mood disorders i chapter 7 march 10 2010 psyc 2340 abnormal psychology brett deacon ph d l.
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Bipolar disorder bipolar disorder I, bipolar disorder II, cyclothymic disorder. Mood disorders defined by etiology due to medical condition ...

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exam 2
Exam #2
  • Mean score: 34.7/40 (86.8%)
  • Range: 21 – 40
  • #A’s: 57
  • #B’s: 50
  • #C’s: 14
  • #D’s: 1
  • #F’s: 1
current grades
Current Grades
  • Grades have been posted to course website
  • Mean percent = 81.7%
  • Range: 55.6% – 100%
  • #A’s: 22
  • #B’s: 52
  • #C’s: 41
  • #D’s: 6
  • #F’s: 2
mood disorders
Mood Disorders
  • Disorders/problems covered in this section
    • Major Depression
    • Bipolar Disorder
    • Suicide
mood disorders5
Mood Disorders
  • Specific attention to:
    • DSM-IV diagnostic system
    • Causes (biological, psychological, social), including those from scientific studies and promoted in the media
    • Treatment (biological, psychological)
mood disorders6
Mood Disorders
  • Organization of the DSM-IV mood disorders section
  • 1. Types of mood “episodes” – building blocks for defining mood disorders
    • Major depressive episode
    • Manic episode
mood disorders7
Mood Disorders
  • 2. Diagnostic criteria for specific mood disorders
    • Depressive disorders – major depressive disorder, dysthymic disorder
    • Bipolar disorder – bipolar disorder I, bipolar disorder II, cyclothymic disorder
    • Mood disorders defined by etiology – due to medical condition or effects of a substance
major depressive episode
Major Depressive Episode
  • 5 or more symptoms must be met during a 2-week period
  • Person must have at least 1 of these symptoms: (1) depressed mood most of the day, nearly every day, and (2) diminished interest or pleasure in all or almost all activities most of the day, nearly every day
  • Other symptoms include:
    • Significant weight loss/gain or change in appetite
    • Insomnia or hypersomnia
    • Psychomotor agitation or retardation
    • Fatigue or loss of energy
    • Feelings of worthlessness or inappropriate guilt
    • Difficulty thinking or concentrating
    • Recurrent thoughts of death or suicidal ideation
major depressive episode9
Major Depressive Episode
  • Cardinal features
    • Persistent sadness
    • Anhedonia (loss of interest/pleasure)
    • Biological or “vegetative” symptoms
    • Cognitive symptoms
    • Psychotic features – 5%-20% of cases
      • Hallucinations
      • Delusions
major depressive episode10
Major Depressive Episode
  • What does a Major Depressive Episode look like?
  • Video clips of Barbara
major depressive disorder
Major Depressive Disorder
  • DSM-IV diagnostic criteria:
    • Presence of major depressive episode
    • Episode not part of a psychotic disorder
    • No history of manic episodes
major depressive disorder12
Major Depressive Disorder
  • Single episode vs. recurrent depression
  • 85% have recurrent episodes
  • Typical # episodes = 4
  • Typical episode duration = 4-5 months
major depressive disorder13
Major Depressive Disorder
  • Lifetime prevalence = 16.1%
  • Twice as common in women
  • Gender differences disappear by age 65
  • Few differences across subcultures
  • Mean age of onset = 25
most common disorders in the national comorbidity survey replication study
Most Common Disorders in the National Comorbidity Survey Replication Study

% With

Disorder

Kessler et al. (2005)

manic episode
Manic Episode
  • One-week period of elevated, expansive, or irritable mood
  • During period, 3 or more of these symptoms:
  • Inflated self-esteem or grandiosity
  • Decreased need for sleep
  • More talkative than usual or pressured speech
  • Flight of ideas/racing thoughts
  • Distractibility
  • Increase in goal-directed behavior or psychomotor agitation
  • Excessive involvement in pleasurable activities with potentially negative consequences
mood episodes
Mood Episodes
  • For both major depressive and manic episodes:
    • Symptoms cause significant distress or impairment
    • Symptoms are not substance-induced or due to medical condition
manic episode17
Manic Episode
  • What does a Manic Episode look like?
  • Video clips of Mary
bipolar disorder
Bipolar Disorder
  • DSM-IV diagnostic criteria:
    • Presence of manic episode
    • Person may or may not have a history of major depressive episodes
    • Episode not part of a psychotic disorder
bipolar disorder19
Bipolar Disorder
  • Lifetime prevalence = 1.3%
  • No gender differences
  • Age of onset – 18-22
  • Tends to be chronic