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Jewel Abnl Psych Ch. 6

AB
maniahigh mood excessed associated with inappropriate and potentially dangerous behavior
examples of maniairritability, pressured speech and a false sense of well being
bipolar disorderdepressed mood and manic moods are present
Bipolar I differes from Bipolar II due to thedegree of mania
Bipolar IIhypomania alternates with major depresson
Bipolar Ifull blown mania alternates with periods of depression
Bipolar I also includessingle epiosde of mania even without depression
Hypomaniamood elevation not as severe as mania; no gross lapses of judgment
4Hypomania lasts this number of days
5number of fingers on one of Jewel's hands
4 or morerapid cycling includes more than this many mood disturbances in a single year
mixed statesymptoms of mania and depression at the same
cyclothymiafluctuations between hypomania and depressive symptoms
bipolar disorder increases risks ofthyroid disease, obesity, migraine headaches, diabetes, heart disease
40percent of people sleep and eat more than usual
atypical depressiondepression in which people sleep and eat more than usual
Dysthymiapersistent state of depression
2 yrs. or morepersistent depressive disorder lasts for
2in persistent depressive disorder a person is never without depressive symptoms for more than this # of mos.
double depressionsuperimposition of major depression episodes on persistent depressive disorder
disruptive mood dysregulation disorderchildren 6-18 severe recurrent temper outbursts
reason for including disruptive mood dysregulation disorder in DSM Vslow down diagnosis of children with bipolar disorder
premenstrual dysphoric disorderdeep sadness, anger, panic or other symptoms following cyclical pattern in women
late luteal phasePMDD usuall associated with
PMDDpremenstrual dysphoric disorder
MDDmost common psych disorder in US
16percent of people over age 18 who report MDD
twiceAlmost ____ as many women as men suffer from MDD
symptoms of neuroticismtendency to be sad, anxious and emotioinally reactive
neuroticism more likely found inwomen and depressed persons
passive suicidal ideationwish to be dead but without active planning
active suicidal ideationincludes details about how to commit the act
59-87heritability percentage of bipolar
linkage studynarrows search to a particular area on a chromosome or several chromosomes that high a high likelihood of harbouring risk genes
advantage of linkage studynarrows search in human genome
association studyidnetiifies a gene that is believed to be associated with a disorder and then tries to see if the dz is more common in those with the gene than without
amygdala, orbitofrontal cortex, dosiolateral prefrontal cortex and ant. cingulate cortexfunctional neuroimaging focuses on these regions
amygdalaassociated with memory and emotional responses to stimuli
orbitofrontal cortexcognitive processing and decision making
dosolateral prefrontal cortexaffect regulation, planning and decision making
ant. cingulate cortexerror detection, motivation, modulation of emotional responses
Freud's idea of depressionanger turned inward
John Bowlbybelieved that mother-infant attachment issues could affect depression
John Bowlby's 3 stages of maternal/infant separationprotest, despair/pain/loss, detachment or denial of affection for the mother
Behavioral Theory of depresiondepression results from the withdrawal of reinforcement (aspects of the social environment) for healthy behaviors
3 aspects of learning theory relevant to depressionindifidual's appraisal of themselves/lives/others; problem-solving (proactive or avoidant approach); success of previous attempts to deal with stress


Dr. Hyla Harvey
Marshall University Joan C. Edwards School of Medicine
Hurricane, WV

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