposes that disorders develop when a pre-existing vulnerability (diathesis) interacts with a stressful situation.
  • The socio-cultural model emphasizes socioeconomic status, poverty, bullying, childhood sexual abuse, and environmental factors as having roles in mental disorders.
  • The DSM-5 is used for diagnosing and classifying psychological disorders, offering diagnostic criteria, including major depressive episodes (MDEs), manic episodes, and mixed episodes, which help identify specific disorders within these broad categories.
  • Anxiety disorders, such as generalized anxiety disorder (GAD) are associated with uncontrollable worry about a variety of events, often accompanied by physical symptoms; phobias involve intense fear reactions to specific objects or situations.
  • Specific phobias, social phobias, and agoraphobia are different types of anxiety disorders.
  • OCD is marked by obsessions (repetitive unwanted thoughts) and compulsions (repetitive behaviors). This may include preoccupations with contamination, order, or doubts about actions.
  • Autism Spectrum Disorder (ASD) is characterized by pervasive difficulties in social interaction and communication, as well as restrictive and repetitive behaviour patterns. This may involve impaired social interaction, communication (verbal/nonverbal), and restricted and repetitive behaviours or interests.
  • Antisocial personality disorder involves a consistent disregard for the rights of others, including deceitfulness, impulsivity, aggressive behavior, and lack of remorse.
  • Histrionic personality disorder features extreme emotionality, attention-seeking behaviors, and inappropriate seductiveness.
  • Avoidant personality disorder is characterized by social inhibition and hypersensitivity to negative evaluation and avoids interpersonal contact.
  • Dependent personality disorder is characterized by a pervasive need to be taken care of, leading to submissive and clinging behaviors.
  • Passive-aggressive personality disorder is marked by passive resistance to demands.
  • Schizophrenia is a psychotic disorder with positive symptoms (delusions, hallucinations, disorganized thinking and speech), and negative symptoms (flat affect, alogia, avolition). Subtypes include paranoid, disorganized, catatonic, undifferentiated, and residual.
  • Depressive disorders involve prolonged sadness, loss of interest, and changes in appetite and sleep. Major Depressive Disorder (MDD) is one form of depressive disorder. Bipolar disorders include periods of both extreme elation (mania) and extreme sadness (depression).
  • Psychological disorders have several causes, including genetic and environmental factors. It is not uncommon for multiple factors to contribute to a mental health disorder.

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