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95 Cards in this Set

  • Front
  • Back
why was classification started?
because of the need to collect information
in the 1840 census had 1 category: __
idiocy
the categories of mental illness jumped from __-__ by 1880
1-7
there are over __ categories of mental illness today
370
the first version of the DSM cam out following __ because __
WWII, they had to have new diagnostic categories due to psychological problems of war
the DSM I was published in __
1952
the DSM II was published in __
1968
the DSM III was published in __
1987
the DSM IV was published in __
1994
the DSM IV TR was published in __
2000
the DSM revision process has __ steps
3
the 3 step process for DSM revision
1. comprehensive and systematic review of all published literature for each diagnostic category
2. data re-analysis
3. field trials
during the DSM revision process, a comprehensive and systematic review of all published literature for each diagnostic category is done to __
identify the most important issues
data re-analysis is used __
whenever there isn't enough evidence to resolve and issue
field trials are used to __
see if revisions could be used
if 2 psychologists can come up with the same diagnosis
inter-related reliability
the 6 important factors of diagnosis (6)
-allows us to make important distictions between forces of mental illness
-can be used by any clinitian regarldless of theoretical orientation
-facilitates research
-can examine etiology of disorder
-includes treatment recomendations
-finincial concerns associated with that diagnosis (who pays and how much)
the DSM IV is in a __ format
multiaxial
axis 1 of the DSM VI is the __
diagnosis you give the individual based on they syptoms they report during the first session
axis 2 of the DSM VI is __
reserved for chronic disorders; much more resisitant to treatment
axis III of the DSM IV is __
any physical conditions that is part of diagnosis (loss of arm, altzheimers)
axis IV of the DSM IV is __
psychosocial stressor (anything in a persons life taht might contribute to a disorder)
axis V of the DSM IV is __
globel assesment of funcitoning (GAF)
GAF ranges from __
0-100
in GAF, the __ the number teh __ your current level of functioning
higher, higher
the DSM IV diagnoses on 5 axis to __
give clinitians the broadest view of diagnosis
2 major criteria that guided the DSM IV
-specific diagnostic criteria
-characteristics of each diagnosis described in detail
characteristics of each diagnosis according to the DSM IV (5)
-essential features of the disorder
-associated features
-average age of onset
-prevelance rates
-familial pattern
the DSM V is trying to __ the number of axis
reduce
the DSM is trying to combine __ and __
psychosocial and environmental problems
the DSM V is trying to include ___
specific rating scales for each disorder
critisims of the DSM (4):
-most diagnostic categories are vague
-continuous vs categorical (implies you must have certain # of symptoms)
-categories based on prototypes
-comorbidity
when an individual recieves 2 diagnosis
comorbidity
mood disorders affect what general areas:
-affective (emotions)
-cognitive
-behavioral
-physical
what are the 3 types of mood disorders according to the DSM IV?
-MDD
-Dysthymia
bipolar disorder
what symptoms must be present in order for MDD to be diagnosed?
-depressed or unhappy for most of teh day nearly every day for 2 weeks
-loss of interest or pleasure in most activities
what might you see in diagnosis of MDD?
suicidal idiation
you must see 5 or more of the following to diagnose someone with MDD
-significat weight loss or gain
-too much/little sleep
-fatigue
-feelings of worthlessness or guilt
-diminished ability to think
in order to diagnose dysthymia you must be depressed for most of teh day for at least __
2 years
dysthymia is __ pronounced as MDD
less
in order to diagnose dysthymia you must see __ of the following:
-poor/too much appetite
-insominia
-low energy
-hopelessness
2
__% of people have "true depression"
45
__% of people met criteria for depression plus another disorder
55
bipolar disorder used to be called __
manic-depressive disorder
bipolar disorder first appeared in __
1970
the symptoms you must see for teh depressed state of bipolar disorder are __
the same as depression
to diagnose the manic stage of bipolar disorder you must see at least __ of symptoms
3
symptoms that you must see to diagnose manic bipolar disorder (4)
-inflated self esteem
-decreased need for sleep
-press of speech (keeps talking)
-flight of ideas
people have proposed to change MDD from __ to __ in teh DSM 5
single episode, recurrent
what additions will be put in the DSM 5
-mixed anxiety depressive disorder
-disruptive mood dysregulation disorder
-premenstral mood disorder
depression has __ onset
early
the age of onset for depression is __ every generation
earlier
the __ for young girls is causing earlier onset of depression
dating situation
duration for depression __, most resolve witin __
varies, 5-6 months
people with depression should expect at least __ more episodes withing thier lives
4-5
depression make up approximatly __% of all mood disorders
16-20
depression is consistant for both boys and girls until __
adolescents
depression usually appears in __ year olds
18-19
after adolescence, rates __ for women
double
__ causes higher rates of depression in women rather than men
differences in sex roles
depression __
runs in families
the herritabiltiy rate of depression is __
37%
if 1 twin is diagnosed with bipolar thatn teh other has a __% chance of having it
50
the chance you have bipolar drops to __% if you are fraternal twins
20%
what 3 neurotansmitters are associated with MDD?
-norepinepherine
-serotonin
-dopamine
MDD was thought to be cause by changes in the __ of neurotransmitters. this is __
"absolute values", NOT TRUE
Depression (in terms of neurotransmitters) is really casued by __
NT dysregulation
what are the aspects of social and psychological factors of MDD?
-stressful life events
-cognitive theories
-hoplessness theory
-rumination theory
what are the 3 parts of the stressful life events that contribute to MDD
-diathesis stress model
-lack of social support
-high expressed emotion
families that are constantly yelling and emotional have a high level of __
expressed emotions
people who are depressed __ differently
think
leading researcher in the cognitive theories of depression
aaron beck
aaron beck theorized that depression was based on __, __, and __
negative triad, negative schema, and cognitive biases
what is aaron becks negative triad about?
the negative thoughts people have about about THEMSELVES, THE WORLD, AND THE FUTURE
a way of looking at the world negatively
negative schematas
developed due to negative schematas (people tend to distort info, focus on failures, and have faulty beilief)
cognitive biases
when people feel hopless it becomes a trigger for depression
hoplessness theory
what are the 2 parts of the hopelessness theory?
1. the individual believes the desired outcome WILL NOT occur
2. the individual doesn't believe they can chage the situation
in teh hoplessness theory, people can make 2 attribution (explanations)
1. stable vs unstable
2. global vs specific
stable vs unstable =
perminate vs temporary situation
global vs specific =
affects many domains of life vs affects specific situation
according to this theory, depressed people tend to replay negative situations in their head
rumination theory
__ especially causes depression in adolescent girls because they dwell on issues
rumination
bipolar disorder has a heritability estimate of __%
93
what disproved the theory that mood disorders were due to imbalances in "absolue leves" of NT in the synaptic cleft?
antidepressent and metabolic studies
a personality trait that involves the tendancy to react to events with greater than average negative affect
neuroticism
in the DSM 5, axis I-III will be combined into __
psychiatirc and medical diagnosis
in the DSM 5, axis IV will be converted to __
psychosocial and environmental problesm
in the DSM 5, axis V will be changed to __
specific rating scales for each disorder
countries like nigeria, india and columbia are more likely to have __ than industrialized nations like the US
schizophrenia
people who __ are less likely to have mental illness
immigrate
why was the reiliability for diagnosis before teh DSM III low?
because the criteria was unclear
why is reliability of the DSM low?
becuase clinitians can interpret symptoms differently
rates of bipolar disorder are higher in __ than anywhere else
the US
1 major critisims of the DSM is that there are too many __
diagnosis