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335 Exam 2
335 Depressive Disorders
Term | Definition |
---|---|
depression | alteration in mood that is expressed by feelings of sadness, despair and pessimism |
depression age and sex | higher in those 45 years or younger, more common in women |
socioeconomic factors | economic burden, lack of access to resources |
major depressive disorder | depressed mood or loss of interest or pleasure in usual activities, impaired social and occupational functioning for at least 2 weeks |
persistent depressive disorder, dysthymia | milder than MDD, sad, down in the dumps; poor appetite or overeating, poor concentration, hopelessness; had their whole life |
premenstrual dysphroic disorder | markedly depressed mood, excessive anxiety, mood swings, decreased interest in activities the week prior to menses; interferes with person socially |
substance induced depressive disorder | drug abuse, medication or toxin exposure; clinically significant distress or impairment to functioning, associated with withdrawal or intoxication |
psychoanalytic theory | painful dejection, cessation of interest in the outside world, loss of the capacity to love, inhibition of all activity, lowering self feelings ; internal depression |
learning theory | learned helplessness; feels a lack of control over their life |
object loss theory | result of being abandoned during the first 6 months of life |
cognitive theory | negative expectations of the environment, self and future |
transactional model of stress and adaptation | combined effects influence on an individual's susceptibility to depression |
childhood depression | changes in grades, trouble at school, refusal to go to school |
child therapy | alleviate symptoms, strengthen coping skills, prevent future problems |
adolescence depression | feeling of sadness, loneliness, anxiety and hopelessness; inappropriate anger, running away, delinquency, sexual acting out, substance abuse |
depression adolescence treatment | fluoxetine, escitalopram |
semenescence | depression among the elderly, hopelessness and helplessness become more intense with age |
postpartum depression | baby blues, worry and sadness after having a baby; 80% of mothers, loss of appetite, sleep disturbance; symptoms subside within 2 weeks |
severe depression | total despair, slowdown of entire body, sluggish digestion, no hygiene, no interaction with others |
moderate depression | gloomy and pessimistic, slumped posture, obsessive thoughts, continually worse mood through day |
mild depression | denial of feelings, anger, anorexia overeating, preoccupation with loss |
transient depression | sadness and some crying, tiredness and listlessness |
premenstrual dysphoric hormone imbalance | estrogen and progesterone |
learning theory | clients learned helplessness and feel lack of control over his or her life |
cognitive therapy | client is taught to control thought distortions and identifies dysfunctional patterns of thinking and behavior |
intervention for disruptive mood dysregulation disorder | strengthening the client's coping and adaptive skills |
signs of depression in childhood | aggressive behavior, lack of social interaction |
antidepressant side effects | gastric distress and nausea, dizziness, teach client to take with food |
side effects of fluoxetine (SSRI) | insomnia, agitation, impotence or sexual dysfunction, anticholinergic effects with decreased sedation and cardiovascular effects |
neuroendocrine disorder associated with depression | hypothyroidism |
maladaptive grieving intervention | encourage patient to express anger |
MAOI side effect | hypertensive crisis, sweating and pallor |
MAOI teaching | avoid foods high in tyramine; aged cheese, raisins, red wine, chocolate, meat liver, yogurt |