Psychology Chapter on Schizophrenia

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Questions and Answers

The ______ hypothesis suggests that social factors create stress which can trigger schizophrenia.

Social Causation

Individuals from lower socioeconomic groups may struggle to access ______, exacerbating their mental health issues.

treatment

High population density in urban settings can lead to an experience of chronic ______, which is linked to schizophrenia.

social defeat

Social ______ occurs when individuals with schizophrenia withdraw due to the stress of interacting with others.

<p>isolation</p>
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Stressful life circumstances such as ______ or poverty can contribute to the development of schizophrenia.

<p>unemployment</p>
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Individuals with a genetic pre-disposition to schizophrenia may develop it as a result of ______ acting as a trigger.

<p>stressors</p>
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Long-term exposure to urban conditions, such as noise and light ______, may increase vulnerability to schizophrenia.

<p>pollution</p>
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Lower social class patients are often more likely to be brought to medical help by ______ or social services.

<p>police</p>
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Unipolar depression is an example of a ______ disorder.

<p>mood</p>
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In the context of depression, a significant weight change is considered to be ______% or more.

<p>5</p>
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Approximately ______% of people in England will experience some type of depression in their lifetime.

<p>10</p>
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Depression is around twice as common in ______ than it is in men.

<p>women</p>
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Cognitive symptoms of depression may include thoughts of ______ and low self-esteem.

<p>guilt</p>
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Individuals diagnosed with unipolar depression often avoid ______ and social activities.

<p>friends</p>
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The most common age of onset for both men and women experiencing depression is between the ages of ______-44 years.

<p>25</p>
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About ______% of individuals diagnosed with unipolar depression will experience at least one more episode after recovery.

<p>35</p>
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Major Depressive Disorder (MDD) requires a depressed mood or loss of interest for more than ______ weeks.

<p>two</p>
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One of the symptoms of unipolar depression includes significant ______ change or change in appetite.

<p>weight</p>
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Monoamines such as serotonin, dopamine, and norepinephrine are important for ______ and cognition.

<p>emotions</p>
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The monoamine hypothesis suggests that depression results from a decrease in monoamine ______ in the central nervous system.

<p>neurotransmitters</p>
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Common coexisting conditions with Major Depressive Disorder include substance abuse and ______.

<p>bereavement</p>
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In Major Depressive Disorder, some individuals experience ______ or loss of energy.

<p>fatigue</p>
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Receptors on the postsynaptic neuron pick up serotonin released from the ______ neuron.

<p>presynaptic</p>
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Suicidality in Major Depressive Disorder can manifest as thoughts of ______ or suicide plans.

<p>death</p>
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Flashcards

Unipolar Depression (Major Depressive Disorder)

A mood disorder characterized by persistent sadness, loss of interest, and other symptoms.

DSM-V Criteria for Unipolar Depression

Criteria for diagnosing unipolar depression. The individual must experience depressed mood or loss of interest, plus at least 5 out of 9 specific symptoms for over 2 weeks.

Monoamines

Chemicals in the brain that transmit signals between nerve cells. They play a crucial role in mood, cognition, and other functions.

Monoamine Hypothesis of Depression

A theory suggesting that depression arises from a decrease in monoamine neurotransmitters like serotonin, dopamine, and norepinephrine in the brain.

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Serotonin

A neurotransmitter that plays a role in mood, sleep, and appetite.

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Synapse

The space between two neurons where neurotransmitters are released and received.

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Reuptake

The process by which a neurotransmitter is taken back up into the presynaptic neuron, reducing its availability in the synapse.

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Neurotransmission

The process by which neurotransmitters bind to receptors on the postsynaptic neuron, triggering a signal.

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Unipolar Depression

A condition characterized by a persistent low mood, loss of interest in activities, and other symptoms that affect daily life.

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Weight change due to depression

A significant weight change (either gain or loss) caused by changes in appetite due to depression.

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Social symptoms of depression

Challenges with completing tasks at work, avoiding social situations, and having strained relationships with family and friends.

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Cognitive symptoms of depression

Difficulty remembering things, concentrating, and feelings of guilt, low self-worth, hopelessness, helplessness, and suicidal thoughts.

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Pessimism in depression

A tendency to focus on the negative aspects of situations and ignore the positive ones, often leading to feelings of guilt and a lowered self-esteem.

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Prevalence of unipolar depression

The experience of at least one episode of unipolar depression in their lifetime.

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Recurrence of unipolar depression

The likelihood of experiencing additional episodes of depression after a first recovery.

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Demographics of unipolar depression

Unipolar depression is more prevalent in women than men, with the most common age of onset between 25 and 44 years old.

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Social Causation Hypothesis

The idea that social factors can contribute to the development or relapse of schizophrenia.

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Environmental Risk Factors (Stressors)

These are external factors that can increase stress levels, potentially triggering schizophrenia in individuals with a genetic predisposition.

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Possible Biological Vulnerability

The theory states that a biological predisposition for schizophrenia may only develop if social stress factors are present.

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Lower Social Class Patients

This refers to the idea that social factors can make a person more likely to seek medical assistance and be diagnosed with schizophrenia.

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Social Adversity

This refers to situations where basic needs are not met, leading to stress and possibly a higher risk of developing schizophrenia.

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Social Isolation

This refers to the situation where someone with schizophrenia withdraws from social contact, finding it stressful.

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Urbanicity

The idea that living in densely populated areas can increase stress, potentially contributing to the development of schizophrenia.

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Chronic Social Defeat

Chronic social defeat is a stressor that arises from repeated experiences of rejection or hostility.

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Study Notes

Applications of Psychology - Clinical Psychology

  • Paper 2 is about clinical psychology
  • This includes diagnosis of mental disorders, classification systems, schizophrenia, unipolar depression and individual differences
  • Includes methods for researching mental health, HCPC guidelines etc
  • Key Figures/Studies mentioned include: Fish Schizophrene (1986), Rosenhan (1973), Carlsson et al (1999), Tsang et al (1999), Kroenke et al (2008), and Davis (2009) among others.
  • The study also covers diagnosis of mental disorders using 4 Ds - deviance, distress, dysfunction, and danger; classification systems DSM-5 and ICD-10; one biological explanation of schizophrenia, one non-biological explanation, and one biological treatment, in addition to one non-biological treatment.

Classification Systems

  • DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) is a widely used classification system in the USA and other westernized countries.
  • ICD-10 (International Classification of Diseases, 10th Revision) is the global classification standard used by the WHO.

Schizophrenia

  • Symptoms and features, including thought insertion, hallucinations, delusions, and disordered thinking, are described.
  • Biological explanations, such as the role of neurotransmitters, especially dopamine (hyperdopaminergia), are discussed.
  • Non-biological explanations (e.g., social causation) are examined.
  • Biological treatments (e.g., antipsychotics) are detailed.
  • Psychological treatments (e.g. Assertive Community Therapy) are clarified.
  • Individual differences, like cultural influences, are highlighted.

Unipolar Depression

  • Symptoms and features are described which include low mood and sadness, lethargy, loss of interest and pleasure, anxiety, disturbed sleep, and appetite disturbances)
  • Biological explanations (e.g. the monoamine hypothesis) are addressed.
  • Non-biological explanations (e.g., Beck's cognitive model) are discussed.
  • Biological treatments (e.g., drug treatments such as SSRIs).
  • Psychological treatments (e.g., CBT) are examined.

Research Methods

  • Longitudinal, cross-sectional, and cross-cultural research methods are discussed.
  • Primary and secondary data are explained.
  • Case studies, including relevant example studies, are detailed.
  • Interviews, with specific examples like the PHQ-8, are elaborated.

Diagnosing mental disorders

  • Different classifications and systems involved will be discussed like the DSM and ICD
  • The 4 criteria of diagnosing a mental disorder, including deviance, dysfunction, distress, and danger are defined
  • Issues regarding the validity and reliability of the classifications and systems, and how it varies from culture to culture, are presented

Additional Concepts

  • The importance of the Health and Care Professions Council (HCPC) guidelines for clinical practitioners
  • Ethical considerations in clinical practice
  • The use of psychological knowledge in society for treatments and therapies.
  • How cultural, gender and social differences affect diagnosis, and the validity and reliability of those diagnoses

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