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21 Cards in this Set

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Masked depression/Depressive equivalents

In 1970s, how depression was exemplified in behaviors in children; ex: bedwetting, aggression, learning problems, etc.

Child depression at different ages

infancy: anaclitic depression


preschool: oppositional, irritable, clingy


grade school: angry, defiant, poor concentration, irritable


preadolescent: low self-esteem, guilt, hopelessness

Vulnerabilities of Depression

being female after age 12, genetic, early experiences to insecure attachment

Risk factors of Depression

loss events, critical parenting practices, peer isolation/ignoring, ruminative cognitive styles

depression splurge during teenage years

vulnerabilites + risk factors + puberty

Symptoms of MDD

mood, cognitive, somatic, motivation, interpersonal, suicide, impairing for 2 weeks

Dysthymia

lower-grade depression, longer term; "double depression"

Prevalence of depression in early childhood

1-2%


1:1 boy girl ratio

Prevalence of depression in adolescence

>10%


girls 2:1



prevalence of depression in young women age 20

20%

Comorbidity with depression (4)

anxiety, conduct disorder, ADHD, learning problems

Suicide

-#1 cause of death worldwide for girls/women age 25


-fast rising in teens (girls attempt more, boys complete more)


-lower in regions supplying SSRIs

Heritability of depression

30% males, 40% women

Familial Transmission

if you have a parent with major depression, the chances of you having MDD by age 25 are 60%

Familial Transmission factors - not due to genes

insecure attachment, modeling of passivity, dysreglation, non-contingent environment, harsh/irritable/even coercive discipline, blame self if no explanation given for erratic or absent parental behavior

Neurobiological aspects of depression

-left frontal activation


-hippocampal activation (related to stress hormones)


-Inflammatory disease -> cytokines/interleukin-6



Sociocognitive aspects of depression

negative triad, distortions, negative attributional bias, globality & pervasiveness of low self-esteem, rumination

negative triad

self, world, future

negative attributional bias

internal, global, stable for neg. events

Age of onset for depression

early 20s

Depression Treatments

-CBT


-Behavioral activation (therapy -> get person to do activities, just doing them increases mood, sometimes must do this before even being able to do CBT


-interpersonal therapy (relationships)


-medication: SSRIs