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JHSPH - Psychopathology
Term 1 Quiz 2
22
Psychology
Graduate
09/14/2011

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Term
Diagnostic criteria for anorexia
Definition
-intense fear of gaining weight of becoming fat, even though underweight
-disturbance in the way in which one's body weight or shape is experienced
Term
Subtypes of annorexia
Definition
-restricting type: person has not regularly engaged in binge-eating or purging behavior
-binge-eating/purging type: person has regularly engages in binge eating or purging behavior
Term
diagnostic criteria of bulimia
Definition
-recurrent episodes of binge eating
-recurrent inappropriate compensatory behavior to prevent weight gain
-self evaluation influenced by body shape and weight
Term
Generations in psychiatric epi
Definition
1. facility surveys with diagnoses from medical records
2. community surveys with overall caseness ratings
3. structured interviews surveys with diagnoses
Term
DSM-IV criteria for panic disorder
Definition
1. recurrent unexpected panic attacks
2. (one month or more of one of the following:)
a. Concern about additional attacks
b. worry about consequences
c. change in behavior related to attacks
Term
Major Depressive Episode (MDE) diagnostic criteria
Definition
-symptoms not due to mood-incongruent psychosis
-never been a manic, mixed, or hypo-manic episode
-symptoms not due to illness, alcohol, medication, or street drugs
-symptoms not due to normal bereavement
Term
Conclusions about semi-structured and structured interviews
Definition
-agreement between selfreport and clinical modalities only moderate
-no gold standard
-thresholds matter
-simple statistics sometimes exaggerate disagreement
estimation of prevalence depends on prevalence and balance or sensitivity and specificity
Term
At what age do bipolar/unipolar symptoms start to appear?
Definition
bipolar - young
unipolar - older
Term
Is BPD under or over diagnosed?
Definition
3-22% of primary care patients diagnosed with major depressive disorder really have BPD
Term
Reasons for BPD underdiagnosis
Definition
-depressed people don't recall mania
-mixed states go unrecognized
-rapid mood shifts go unrecognized
-family not consulted
-frequency of psychosis is not recognized
-hypomania often lacks subjective distress
Term
What features are more common in Bipolar instead of unipolar?
Definition
-early age of onset
-recurrence
-postpartum episodes
-rapid cycling
-baseline hyperthymic temperament
Term
Mood symptoms during mania
Definition
-most common = irratibility
-euphoria
-expansiveness
-liability
-depression
Term
Why is there non-adherence in BPD patients?
Definition
-positive aspects of mild manic states
-living alone
-side effects
-denial, lack of insight
-substance abuse
-personality disorder
Term
Subtypes of bulimia
Definition
-purging type: self-induced vomiting, laxatives, diuretics, enemas
-non-purging type: fasting, excessive exercise
Term
BN vs. BED
Definition
BN tend to restrict food choices and calorie intake, yet more impulsive and consume more calories during binges than do individuals with BED, whereas BED patients tend to overeat more consistently throughout the day and are more likely to be overweight or obese
Term
EDNOS prevalence
Definition
partial syndrome eating disorders is estimated at approximately two to four times that of full-syndrom eating disorders
Term
risk factors of eating disorders
Definition
-menstruation
-early onset of menarche and perception of being overweight prepubertally
-maturing girls have higher adiposity
-Mass media
-peers
-family (most dominant influence)
Term
bulimia vs. annorexia differences in reasons why it is done
Definition
bullimia - driven by cultural values
anorexia - control
Term
Consequences of eating disorders
Definition
-social consequences (disturbed relationships, unfulfilled school/work obligations, etc)
-physical consequences (cardiac, gastro, endocrine, metabolic)
Term
Prevention of eating disorders
Definition
-media literacy
-identifying risk and susceptibility factors
-modeling healthy eating and body image
-increasing self-esteem and self-acceptance
Term
family involvement in treating eating disorders
Definition
-supervision in mealplanning
-family therapy
-parent education groups
-parent training
Term
outpatient tx of eating disorders
Definition
-CBT and IPT
-food logs
-weighing
-importance of interdisciplinary treatment
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