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21 Cards in this Set

  • Front
  • Back

4.1.1 background

Anxiety disorder


-main symptoms are increased heart rate and muscle tension and abnormal fight or flight process


-the problem with anxiety disorders is when they occur without an obvious stimulus/provoker.


-examples are Acute Stress, GAD and OCD

4.1.1 Evidence

Phobias


DSM- persistent irrational fears, occur in a phobic situation or when a phobic stimulus occurs, it therefore affects everyday life as phobic situations are avoided where possible and needs to have lasted for more than 6 months


ICD- occurs from psychological and physiological symptoms, avoided when possible

4.1.2 background

Psychotic disorder


Main symptoms- psychosis, delusions and hallucinations


Delusions- false beliefs faltering a person to function


Hallucinations- false perceptions that can be vowl, ovitary, offactory and tactile (see, hear, smell, feel)


-examples are psychotic disorder, neurosis, schizophreniffective and schziophreniform disorders

4.1.2 Evidence

Schizophrenia


DSM- delusions, hallucinations, negative symptoms, social occupation disorders, 6 months or more


ICD- thought echo, delusion of control, delusions in coherent speech,

4.1.3 background

Affective disorder


One of those disorders that affects mood and feelings. Also known as mood disorders.


-examples include major panic disorders, bipolar

4.1.3 Evidence

Depression


-affective disorders affect 11 million people, depression affects 1 in 20 people.


-It is normal for people to change in moods however people with depression experience this more severely and along with other symptoms.


DSM- insomnia most nights, fidgeting and lethargy, tiredness, reduced ability to concentrate


ICD- depressed mood, reduced enjoyment and involvement, tiredness after little effort,

4.2.1 background

Biological explanation of anxiety


-neurotransmitters


-genetics


-long substance abuse

4.2.1 Evidence

Torgersen


-32 mz and 53 dz same sex twins from Norway all been diagnosed with some form of borderline psychotic disorder before 1977


-hospital records and interviews done to gather entire life story and give diagnosis


-no twins were concordant in the same disorder


-when group had panic, social, agoraphobia and OCD, mz twins were 45% concordant and dz twins were 15% concordant


4.2.2 background

Behavioural explanation of anxiety


-all behaviour learned the same. Anxiety mostly through the learning of phobias


-operant conditioning (reinforcement), classical conditioning (association), social learning theory (observation and imitation, vicarious reinforcement)

4.2.2 Evidence

Watson and Raynor


-case study on 11 month yr old Little Albert and wanted to classically condition him to fear white rat


-pre tested and no fear


-during conditioning when Albert would try to touch the white rat a steel bar would be hit making Albert cry. This was continued


-by the end of conditioning Albert would cry at the sight of the rat before the steel bar


4.2.3 background

Cognitive explanation of anxiety


-restructuring irrational thoughts


-12-20 weeks, use of diary and re reading it


-understanding depressed thinking that creates depressed mood. Problem solving and refelctive thinking


-abc ellis and beck

4.2.3 Evidence

Amir, Foa and Coles


-32 social phobia, 13 ocd and 15 non patients presented with ambiguous social and non social tasks along with 3 interpretations


-interpretations would show negative or positive beliefs and the p would have to choose the interpretation they would choose first in the situation


-social phobia patients chose the most negative interpretation for ambiguous social events with relatable situations


-no different in non social


4.3.1 background

Biological treatment of anxiety


-directly alters bodily processes


-medication most common, tranquillisers, sedatives and antidepressants


-six major drugs


-Electro Conclusive treatment (electric charge to brain, dep)


-psychosurgery (severing nerve centres)


-repetitive transcranial magnetic stimulation (stim brain activity with ext app of energy)

4.3.1 Evidence

Pine et al


-128 m and f children aged 6-17yrs with social phobia, SAD and GAD who have received treatment for 3 weeks with no improvement randomly assigned to receive fluvoxamine or placebo for 8 weeks and record improvement


-fluvox decrease in symptoms of 9.7, placebo only 3.1


-fluvox had a 76% response rate, placebo only 29%


4.3.2 background

Behavioural treatment of anxiety

4.3.2 Evidence

McGrath


-case study 9yr old Lucy with phobia of sudden loud noises


-tested and found nothing wrong but slightly lower than average IQ


-systematic desensitisation used, taught to relax by imagining being on her bed with toys. Also had hypothetical fear thermometer



4.3.3 background

Cognitive treatment of anxiety


-restructuring irrational thought processes


-cognitive behavioural therapy- tool to curtail depressive thinking that creates depressed moods. Problem solving and reflective thinking. 12-20 weeks and diary

4.3.3 Evidence

Clark et al


-62 social phobia patients randomly assigned to receive Cognitive treatment, EXP+AR or put on wait list


-CT produced improvement in no of symptoms by 84%, Exp+ar only 42% and wait 0%


-1 yr follow up differences in outcomes persisted those who received exp+ar went to get other treatment as CT was best


4.1 Evaluation

Characteristics of disorders

4.2 Evaluation

Explanation of anxiety

4.3 Evaluation

Treatment of anxiety