Chapter 7

25 July 2022
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Which of the following statements is accurate regarding the relationship between anxiety and depression?
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Many depressed patients are or have been anxious and many anxious patients are or have been depressed.
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Impulsive suicidal behavior is often a symptom of
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borderline
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Although glorifying and romanticizing suicide in the media contributes to copycat suicides, it is more likely that the person copying the suicide is
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vulnerable due to an existing psychological disorder.
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Statistics on suicide indicate that approximately one-quarter to one-half of all suicides are associated with
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alcohol use
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In regard to the relationship between mood disorders and suicide, which of the following statements reflects the current thinking on this issue?
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Suicide is often associated with psychological disorders, especially depression.
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Research has found that low serotonin levels may be implicated in suicidal behavior because they affect all of the following EXCEPT
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inertia
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Which of the following statements about suicide is correct?
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For teenagers, suicide is the third leading cause of death after auto accidents and homicide.
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Prevention of mood disorders in children and adolescents include
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universal programs, selected interventions, indicated interventions.
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Interpersonal psychotherapy deals with all of the following interpersonal problems EXCEPT
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environmental interactions.
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Recent research (Grunhaus, et al., 2003; Janicak et al., 2002) suggests that an equally effective alternative to electroconvulsive therapy that requires no anesthesia and appears to alter electrical activity in the brain may be
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transcranial magnetic stimulation (TMS).
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All of the following statements are accurate about electroconvulsive therapy
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psychotically depressed patients should be treated with medication, not ECT.
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All of the following statements are true about ECT EXCEPT
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for severely depressed patients with psychotic features, approximately 25% of those not responding to medication will benefit.
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Although electroconvulsive therapy (ECT) has been a controversial issue for decades, it is an effective treatment for depression especially when
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patient response to antidepressant medication is poor.
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Although the mood-stabilizing drug lithium is the preferred treatment for bipolar disorder, patient compliance has been a problem. Patients often stop taking their lithium, even though it is effective in stabilizing their moods, because they
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miss the euphoric feelings that mania produces.
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The antidepressant medication lithium is also referred to as a mood stabilizer because it
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helps to prevent manic episodes.
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One of the problems encountered by psychiatrists who prescribe medication for patients with bipolar disorder is that patients often
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stop taking the medication in order to bring on a manic state.
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All of the following statements about lithium therapy are true EXCEPT
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once a person is symptom-free for 6 months, he/she may stop taking lithium.
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A relative of yours has been diagnosed with bipolar (manic-depressive) disorder. Your family is impressed when you mention that the preferred drug for this condition is
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lithium
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All of the following statements about lithium therapy are true EXCEPT
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The side effects of lithium are less serious than those of other antidepressants.
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All of the following are side effects of lithium therapy EXCEPT
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weight loss
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A goal of treatment for patients who have experienced major depressive disorders is delaying or preventing the next episode. In which of the following situations would this goal be LEAST important?
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Patients who have had a single, brief episode of major depressive disorder and recovered without treatment
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With regard to treatment of mood disorders, which of the following statements is accurate?
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Delaying or preventing future episodes of major depression is an important treatment goal.
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Studies has shown that tricyclics have caused
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sudden death in children.
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Common side effects of antidepressants include
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weight gain.constipation.dry mouth.
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Clinical studies have shown that the response rate for patients receiving relief from depressive symptoms is approximately
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50%
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Side effects of the tricyclic antidepressants include
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sexual dysfunction
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Which of the following statements is TRUE about tricyclics?
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It is not clear how tricyclics work.
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The class of drugs that blocks the enzyme that breaks down norepehinephrine and serotonin is
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MAO inhibitors.
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The antidepressant medications known as imipramine (Tofranil) and amitriptyline (Elavil) are included in the class of drugs called
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tricyclics.
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Which of the following is a well-known and widely used selective serotonergic reuptake inhibitor (SSRI)?
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Prozac
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The following types of medications are all used to treat depression EXCEPT
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SSRIs.
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Which of the following factors contribute to the integrative theory of depression?
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Stressful life events. Stress hormones Neurotransmitters
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With regard to social support,
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having social support helped speed recovery from depressive episodes.
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Possible reasons for the higher rates of depression found in women relate to the disadvantages experienced by women in the United States such as
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discrimination and poverty. abuse and sexual harassment.
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Possible reasons for the higher rates of depression found in women include all of the following EXCEPT
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low value placed on intimate relationships.
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For individuals who had not been previously depressed, research studies indicate that a marital separation or divorce resulted in
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a higher rate of depression in men.
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In Aaron Beck's depressive cognitive triad, individuals think negatively about all of the following EXCEPT
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their past
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According to recent research on the development of depression, dysfunctional attitudes (a negative outlook) and hopelessness attributes (explaining things negatively) constitute a
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cognitive
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Negative cognitive styles are associated with a vulnerability to subsequent depression
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in people in general.
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Regarding Beck's views on depression, which of the following definitions of cognitive errors and negative schema is NOT correct?
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Arbitrary inference means that a depressed individual emphasizes the positive rather than the negative aspects of a situation.
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Martin Seligman's theory that people become anxious and depressed because they believe that they have no control over the stress in their lives is called
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the learned helplessness theory.
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Stressful events are strongly related to the onset of
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depression bipolar disorder
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When individuals who are biologically vulnerable to depression place themselves in high-risk stressful environments, it is called
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the reciprocal gene-environment model.
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In regard to the relationship between stress and depression, all of the following statements are true EXCEPT
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recurrent episodes of depression, but not initial episodes, are strongly predicted by major life stress.
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Depressive individuals tend to exhibit
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greater right anterior brain activity.
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Which of the following is NOT characteristic of the sleep of depressed patients?
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They show advanced slow wave sleep.
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One symptom of depression is an increase in sleeping. What other symptoms related to sleep occur in depression?
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Decreased delta (slow wave) sleep, the deepest stage of sleep
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Recent research suggests that
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the suppression of neurogenesis in the hippocampus is due to the connection between high stress hormones and depression. low hippocampal volume may precede and contribute to the onset of depression electroconvulsive therapy seems to produce neurogenesis in the hippocampus
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The best conclusion about the dexamethasone suppression test (DST) for the diagnosis of depression is that
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it is not useful as a diagnostic tool.
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In regard to most disorders, serotonin is thought to
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regulate norepinephrine and dopamine.
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Current research into neurotransmitter systems has produced the "permissive"; hypothesis, which states that
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when serotonin levels are low, other neurotransmitter systems become dysregulated and contribute to mood irregularities.
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Recent research suggests that
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the same genetic factors contribute to both anxiety and depression.
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Overwhelming evidence suggests mood disorders are familial and reflect an underlyinggenetic vulnerability. Studies are now beginning to identify a small group of genes that may contribute to genetic vulnerability to some types of depression. The genetic contribution to depression falls in the range of approximately 40% for females and 20% for males.
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true
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In research looking at the biological causes of mood disorders, studies have shown that if one of a set of twins has a mood disorder, the probability that the other twin will have a mood disorder is
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66%
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According to your textbook, researchers have been studying the life histories of American poets to determine if there is a relationship between creativity and
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manic-depressive disorder
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Cross-cultural research indicates that, due at least in part to appalling social and economic conditions, the prevalence of major depression is extremely high among
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Native Americans
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Being depressed __________ the risk of death in elderly patients who have had a stroke or heart attack.
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doubles
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Prior to the DSM-IIIR, conditions that are currently characterized as mood disorders were referred to by several different names, including all of the following EXCEPT
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psychotic episodes.
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The physical or somatic symptoms of a major depressive disorder include
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changes in appetite or weight.
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One of the symptoms of a mood disorder is called anhedonia, which means
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an inability to experience pleasure.
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Mood disorders can range from mild to severe; the most severe type of depression is called
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major depressive disorder
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Most episodes of major depression are time-limited, i.e., lasting up to ___________, if left untreated.
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9 months
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Which of the following is a symptom of the mood disorder known as mania?
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Grandiosity
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When used in connection with mood disorders, ;flight of ideas; means
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rapid speech expressing many exciting ideas at once.
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In comparing the length of untreated depressive episodes and untreated manic episodes, which of the following is an accurate statement?
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Depressive episodes generally last longer.
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A 35-year- old individual named Manny has recently formulated an elaborate plan to cure AIDS with vitamin therapy. To provide funding for this cause, he has withdrawn all the money from his bank account and purchased thousands of jars of vitamins and small boxes in which to put them. When he appeared at a hospital emergency room loudly demanding names of patients with AIDS, he himself was hospitalized for psychiatric observation. What is your diagnosis of Manny?
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Manic episode
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Unipolar mania
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is rare.
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During a dysphoric manic episode, the patient experiences mania and
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anxiety and depression
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Dysphoric mania refers to a type of mood disorder in which manic episodes are
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accompanied by depression or anxiety.
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Most individuals who experience a single episode of major depressive disorder will
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probably have several episodes throughout their lives.
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Debbie has been diagnosed with major depressive disorder, recurrent. She wants to know what to expect in the future regarding her condition. You tell her that according to recent research (Angst 1998, Angst and Preizig, 1996), the median lifetime number of major depressive episodes is
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4-7
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Dysthymic disorder differs from major depressive disorder because people diagnosed with dysthymia have symptoms of depression that are
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longer-lasting
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Jack has experienced recurrent episodes of major depressive episodes. In the intervals between the episodes, he does not seem to return to ;normal.; In fact, during those periods, he has been diagnosed as dysthymic. Jack's condition is referred to as
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double depression
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A person who experiences a persistent depressed mood for at least 2 years but is not experiencing major depression may have
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dysthymic disorder.
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Possible reasons for the higher rates of depression found in women include all of the following EXCEPT
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low value placed on intimate relationships.