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