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Midterm

Study guide for Term Test 2


Department
Psychology
Course Code
PSY240H1
Professor
Tackett
Study Guide
Midterm

Page:
of 8
Mood Disorder
CriteriaEpidemiology
Major Depressive
Episode (MDE)
5 or more during the same 2 weeks
Must have 1)depressed mood 2)anhedonia (lack of pleasure)
Appetite/sleep disturbance, psychomotor
agitation/retardation, loss of energy/fatigue, cognitive
distortions (feeling worthless/guilty)
Bereavement exception
Average 9 months lasting
Manic Episode
(ME)
3 other sxs for at least 1 week
Must have elevated, expansive, irritable mood
High SE/grandiosity, less need for sleep, loud & rapid &
pressured speech, racing thoughts, distractibility, goal-
directed behaviors
Average 2-3 months
Mixed Episode At least 1 week
ME and MDE (rapidly alternating moods)
Hypomanic
Episode
Mania for 4 days
Not fully manic (not as severe)
Major Depressive
Disorder (MDD)
1 or more MDE without history of manic, hypomanic, or
mixed episodes
Onset: early adulthood
75% with one MDE have another
F:M = 2:1
F (10-25%) M (5-12%)
15% with MDE suicide
Bipolar 1 1 or more manic or mixed episodes60-70% occur immediately before/after MDE
90% with ME will have another
Onset: ~30
F=M
Prevalence: 0.4-1.6% (much less common than MDD)
19% with BP1 suicide (high!)
Bipolar 2 MDE + Hypomanic episodes
Dysthymia Depressed mood with some other symptoms for at least 2
years
Double depression (approx 80% with dysthymia + MDE)
Onset: late teen
F:M = 2-3:1
Prevalence: 6%
Cyclothymic
Disorder
Chronic, fluctuating mood disturbance (numerous
hypomanic and depressive episodes)
Not meet full criteria for MDE or ME
At least 2 years
Onset: teen years
F=M
Prevalence: 0.4-1%
Suicide Highest risk: older, male, Aboriginal, Prevalence: 0.01% (but underestimated)
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divorced/separated/widowed, practical/concrete/available
plans, lethal method, mood disorder or scz, alchol/sub use,
hopelessness
Eating Disorder
CriteriaEpidemiology Etiology
Anorexia Nervosa
(AN)
Intense fear of gaining weight
Body weight/shape = self-evaluation
Denial of seriousness of low body weight
Absence of at least 3 consecutive menstrual cycles
(amenorrhea)
1) Restricting type
2) Purging type
Onset: avg 19 or earlier (earlier
for men)
Prevalence: 0.5-1%
As high as 90% F
1/3 recover
10-15% long-term mortality
Low SE
Perfectionism
History of being overweight
Bulimia Nervosa
(BN)
Repeated binge eating accompanied by sense of lack of
control over eating
Followed by recurrent, inappropriate compensatory
behaviors
At least 2/week for 3 months
1) Purging type
2) Non purging type
Majority = normal weight
Medical consequences
Onset: 19-20
Prevalence: F (1-3%) M (0.3-
0.5%)
As high as 90-95% F
½ recover in 5 years
Comorbidity with depression,
SUD, PD (borderline)
Mostly Caucasian
Middle to upper-middle class
Chronic dieting
Impulse control (<-> familial)
Eating Disorder
Not Otherwise
Specified
(EDNOS)
Same as BN without any purging
Often obese
F:M = 1.5:1
Prevalence: 2%
older
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Developmental Disorder
CriteriaEpidemiology Etiology
InternalS
e
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A
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x
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D
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o
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d
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(
S
A
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)
3 or more sxs
Excessive distress, worry about losing AF, cant sleep
away, being alone without AF
Onset: related
to nature of
fears (younger
= less specific
fears)
Prevalence: 4%
Temperament
Early traumatic experience
Modeling (overanxious parents)
Parenting style (indifferent,
detached)
Exposure to violence (helplessnesss)
ExternalA
t
t
Inattention: difficulty sustaining attention, distracted,
doesnt follow through, isnt organized, forgetful (but
some not necessarily disagreeable)
Onset: before 7
(3-4)
Must be present
Genetics: 70% (very high)
Brain damage (less active frontal
cortex and basal ganglia)
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