Mood Disorders (ps2008- week 5)

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Questions and Answers

What percentage of people with this disorder are considered chronic with no signs of permanent improvement?

  • 90%
  • 20% (correct)
  • 50%
  • 70%

Which group has the highest heritability estimate for major depressive disorder (MDD)?

  • Men
  • MZ twins
  • Women (correct)
  • Children

What type of medication was originally developed to address a condition but was later found to deplete serotonin levels in the brain?

  • SSRIs
  • Antihypertensive drugs (correct)
  • Monoamine oxidase inhibitors
  • Tricyclics

According to the monoamine hypothesis, which neurotransmitters are suggested to be at low levels in individuals with depression?

<p>Serotonin, dopamine, and norepinephrine (C)</p> Signup and view all the answers

Which brain region is noted to have reduced activity in individuals with depression, potentially leading to inappropriate emotional responses?

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

What is one theory for the development of depression related to environmental factors?

<p>Lack of rewarding experiences and insufficient positive reinforcement can lead to depression. (D)</p> Signup and view all the answers

What brain structures are found to be hyperactive in individuals with depression and are involved in managing emotions?

<p>Prefrontal Cortex and Anterior Cingulate Cortex (C)</p> Signup and view all the answers

What risk percentage of developing major depressive disorder is associated with 1st degree relatives?

<p>2-3% risk (C)</p> Signup and view all the answers

What type of factors do depressed individuals attribute negative events to, according to causal attribution theory?

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

What is the minimum number of symptoms required to qualify for a manic or hypomanic episode with mixed features?

<p>3 (A)</p> Signup and view all the answers

Which of the following best describes rumination in the context of depression?

<p>A repetitive and automatic thinking style aimed at finding solutions (B)</p> Signup and view all the answers

Which age at first episode suggests substance use or another general medical condition in bipolar disorder?

<p>After 40 (B)</p> Signup and view all the answers

What duration is required for a manic episode to be classified within the DSM-5?

<p>At least 1 week (A)</p> Signup and view all the answers

What is the estimated heritability of bipolar disorder?

<p>85% (B)</p> Signup and view all the answers

Which symptom is NOT associated with manic episodes as defined by DSM-5 criteria?

<p>Increased need for sleep (D)</p> Signup and view all the answers

What percentage of individuals with bipolar disorder commit suicide?

<p>15% (A)</p> Signup and view all the answers

What is a characteristic of hypomanic episodes compared to manic episodes?

<p>They don't involve psychotic symptoms (A)</p> Signup and view all the answers

Which of the following statements about the course of illness in bipolar disorder is true?

<p>Episodic individuals restore functionality between episodes. (C)</p> Signup and view all the answers

What outcome is rumination known to predict regarding therapy effectiveness?

<p>Less effectiveness of therapy (B)</p> Signup and view all the answers

What is the lifetime prevalence of bipolar disorder type 2?

<p>0.4% (A)</p> Signup and view all the answers

Which of the following factors is NOT linked to the predictions of anxiety related to rumination?

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

What observed trend exists regarding the rates of suicide attempts in bipolar disorder?

<p>They drop significantly with treatment. (B)</p> Signup and view all the answers

What does the term 'mixed state' refer to in the context of mood disorders?

<p>Simultaneous symptoms of both mania and depression (C)</p> Signup and view all the answers

What percentage of bipolar disorder patients have made at least one suicide attempt?

<p>50% (C)</p> Signup and view all the answers

What is the minimum duration for a major depressive episode to be considered for the diagnosis of Major Depressive Disorder?

<p>2 weeks (C)</p> Signup and view all the answers

Which of the following symptoms is NOT a characteristic of Major Depressive Disorder?

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

What defines the term 'recurrence' in the context of mood disorders?

<p>Resurfacing of symptoms within 6-9 months of remission (B)</p> Signup and view all the answers

In Persistent Depressive Disorder, how long must a person experience a depressed mood to meet the diagnostic criteria?

<p>2 years (A)</p> Signup and view all the answers

What is the primary difference between bipolar disorders and unipolar disorders?

<p>Bipolar disorders include mania, while unipolar disorders do not (B)</p> Signup and view all the answers

What percentage of individuals recovering from Major Depressive Disorder remain symptomatic after 6 years?

<p>30% (B)</p> Signup and view all the answers

Which of the following factors is NOT involved in diagnosing Major Depressive Disorder?

<p>Experiencing a recent loss (B)</p> Signup and view all the answers

Which type of psychosis is characterized by visual, tactile, or olfactory experiences that align with depressive symptoms?

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

How does negative reinforcement play a role in maintaining depression?

<p>It reinforces avoidance coping behaviors. (B)</p> Signup and view all the answers

What is a key component of Beck's cognitive theory of depression?

<p>Negative schemas influence emotional responses. (C)</p> Signup and view all the answers

What is implied by the concept of the negative triad in cognitive theories of depression?

<p>It involves negative beliefs about oneself, the world, and the future. (D)</p> Signup and view all the answers

Which theory suggests that experiencing unavoidable negative life events can lead to depression?

<p>Learned helplessness theory. (C)</p> Signup and view all the answers

How do early experiences relate to the development of negative schemas in individuals?

<p>They can lead to broader dysfunctional beliefs. (A)</p> Signup and view all the answers

What does Beck identify as a consequence of negative automatic thoughts?

<p>Information processing errors and biases. (B)</p> Signup and view all the answers

Which of the following best describes the impact of self-fulfilling prophecies in depression?

<p>They confirm negative beliefs through consequences. (B)</p> Signup and view all the answers

What is a common consequence of having negative schemas activated during stressful situations?

<p>Cognition is influenced toward negative evaluations. (B)</p> Signup and view all the answers

What role does increased dopamine play in individuals with bipolar disorder?

<p>It explains manic phases. (A)</p> Signup and view all the answers

Which area of the brain is reported to be underactive during cognitive and emotional processing in manic states of bipolar disorder?

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

What is a common observation regarding cytokines in people with bipolar disorder?

<p>There is variability in cytokine levels depending on mood state. (D)</p> Signup and view all the answers

What percentage of people does lithium carbonate typically fail to remit in treating bipolar disorder?

<p>33% (B)</p> Signup and view all the answers

Which treatment option is noted to require monitoring due to its use of illegal drugs?

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

What impact does the gastrointestinal system have on the production of pro-inflammatory cytokines in bipolar disorder?

<p>It induces production on an acute or chronic basis. (D)</p> Signup and view all the answers

What is a common side effect of lithium carbonate treatment in bipolar disorder?

<p>Effects on heart and liver (D)</p> Signup and view all the answers

During electroconvulsive therapy, how often are sessions typically administered?

<p>Two times a week (A)</p> Signup and view all the answers

Flashcards

Bipolar disorder

A mood disorder characterized by alternating periods of depression and mania.

Unipolar disorder

A mood disorder marked only by periods of depression, without any manic episodes.

Major Depressive Disorder (MDD)

A major depressive episode that lasts at least 2 consecutive weeks and includes at least 5 core symptoms, such as depressed mood, loss of interest, weight changes, sleep disturbances, and thoughts of death.

Persistent Depressive Disorder (PDD)

A milder, chronic form of depression lasting at least 2 years, characterized by symptoms like low mood, changes in appetite, sleep problems, and low self-esteem.

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Remission

The state where an individual returns to their normal baseline mood after experiencing a depressive episode.

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Relapse

The reappearance of depressive symptoms within 6-9 months of achieving remission.

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New episode

A new episode of depression occurring after a period of remission longer than 6-9 months.

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High relapse and recurrence rate

The tendency for depressive symptoms to return repeatedly, often triggered by life events and characterized by increased risk after each episode.

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Diathesis

A predisposition or vulnerability to develop a disorder, often based on genetic inheritance.

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Diathesis-Stress Model

A model explaining that a combination of vulnerability (diathesis) and environmental stress is needed to trigger a disorder.

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Heritability

The study of how genes influence traits and disorders. It estimates the proportion of variation in a trait due to genetic factors.

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Twin Concordance Studies

A type of study comparing identical (MZ) and fraternal (DZ) twins to assess the role of genetics in a trait.

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Serotonin

A neurotransmitter involved in mood regulation, sleep, and appetite. Low levels are linked to depression.

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SSRIs (Selective Serotonin Reuptake Inhibitors)

A class of antidepressants that block the reuptake of serotonin, increasing its levels in the brain.

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Amygdala

A brain region involved in processing emotions, particularly fear and anxiety.

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Prefrontal Cortex (PFC)

A brain region responsible for cognitive processes like planning, decision-making, and working memory. It plays a role in regulating emotions.

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Social reinforcement of depression

A process where repeated negative social interactions with depressed individuals lead to a decrease in positive reinforcement, potentially exacerbating depressive symptoms.

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Negative reinforcement of depression

Behaviours like avoidance coping, which are used to escape unpleasant situations or emotions, can reinforce depressive symptoms by reducing negative feelings in the short term.

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Punishment of healthy behaviours in depression

Engaging in healthy behaviours, like going outside, can be punished by an increase in stress, leading to a reduction in these behaviours and potential worsening of depressive symptoms.

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Negative schemas

Dysfunctional belief patterns about the self, the world, and the future that contribute to negative thoughts and emotions.

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Information processing bias in depression

Processing information in a way that confirms negative expectations and beliefs, leading to a self-fulfilling prophecy of negativity.

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Learned helplessness

The feeling of helplessness, lethargy, and depression that develops after experiencing an unavoidable negative life event.

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Lack of initiative in depression

A key symptom of learned helplessness where the individual believes they have no control over their situation, leading to passivity and lack of motivation.

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Self-blame in depression

The tendency for individuals to blame themselves for negative experiences, even in situations where they have little control.

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Causal Attribution Theory

A theory explaining how people interpret negative events, often linking them to internal, stable, and global factors, which can lead to reduced self-esteem and increased risk of depression.

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Rumination

A repetitive thinking pattern focused on examining the causes, meanings, and consequences of negative events.

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Manic Episodes

Episodes of bipolar disorder marked by elevated or irritable mood, increased goal-oriented activity, racing thoughts, decreased sleep needs, and inflated self-esteem, lasting at least 1 week.

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Hypomanic Episodes

Similar to manic episodes but less severe, lasting at least 4 days, without requiring hospitalization or psychotic symptoms.

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Mixed State

A state within bipolar disorder where symptoms of both mania and depression are present simultaneously.

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Bipolar II Disorder

A type of bipolar disorder characterized by at least one hypomanic episode and at least one major depressive episode.

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Mixed features in bipolar disorder

Individuals experiencing both manic and depressive symptoms within the same episode.

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Typical onset of bipolar disorder

The onset of bipolar disorder typically occurs in the early 20s. Later onset might indicate substance abuse or another medical condition.

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Episodic course of bipolar disorder

An individual's ability to function returns to normal between episodes of bipolar disorder.

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Unstable course of bipolar disorder

Individuals with bipolar disorder experience mood instability even between episodes.

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Heritability of bipolar disorder

Genetic factors play a significant role in the development of bipolar disorder, with heritability estimates as high as 85%.

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Twin concordance rates for bipolar disorder

Twin studies show higher concordance rates for bipolar disorder in identical (MZ) twins compared to fraternal (DZ) twins.

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Lethality of suicide attempts in bipolar disorder

Suicide attempts are more lethal in bipolar disorder compared to unipolar depression.

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Genetic vulnerability for suicide in bipolar disorder

Although the exact gene causing bipolar disorder is unknown, research suggests a genetic vulnerability for suicide in some families with bipolar disorder.

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Mania

A mental state marked by elevated mood, increased energy, and racing thoughts. Often accompanied by impulsive behavior and a lack of sleep.

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Dopamine

A neurotransmitter associated with reward, motivation, and movement. It plays a role in the mood shifts experienced in Bipolar Disorder.

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fMRI (functional magnetic resonance imaging)

A brain imaging technique that measures brain activity by detecting changes in blood flow. Used to observe brain regions involved in mood regulation.

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Frontal Cortex

The front part of the brain responsible for executive functions, planning, and decision-making. In Bipolar Disorder, it can be underactive during manic states, contributing to impulsivity.

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Limbic Areas

Brain regions involved in emotions and memory. They are often overactive during manic states, leading to emotional intensity and reactivity.

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Cytokines

Molecules that are part of the immune system and regulate inflammation. Elevated levels of pro-inflammatory cytokines are observed in Bipolar Disorder.

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Chronic Low-grade Inflammation

A condition characterized by a prolonged state of low-grade inflammation. It is associated with Bipolar Disorder and can affect brain function.

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Gut Microbiota

The collection of microorganisms living in the digestive system. It can influence cytokine production and potentially contribute to the inflammation observed in Bipolar Disorder.

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Study Notes

Mood Disorders

  • Bipolar disorders involve both depression and mania.
  • Unipolar disorders are characterized only by depression.

Major Depressive Disorder (MDD)

  • Diagnosis requires a major depressive episode lasting at least 2 weeks.
  • Five or more symptoms are necessary (depressed mood or diminished interest in activities, significant weight changes, sleep disturbances, fatigue, feelings of worthlessness, thoughts of death).
  • Symptoms cannot be attributed to grief or other medical conditions.
  • Psychosis (hallucinations or delusions) can occur but is syntonic with the depression.

Persistent Depressive Disorder (PDD)

  • Depressed mood most of the day for at least 2 years.
  • Two or more of the following symptoms are needed: poor appetite/overeating, sleep disturbances, fatigue, poor self-esteem, trouble concentrating, and hopelessness.

Lifetime Prevalence

  • Males: 5-12%
  • Females: 10-25%

Bipolar Disorders

  • Bipolar I Disorder: Characterized by manic and major depressive episodes.
  • Bipolar II Disorder: Characterized by hypomanic and major depressive episodes.

Remission, Relapse, Recurrence

  • Remission is the return to baseline.
  • Relapse is recurrence within 6-9 months of remission.
  • Recurrence refers to a new episode after this period.

Biological Theories

  • Heritability is estimated to be around 40%.
  • Twin concordance studies show a higher risk to those who have a relative who suffers from MDD.
  • Genetic and environmental factors interact, such as childhood experiences and genetic vulnerabilities.

Behavioral Theories

  • Depression may stem from a lack of positive reinforcement and rewarding experiences.

Cognitive Theories

  • Negative schemas (beliefs) and automatic thoughts contribute to the development of depression.
  • Bias in selecting, processing, and evaluating events occurs.

Causal Attribution Theory

  • People with depression often attribute negative events to internal, stable, and global factors.

Rumination

  • Repetitive thinking focused on the causes, meanings, experiences, and consequences of events is a characteristic of depression.

Other Key Factors

  • Suicide: A significant concern in BD, often during depressive states.
  • Chronicity: Some individuals experience chronic or enduring episodes. Early-onset BD (in childhood/adolescence) is associated with poorer prognosis.
  • Mood Episodes: Episodes of both mania and depression (in mixed state)

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