CMN 552 EXAM 1 2024
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What cognitive distortions are commonly seen in depressed patients? -
ANSWERS-(1) views about the self —a negative self-precept, (2) about the
environment—a tendency to experience the world as hostile and demanding, and
(3) about the future—the expectation of suffering and failure
QUESTION 2
What is learned helplessness? - ANSWERS-the hopelessness and passive
resignation an animal or human learns when unable to avoid repeated aversive
events
QUESTION 3
What "specifiers" are used to describe patients with various mood disorders? -
ANSWERS-Table 8.1-7
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, CMN 552 EXAM 1 2024
QUESTION 4
What factors are associated with a poor prognosis for patients with mood
disorders? - ANSWERS-MDD: The percentage of patients recovering after
repeated hospitalization decreases with passing time. Generally, as a patient
experiences more and more depressive episodes, the time between the episodes
decreases, and the severity of each episode increases.
Bipolar I: Have a poorer prognosis than do patients with major depressive
disorder. About 40 to 50 percent of patients with bipolar I disorder may have a
second manic episode within 2 years of the first episode. poor occupational status,
alcohol dependence, psychotic features, depressive features, interepisode
depressive features, and male gender were all factors that contributed a poor
prognosis. Short duration of manic episodes, advanced age of onset, few suicidal
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, CMN 552 EXAM 1 2024
thoughts, and few coexisting psychiatric or medical problems predict a better
outcome.
Bipolar II: The course and prognosis of bipolar II disorder indicate that the
diagnosis is stable because there is a high likelihood that patients with bipolar II
disorder will have the same diagnosis up to 5 years later. Bipolar II disorder is a
chronic disease that warrants long-term treatment strategies
QUESTION 5
What two neurotransmitters are most implicated in the pathophysiology of mood
disorders? - ANSWERS-norepinephrine and serotonin
QUESTION 6
How are dopamine levels affected in depression and mania? -
ANSWERS- Dopamine activity may be reduced in depression and
increased in mania
QUESTION 7
How does depression affect sleep neurophysiology? - ANSWERS-Loss of
deep (slow-wave) sleep
Increase in nocturnal arousal.
The latter is reflected by four types of disturbance: (1) an increase in nocturnal
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, CMN 552 EXAM 1 2024
awakenings, (2) a reduction in total sleep time, (3) increased phasic rapid eye
movement (REM) sleep, and (4) increased core body temperature. T
QUESTION 8
What is the most common abnormality found in structural and functional brain
imaging in depressive disorders? - ANSWERS-Increased frequency of abnormal
hyperintensities in subcortical regions, such as periventricular regions, the basal
ganglia, and the thalamus
QUESTION 9
What is endogenous depression? - ANSWERS-depression with no apparent cause
QUESTION 10
What characteristics would the clinician see if a patient presented with atypical
features in a depressed patient? - ANSWERS-Catatonic features
Postpartum onset Rapid cycling Seasonal features
Significant weight gain Hypersomnia
Leaden paralysis
QUESTION 11
What diagnostic criteria are required for a patient to receive a diagnosis of Major
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