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10 Cards in this Set

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DSM criteria
2 week pd, significant change in previous functioning so on most days, depressed mood/ irritability or anhedonia (loss of pleasure) AND
Weight/eating patterns, sleep disturbance, psychomotor agitation, fatigue, guilt, lack of concentration, recurrent thoughts of death.
Not due to grief, substance use or medical condition
Lifetime prevalence: 9% community, 10-60% clinic
Low SES (poverty=sig. risk factor)
Ethnic dif. variable
age of onset: puberty
gender: in pre-adolescence, boys=girls; in adolescence girls>boys
often w/ anxiety
Tripartite model of depression and anxiety
Negative Affect (emotional distress) --> Anxiety (hyperarousal) and Depression (anhedonia), loss of pleasure, sets kids apart
Dev't Progression
Infancy: anaclitic depression (can feel tremendous sadness)
Preschool: sad appearance, loss of dev't milestones, irritability. (cannot introspect)
School age: more "depressed" symptoms; precursor boys/ agression, precursor girls/ internalizing problems.
Adol: likely to verbalize feelings
Genetics: strong link
Neurochem: overproduce cortisol (stress)/ seretonin
Medication: SSRIs to increase level of seretonin in blood
Cognitive Triad
Worthlessness (i am no good; low self-esteem, remember negative things about self)
Helplessness (there is nothing i can do about it)
-Internal: "all due to me", overresponsibility
-Global: not a single positive thing about myself
-Stable: always like this, will never change
Family Factors
Interparental conflict, chronic/acute stressors, less social support, critical and emotionally overinvolved, emeshed rel.
Parental loss
Maternal depression-parenting style, emotion regulation, learned attributions, transactional process. (parent=model)
low social support, loneliness, lack of perceived social competence
Hammen's integrative model
Cognitive representations of self= most significant predictor.
cognitive factors are primary