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37 Cards in this Set
- Front
- Back
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What are the depressive disorders?
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Major depressive disorder
-Single event recurent Dysthymic disorder Double depression |
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How treatable is Major depression?
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Very treatable
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What are the biological treatments for Major Depression?
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-Medication
-ECT |
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What are the Psychological treatments for Major depression?
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-Cognitive therepies
-Interpersonal psychotherepies (IPT) |
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What are the biological treatment medications and how do they work?
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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 |
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What happened in Britain with Antidepressant medication and children?
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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) |
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What are the pro and anti medication arguments when it comes to depression in children?
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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 |
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Why are the two psychological treatments used?
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Because they are empirically approved.
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What were the procedures for the Depression Collaborative Research Program?
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16 weeks of treatment
Extensive Assessment: |
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What were the Outcome Measures for the Depression Collaborative Research Program?
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Depressive Symptoms
Overall symptomotology and life functioning Functioning in treatment specific domains |
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What happened in Britain with Antidepressant medication and children?
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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) |
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What are the pro and anti medication arguments when it comes to depression in children?
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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 |
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Why are the two psychological treatments used?
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Because they are empirically approved.
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What were the procedures for the Depression Collaborative Research Program?
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16 weeks of treatment
Extensive Assessment: |
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What were the Outcome Measures for the Depression Collaborative Research Program?
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Depressive Symptoms
Overall symptomotology and life functioning Functioning in treatment specific domains |
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What happened in Britain with Antidepressant medication and children?
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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) |
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What are the pro and anti medication arguments when it comes to depression in children?
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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 |
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Why are the two psychological treatments used?
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Because they are empirically approved.
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What were the procedures for the Depression Collaborative Research Program?
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16 weeks of treatment
Extensive Assessment: Random assignment of subjects |
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What were the Outcome Measures for the Depression Collaborative Research Program?
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Depressive Symptoms
Overall symptomotology and life functioning Functioning in treatment specific domains |
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What happened in Britain with Antidepressant medication and children?
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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) |
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What are the pro and anti medication arguments when it comes to depression in children?
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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 |
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Why are the two psychological treatments used?
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Because they are empirically approved.
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What were the procedures for the Depression Collaborative Research Program?
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16 weeks of treatment
Extensive Assessment: Random assignment of subjects |
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What were the Outcome Measures for the Depression Collaborative Research Program?
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Depressive Symptoms
Overall symptomotology and life functioning Functioning in treatment specific domains |
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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 |
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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 |
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What were the Treatment Groups in the Depression Collaborative Research Program?
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-Cognitive Therapy (CBT)
- Interpersonal Psychotherapy (IPT) -Medication Imiprimine -Placebo & Clinical Management |
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What is the conclusion of the Depression Collaborative Research Program?
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Treatment of depression is not a one shot deal-it is more of a managment over time kind of thing
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How many women in the U.S. experience postpartum depression?
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500,000 of the 4 million that give birth every year
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How well is PPD dealt with in the U.S.?
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PPD is under detected and under treated
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What is the second leading cause for hospitaliztion among women in the U.S.?
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Depression
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What percentage of women were hospitalized for depression?
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7 percent
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What does Parinatal mean?
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right before or right after birth
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What are the Parinatal Psychological disorders?
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The Blues
Post partum Depression-from slight to severe Post Partum Psychosis |
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What are the characteristics of Postpartum Blues?
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-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 |
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What are the symptoms of Postpartum Blues?
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Low Mood
Mood Lability Insomnia Anxiety Crying Irritability |
