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12 Cards in this Set

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Anxiety
Emotional underpinnings of psychopathology: apprehension over an anticipated future problem, negative mood state, adaptive
a small degree of anxiety improves performance.

too much anxiety interfers with performance.

Most common disorder-estimated 28% have experienced anxiety disorders.
Fear
reaction to immediate danger; activates with ANS & combines with subjective sense to fight or flight
Criteria for Panic Attacks
4 or more
palpitations, pounding heart, sweating, trembling, sensations of shortness of breath, feeling of chokin, chest pain or discomfort, nausea-abdominal distress, feeling dizzzy, lightheaded or faint, derealization or depersonalization, fear of losing control or going crazy, fear of dying, chills or hot flashes, paresthesias
3 basic types: situationally bounded: cued
unexpected:uncued
situationally predisposed.
Biological contributions for anxiety
Polygenic, specific brain circuits and neurotransmitters.
Twin studies suggest heritability; 1st degree relatives 8x more likely to develop-if onset before age 20 then 20x more likely to have PD.
Tendency to become anxious is inherited (GAD)
Neurobiological NT for Anxiety
Deficits in GABA-decreased levels increase anxiety.
High levels of NE-sudden/severe increases linked to panic attacks.
Deficts in Serotonin functioning: modulatory effects on other NTs, dense projections to amygdala
Neurobiological Brain Circuits PD
Brainstem-Limbic-Cortical
increased activity in amygdala-decreased in mPFC CRF system.
effects limbic system, NE center, PFC and key NT systems.
BIS-activated by signals descending from cortex to ascending from brainstem.
Environmental interactions on brain circuits
sensitivity can be altered.
cigarette smoking as a teen 20x higher risk of PD, 15x GAD
Personality Risk Factors PD
Behavorial Inhibition:tendency to become agitated & cry in novel settings; social phobia or avoidant PD sig more likely in children with this.
Neuroticism: tendency to react to events with negative affect.
Behavioral Risk Factors PD
cues provoke fear response.
External-similar places or situations
Internal-increase HR & breathing
Unconscious-cues may travel from eyes to amygdala
Cognitive Risk factors PD
perceived control: history of childhood trauma, punative parenting, inadequate coping strategies (fostered by overprotective or intrusive parenting)
attention to threat-tendency to notice negative environmental cues
Social Risk factors PD
Negative life events; neg cognition can be consequence-may learn to focus on the negatives.
Response to stressors runs in families (genetic contribution to initial panic attacks)
Triple Vulnerability Theory
Biological-Specific psychological-Generalized psychological vulnerability leads to Anxiety Disorders