Psychology DSM-5 Quiz

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Questions and Answers

Which version of the DSM first removed homosexuality as a mental disorder?

  • DSM-III
  • DSM-I
  • DSM-II (correct)
  • DSM-IV

The "double jeopardy" effect in childhood trauma refers to:

  • The idea that protective experiences cannot outweigh trauma
  • A child's legal responsibility for their trauma-related actions
  • The increased risk of mental illness when ACEs and PCEs interact (correct)
  • The fact that ACEs double the likelihood of PTSD

Which neurotransmitter is MOST associated with obsessive-compulsive disorder (OCD)?

  • GABA
  • Serotonin (correct)
  • Glutamate
  • Dopamine

Which of the following is NOT considered a culturally bound syndrome?

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

Which of the following is an example of an idiographic approach to research in psychopathology?

<p>A case study on one patient's unique schizophrenia symptoms (A)</p> Signup and view all the answers

Which anxiety disorder requires symptoms to be present for at least 6 months?

<p>Generalized anxiety disorder (C)</p> Signup and view all the answers

Which of the following is TRUE about factitious disorder?

<p>It is motivated by internal psychological needs (B)</p> Signup and view all the answers

In the DSM-5, hoarding disorder is classified under:

<p>Obsessive-compulsive and related disorders (A)</p> Signup and view all the answers

Which term best describes a situation where a person experiences an episode of depression but has never had a manic or hypomanic episode?

<p>Major depressive disorder (A)</p> Signup and view all the answers

Which of the following is NOT a risk factor for developing schizophrenia?

<p>Low serotonin levels (B)</p> Signup and view all the answers

The primary difference between first-generation and second-generation antipsychotics is:

<p>Second-generation antipsychotics are less likely to cause extrapyramidal symptoms (A)</p> Signup and view all the answers

Which of the following medications is most commonly used for bipolar disorder?

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

Which type of psychotherapy focuses on emotional expression and relationships?

<p>Interpersonal therapy (IPT) (D)</p> Signup and view all the answers

Which of the following is a common side effect of SSRIs?

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

Which psychotherapy technique is specifically designed for borderline personality disorder?

<p>Dialectical behavior therapy (C)</p> Signup and view all the answers

The DSM-5 completely removed the multiaxial system from previous editions.

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

Premenstrual dysphoric disorder (PMDD) is classified as an anxiety disorder in the DSM-5.

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

Generalized anxiety disorder can be diagnosed after symptoms persist for at least 3 months.

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

The dopamine hypothesis states that low levels of dopamine cause schizophrenia.

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

Malingering is listed as a mental disorder in the DSM-5.

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

The heritability of schizophrenia is higher than that of major depressive disorder.

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

The DSM-5 classifies hoarding disorder separately from OCD.

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

PTSD and acute stress disorder have identical symptom criteria.

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

All mood disorders require at least one depressive episode.

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

Autism spectrum disorder always involves intellectual disability.

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

Factitious disorder and malingering are the same condition.

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

Clozapine is a first-line treatment for schizophrenia.

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

Exposure therapy is considered the most effective treatment for PTSD.

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

Schizoaffective disorder requires at least two weeks of psychotic symptoms in the absence of mood symptoms.

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

Antidepressants start working immediately after the first dose.

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

The DSM-5 removed the multiaxial system used in earlier versions, simplifying diagnosis.

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

Schizoaffective disorder requires a combination of mood disorder symptoms and psychotic symptoms.

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

Major depressive disorder (MDD) requires at least 6 months of symptoms, not 2 weeks.

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

Antisocial personality disorder requires conduct disorder symptoms before age 15.

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

Not everyone with ACEs develops mental illness - resilience and protective factors play a key role.

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

The dopamine hypothesis suggests deficiency in dopamine activity, not excess dopamine activity, contributes to schizophrenia.

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

PTSD can develop from both direct trauma (e.g., assault) and indirect trauma (e.g., witnessing violence).

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

CBT is an evidence-based treatment for both depression and anxiety, focusing on cognitive distortions and behavioral change.

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

Bipolar I disorder does not require a depressive episode - only at least one manic episode is necessary for diagnosis.

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

Autism Spectrum Disorder (ASD) does not always involve intellectual disability - many individuals have average or above-average IQs.

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

Factitious disorder is about fabricating symptoms for psychological needs, whereas malingering is done for external gain.

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

Clozapine is a first-line treatment for schizophrenia - it is used only when other medications fail due to its risk of agranulocytosis (dangerous white blood cell reduction).

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

Major depressive disorder (MDD) requires at least 2 weeks of symptoms, not 6 months.

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

The dopamine hypothesis suggests excess dopamine activity, not deficiency, contributes to schizophrenia.

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

Clozapine is not a first-line treatment for schizophrenia—it is used only when other medications fail due to its risk of agranulocytosis (dangerous white blood cell reduction).

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

Prolonged exposure therapy, a type of CBT, is highly effective for PTSD.

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

Schizoaffective disorder requires at least 2 weeks of psychotic symptoms without mood symptoms.

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

Antidepressants take 4-6 weeks to show full effects, not immediately.

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

Flashcards

DSM version removing homosexuality

Homosexuality was removed as a mental disorder in the DSM-II (1973).

Double jeopardy effect in trauma

Increased mental illness risk when ACEs and PCEs interact negatively.

OCD neurotransmitter

Serotonin is most associated with obsessive-compulsive disorder (OCD).

Not a culturally bound syndrome

Schizophrenia is not specific to a culture; it appears globally.

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Idiographic approach example

A case study on a patient's unique schizophrenia symptoms is idiographic research.

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Anxiety disorder symptom duration

Generalized anxiety disorder requires 6 months of symptoms for diagnosis.

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Factitious disorder motivation

Factitious disorder is motivated by internal psychological needs, not external gain.

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Hoarding disorder classification

In DSM-5, hoarding disorder is classified under obsessive-compulsive and related disorders.

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Major depressive disorder criteria

Major depressive disorder is diagnosed without a history of manic episodes.

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Risk factor for schizophrenia

Low serotonin levels are NOT a risk factor for developing schizophrenia.

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First vs. second-generation antipsychotics

Second-generation antipsychotics are less likely to cause extrapyramidal symptoms than first-generation.

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Medication for bipolar disorder

Lithium is commonly used for treating bipolar disorder.

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Psychotherapy focused on relationships

Interpersonal therapy (IPT) centers on emotional expression and relationships.

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Common SSRI side effect

Gastrointestinal issues are a common side effect of SSRIs.

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DBT purpose

Dialectical behavior therapy (DBT) is specifically designed for borderline personality disorder.

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DSM-5 and multiaxial system

The DSM-5 completely removed the multiaxial system used in older editions.

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PMDD classification

Premenstrual dysphoric disorder (PMDD) is classified under depressive disorders in DSM-5.

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GAD diagnosis timeframe

Generalized anxiety disorder requires at least 6 months of symptoms for diagnosis.

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Dopamine hypothesis for schizophrenia

The dopamine hypothesis states that excess dopamine activity contributes to schizophrenia symptoms.

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PTSD vs. acute stress disorder

PTSD lasts longer than 1 month, while acute stress disorder lasts from 3 days to 1 month.

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Bipolar I requirements

Bipolar I disorder does not require a depressive episode, only mania.

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Autism spectrum disorder and IQ

Autism spectrum disorder does not always involve intellectual disability; many have average or above-average IQs.

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Factitious disorder vs. malingering

Factitious disorder involves psychological needs, whereas malingering is for external gain.

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Clozapine use in treatment

Clozapine is not a first-line treatment for schizophrenia; it is used after other treatments fail due to severe side effects.

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Exposure therapy for PTSD

Exposure therapy is considered the most effective treatment for PTSD.

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Schizoaffective disorder requirements

Schizoaffective disorder requires at least 2 weeks of psychotic symptoms in absence of mood symptoms.

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Antidepressants onset

Antidepressants take 4-6 weeks to have noticeable effects after starting treatment.

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DSM-II removal of homosexuality

Homosexuality was declassified as a mental disorder in the DSM-II.

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Double jeopardy effect definition

The risk of increased mental illness when both adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) interact negatively.

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Serotonin and OCD

Serotonin is primarily associated with obsessive-compulsive disorder (OCD).

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Culturally bound syndrome examples

Koro, ataque de nervios, and hikikomori are culturally bound syndromes, unlike schizophrenia.

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Idiographic approach in psychopathology

A detailed case study on an individual's unique symptoms represents an idiographic approach.

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Generalized anxiety disorder symptoms

Generalized anxiety disorder requires symptoms to persist for at least 6 months.

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Hoarding disorder in DSM-5

In DSM-5, hoarding disorder is classified under obsessive-compulsive and related disorders, separate from OCD.

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Bipolar disorder treatment

Lithium is the most commonly used medication for treating bipolar disorder.

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Interpersonal therapy (IPT) focus

Interpersonal therapy focuses on improving emotional expression and relationships.

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Multiaxial system in DSM-5

The DSM-5 completely removed the multiaxial system present in previous editions.

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GAD diagnostic requirement

Generalized anxiety disorder (GAD) requires symptoms to persist for at least 6 months.

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Dopamine hypothesis explained

The dopamine hypothesis states that excess dopamine activity contributes to schizophrenia symptoms.

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Bipolar I disorder criteria

Bipolar I disorder does not require a depressive episode, only at least one manic episode.

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Clozapine use in schizophrenia

Clozapine is not a first-line treatment for schizophrenia; it's used after other treatments fail due to severe side effects.

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Exposure therapy effectiveness

Prolonged exposure therapy is considered the most effective treatment for PTSD.

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Schizoaffective disorder criteria

Schizoaffective disorder requires at least 2 weeks of psychotic symptoms in the absence of mood symptoms.

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Antidepressants onset time

Antidepressants typically take 4-6 weeks to show noticeable effects after starting treatment.

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Study Notes

Section 1: Multiple-Choice Questions

  • DSM Revision: DSM-II removed homosexuality as a mental disorder.
  • Double Jeopardy: Increased mental illness risk due to Adverse Childhood Experiences (ACEs) and Protective Childhood Experiences (PCEs) interacting.
  • OCD Neurotransmitter: Serotonin is most associated with Obsessive-Compulsive Disorder (OCD).
  • Culturally Bound Syndromes: Ataque de nervios, Koro, and Hikikomori, are culturally-bound syndromes, while schizophrenia is not.
  • Idiographic Approach: A case study on a single patient's unique symptoms, in contrast with large-scale studies.
  • Anxiety Disorder Duration: Generalized anxiety disorder symptoms must persist for at least 6 months.
  • Factitious Disorder: Motivated by internal psychological needs, not external gain.
  • DSM-5 Hoarding Disorder: Classified under Anxiety Disorders.
  • Bipolar Disorder Medication: Lithium is commonly used for bipolar disorder.
  • Psychotherapy for Borderline Personality Disorder: Dialectical behavior therapy (DBT) is specifically designed for borderline personality disorder.

Section 2: True/False Questions

  • DSM-5 Multiaxial System: The DSM-5 removed the multiaxial system.
  • Premenstrual Dysphoric Disorder (PMDD): Not an anxiety disorder, but a depressive disorder.
  • Generalized Anxiety Disorder Duration: Requires symptoms to persist for at least 6 months, not 3 months.
  • Dopamine Hypothesis: States that excess dopamine activity contributes to schizophrenia, not low dopamine.
  • Malingering: Not considered a mental disorder in the DSM-5.
  • Schizophrenia Heritability: More heritable than major depressive disorder.
  • PTSD vs. Acute Stress Disorder: PTSD lasts longer than a month, while acute stress disorder lasts 3 days to 1 month.
  • Mood Disorders and Episodes: Not all mood disorders require a depressive episode (e.g., bipolar I).
  • Autism Spectrum Disorder and Intellectual Disability: Not always associated with intellectual disability.
  • Factitious vs. Malingering: Factitious disorder is motivated by psychological needs, while malingering is for external gain.
  • Clozapine and Schizophrenia: Clozapine is a treatment for schizophrenia, but only used after other treatments fail due to risk of agranulocytosis.
  • Exposure Therapy for PTSD: Prolonged exposure therapy is an effective PTSD treatment.
  • Schizoaffective Disorder Psychotic Symptoms: Requires 2 weeks of psychotic symptoms.
  • Antidepressant Effectiveness Delay: Antidepressants require a few weeks for noticeable effects.

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