Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/37

Click to flip

37 Cards in this Set

  • Front
  • Back
What are the depressive disorders?
Major depressive disorder
-Single event recurent
Dysthymic disorder
Double depression
How treatable is Major depression?
Very treatable
What are the biological treatments for Major Depression?
-Medication
-ECT
What are the Psychological treatments for Major depression?
-Cognitive therepies
-Interpersonal psychotherepies (IPT)
What are the biological treatment medications and how do they work?
Tricyclic antidepressents
-blocks reuptake of neural epinepherine
Monoamineoxidase (MAO)inhibitors
-Blocks the thre enzyme that breaks down seratonuin and epinepherine
Selective seratonin uptaske inhibitors (SSRIs)
-Blocks the reuptake of seratonin
All of the above work by leaving NTs in the syn. gap for longer
St. John's Wort-herbal
ECT
What happened in Britain with Antidepressant medication and children?
The effectiveness of antidepressant medication with children was found to be questionable. In December 2003 British drug regulators told physicians to stop writing perscriptions for all but Prozac of the newer generation of antideressant drugs to treat children under 18.
Benefit did not outweigh the risks (including suicidal thoughts and behavior and agression)
What are the pro and anti medication arguments when it comes to depression in children?
Pro Medication
Cost of untreated depression is high
Depression itself is lethal (particularly in teens)
Indisputable proof that it works in their own clients
Questioned the adequacy of the studies

Anti Medication
Review of 11 studies of effects of medication in children revealed that the risks outweigh the benefits
Evidence based practice is guided by the results of research not clinician’s opinions
Little is known about how antidepressents affect children's development
Why are the two psychological treatments used?
Because they are empirically approved.
What were the procedures for the Depression Collaborative Research Program?
16 weeks of treatment
Extensive Assessment:
What were the Outcome Measures for the Depression Collaborative Research Program?
Depressive Symptoms
Overall symptomotology and life functioning
Functioning in treatment specific domains
What happened in Britain with Antidepressant medication and children?
The effectiveness of antidepressant medication with children was found to be questionable. In December 2003 British drug regulators told physicians to stop writing perscriptions for all but Prozac of the newer generation of antideressant drugs to treat children under 18.
Benefit did not outweigh the risks (including suicidal thoughts and behavior and agression)
What are the pro and anti medication arguments when it comes to depression in children?
Pro Medication
Cost of untreated depression is high
Depression itself is lethal (particularly in teens)
Indisputable proof that it works in their own clients
Questioned the adequacy of the studies

Anti Medication
Review of 11 studies of effects of medication in children revealed that the risks outweigh the benefits
Evidence based practice is guided by the results of research not clinician’s opinions
Little is known about how antidepressents affect children's development
Why are the two psychological treatments used?
Because they are empirically approved.
What were the procedures for the Depression Collaborative Research Program?
16 weeks of treatment
Extensive Assessment:
What were the Outcome Measures for the Depression Collaborative Research Program?
Depressive Symptoms
Overall symptomotology and life functioning
Functioning in treatment specific domains
What happened in Britain with Antidepressant medication and children?
The effectiveness of antidepressant medication with children was found to be questionable. In December 2003 British drug regulators told physicians to stop writing perscriptions for all but Prozac of the newer generation of antideressant drugs to treat children under 18.
Benefit did not outweigh the risks (including suicidal thoughts and behavior and agression)
What are the pro and anti medication arguments when it comes to depression in children?
Pro Medication
Cost of untreated depression is high
Depression itself is lethal (particularly in teens)
Indisputable proof that it works in their own clients
Questioned the adequacy of the studies

Anti Medication
Review of 11 studies of effects of medication in children revealed that the risks outweigh the benefits
Evidence based practice is guided by the results of research not clinician’s opinions
Little is known about how antidepressents affect children's development
Why are the two psychological treatments used?
Because they are empirically approved.
What were the procedures for the Depression Collaborative Research Program?
16 weeks of treatment
Extensive Assessment:
Random assignment of subjects
What were the Outcome Measures for the Depression Collaborative Research Program?
Depressive Symptoms
Overall symptomotology and life functioning
Functioning in treatment specific domains
What happened in Britain with Antidepressant medication and children?
The effectiveness of antidepressant medication with children was found to be questionable. In December 2003 British drug regulators told physicians to stop writing perscriptions for all but Prozac of the newer generation of antideressant drugs to treat children under 18.
Benefit did not outweigh the risks (including suicidal thoughts and behavior and agression)
What are the pro and anti medication arguments when it comes to depression in children?
Pro Medication
Cost of untreated depression is high
Depression itself is lethal (particularly in teens)
Indisputable proof that it works in their own clients
Questioned the adequacy of the studies

Anti Medication
Review of 11 studies of effects of medication in children revealed that the risks outweigh the benefits
Evidence based practice is guided by the results of research not clinician’s opinions
Little is known about how antidepressents affect children's development
Why are the two psychological treatments used?
Because they are empirically approved.
What were the procedures for the Depression Collaborative Research Program?
16 weeks of treatment
Extensive Assessment:
Random assignment of subjects
What were the Outcome Measures for the Depression Collaborative Research Program?
Depressive Symptoms
Overall symptomotology and life functioning
Functioning in treatment specific domains
What were the Results:
Post-Treatment for the Depression Collaborative Research Program?
Equivalent success in three active treatments over placebo
Medication was faster
IPT better than CBT for more severely depressed patients
Particular treatments effected change in expected domains-CBT helped w/ cognition and IPT helped w/ relationships
What were the Results:
Follow-up-18 months for the Depression Collaborative Research Program?
Equivalent success in three active treatments
Only 20 to 30% of recovered patients were still well
Patients in IPT report more satisfaction with treatment
IPT and CBT patients more likely to report that treatment affected capacity to establish and maintain relationships and to understand source of their depression
What were the Treatment Groups in the Depression Collaborative Research Program?
-Cognitive Therapy (CBT)
- Interpersonal Psychotherapy (IPT)
-Medication Imiprimine
-Placebo & Clinical Management
What is the conclusion of the Depression Collaborative Research Program?
Treatment of depression is not a one shot deal-it is more of a managment over time kind of thing
How many women in the U.S. experience postpartum depression?
500,000 of the 4 million that give birth every year
How well is PPD dealt with in the U.S.?
PPD is under detected and under treated
What is the second leading cause for hospitaliztion among women in the U.S.?
Depression
What percentage of women were hospitalized for depression?
7 percent
What does Parinatal mean?
right before or right after birth
What are the Parinatal Psychological disorders?
The Blues

Post partum Depression-from slight to severe

Post Partum Psychosis
What are the characteristics of Postpartum Blues?
-Most common, 50-80%
-Relatively brief
Few hours to several days
-Onset usually in first week to 10 days PP
-Typically remit spontaneously
-May represent the initial stages of PPD/PPP
What are the symptoms of Postpartum Blues?
Low Mood
Mood Lability
Insomnia
Anxiety
Crying
Irritability