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81 Cards in this Set

  • Front
  • Back
anxiety
apprehension about a future threat
fear
response to an immediate threat
what's same about anxiety & fear
both involve physiological arousal & can be adaptive
what does fear trigger
fight or flight
what does anxiety increase
preparedness-moderate levels improve performances
what is the overarching theme in the treatment of anxiety disorders
"go to the heart of danger...for there you will find safety"- EXPOSURE!!!!!
treatment for specific phobias
desensitization- gradual exposure to the feared situation, repeated exposure to feared situation, use of relaxation as a coping skill
what is the most common anxiety disorder, explain
social anxiety-impairment in romantic and other social relationships, career, and education.
cognitive theories of social anxiety
-fears of negative evaluation & rejection
-overly concerned with other ppl's perceptions
-social situations as threatening
minority group members in social interactions
-expectations of rejections quite prominent
-hyper-vigilance & alertness
-more mindful & preoccupied
gay male socialization
-societal discrimination
-peer & family rejection
-victimization
what is the hypothesis about social anxiety in gay males
higher social anxiety in:
-gay men (vs. heterosexual men)
-gay men in certain situations in which their sexual orientation is made silent
-gay men who are less open
-gay men who are less comfortable being gay
who were the participants in the gay male study
-87 heterosexual undergrads
-87 gay undergrads
seven situations of anxiety in gay males
1.gym
2.conversation about sex w/women
3.family asks about dating status
4.discussing sports
5.female flirts w/u
6.physician asks about sex w/men
7.gay professor makes eye contact w/u
conclusion of study about anxiety in gay males
-past research historically used to pathologize sexual minority individuals
-not the case today
-utility of a minority stress approach
treatment of social anxiety disorder/social phobia
-cognitive restructuring
-exposure to the social situation
cognitive-behavior model of OCD
-stress leads to obsessions
-obsessions lead to anxiety
-anxiety leads to compulsions
-compulsions lead to decreased anxiety (temporarily)
treatment of obsessive compulsive disorder
-exposure to the situation eliciting compulsion
-prevention of compulsive behavior
treatment of panic & agoraphobia
-relaxation & breathing retraining
-cognitive restructuring
-repeated, gradual exposure to the feared situation
what is general anxiety disorder (GAD)
-excessive worry and anxiety for at least 3 months
-difficulty in controlling worry
-significant distress & impairment
describe post-traumatic stress disorder (PTSD)
-survivor of traumatic event
-heightened arousal (keyed up, tense, hyper vigilant)
-flashbacks
-avoidance of situations similar to traumatic event
-impaired functioning
treatment of post-traumatic stress disrder
-imaginal exposure to traumatic event
-cognitive restructuring
diagnostic criteria for depressive disorder
sad mood or loss of pleasure for 2 weeks, along with at least 4 other symptoms
diasgnostic criteria for dysthymic disorder
mood is down and other symptoms are present at least 50 percent of the time for at least 2 years
diagnostic criteria for bipolar I disorder
at least one lifetime manic or mixed episode
diagnostic criteria for bipolar II disorder
at least one lifetime episode of hypomania and episodes of major depression
diagnostic criteria of cyclothymic disorder
recurrent mood changes from high to low, without hypomanic or manic episodes for at least 2 years
occurance of depression in women & men
twice as common in women than men
occurance of MDD in poor
3x as common among the poor
is there symptom variation of depression across cultures
YES
depression symptoms in latino cultures
complaints of nerves & headaches
depression symptoms in Asian cultures
complaints of weakness & fatigue
is there symptom variation of depression across life span
YES
depression symptoms in children
stomach & headaches
depression symptoms in older adults
distractibility & forgetfulness
psychological origins of depression
(research on children of depressed mothers)
-parental stress & symptoms affect the attachment relationship
-children have stressors, but no support from parent
-parent & child engage in negative interactions
-children develop negative sense of self
-children create depressogenic environment
negative cognitive triad (Beck)
-negative thoughts about the self, world, and future
negative explanatory style (Seligman)
attributions that are global (the world is a terrible place), stable (nothing will ever get better), internal(it's all my fault)
cognitive-behavioral formulation of depression
patients do not view themselves as being able to do anything to make an impact on their environment
types of intervention for depression
1.cognitive intervention
2.behavioral intervention
3.environmental intervention
psychological treatment of depression
-cognitive restructuring
-facilitating effective behavior
-changing environmental situation
symptoms of Mania (DIGFAST)
Distractibility
Indiscretion (excessive pleasurable activities)
Grandiosity (flight of ideas, inc activity, little sleep)
Flight of ideas
Activity increase
Sleep deficit
Talkativeness (pressured speech)
eating disorders DSM-IV-TR
-anorexia nervosa
-bulimia nervosa
-binge eating disorder
-eating disorder NOS
anorexia nervosa symptoms
-persistent refusal to maintain normal body weight
-intense fear of gaining weight
-body image disturbance
-amenorrhea (no menstrual period)
subtypes of anorexia nervosa
-restrictive (dieting, fasting, excessive exercise)
-binge-eating/purging
percentage of anorexia nervosa cases in females
more than 90%
age of onset for anorexia nervosa
mide to late adolescense
prognosis of anorexia nervosa
50-70% recover
mortality of anorexia nervosa
3-5%
symptoms for bulimia nervosa
-recurrent episodes of binge eating
-inappropriate compensatory methods to prevent weight gain
-self evaluation excessively influences by body shape & weight
-usually occurs in secrecy
-lack of control
-typically within normal weight range
triggers for bulimia nervosa
dysphoric mood states, interpersonal stressors, intense hunger following restraint, or feelings related to body image
subtypes of bulimia nervosa
purging & nonpurging
percent of bulimia nervosa cases that are female
more than 90%
lifetime prevalence of bulimia nervosa
1-3%
age of onset for bulimia nervosa
late adolesence to early adulthood
prognosis of bulimia nervosa
50-70% recover
binge eating disorder (DSM-5)
-recurrent eating binges
-absence of compensatory behavior to prevent weight gain
-linked to obesity
-affects men & women equally
age of onset for binge eating disorder
early to middle adulthood
comorbidity of anorexia nervosa with any DSM-IV disorder
56.2%
comorbidity of anorexia nervosa with mood disorder
42.1%
comorbidity of anorexia nervosa with anxiety disorder
47.9%
comorbidity of anorexia nervosa with substance use disorder
27%
comorbidity of bulimia nervosa with any DSM-IV disorder
94.5%
comorbidity of bulimia nervosa with mood disorder
70.7%
comorbidity of bulimia nervosa with anxiety disorder
80.6%
comorbidity of bulimia nervosa with substance use disorder
36.8%
comorbidity of binge eating disorder with any DSM-IV disorder
78.9%
comorbidity of binge eating disorder with mood disorder
46.4%
comorbidity of binge eating disorder with anxiety disorder
65.1%
comorbidity of binge eating disorder with substance use disorder
23.3%
genetic factors of eating disorders
-relatives of women with AN are 10x more likely to have AN
-relatives of women with BN are 4x more likely to have BN
neurological factors of eating disorders
-abnormal levels of cortisol
-inc levels of endogenous opioids
-low levels of serotonin metabolites
sociocultural factors of eating disorders
-ever increasing thinness of female icons
-prevalence of obesity
-inc in health consciousness in general
-proccupation with thinness
-objectification of women's bodies
-culture,ethnicity, SES
personality of anorexic nervosa ppl
perfectionistic
personality of bulimia nervosa ppl
affective instability
family of ppl with eating disorders
-higher levels of family conflict
-higher rates of childhood physical and sexual abuse
psychodynamic theory of eating disorders
-ED is an attempt to gain control in a chaotic environment
-ED is a way to maintain childhood by avoiding the "typical" female shape
cognitive behavioral theory of EDs
-anxiety about becoming fat
-perfectionist tendencies and social comparison
-criticism from friends & family
-perception that controlling wt. will make up for deficits in other areas of life
-excessive restraint
treatment for EDs (medication)
-antidepressants
-comorbidity w/depression
-serotonin
-decreases distorted attitudes towards eating
-especially helpful with BN
treatment for EDs (psychotherapy)
-family therapy
-cognitive behavioral therapy
describe cognitive behavioral therapy
-encourage clients to question society's standards for physical attractiveness
-develop normal eating patterns
-challenge unrealistic thoughts about self
-relaxation to control urge to vomit
-identify triggers and learn to cope with them
-exposure and ritual prevention