1. Mood Disorders Most common psych illnesses 2. Primary characteristic is per- sistent disturbance in mood 3. Often occurs without precipi- tating event Major Depressive Disorder MDD 4. Object loss theory Fairbairn, Winnicott & guntrip 5. Aggression turned inward the- ory of MDD Freud ...
1 mood disorders most common psych illnesses 2 primary characteristic is per sistent disturbance in mood 3 often occurs without precipi tating event major depressive disorder mdd 4 object
ANCC Certification PMHNP Chapter 7
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1. Mood Disorders Most common psych illnesses
2. Primary characteristic is Major Depressive
per- sistent disturbance in
mood
Disorder MDD
3. Often occurs without
precipi- tating event
4. Object loss theory Fairbairn, Winnicott & guntrip
5. Aggression turned inward Freud
the- ory of MDD
6. Cognitive Theory Beck
7. Learned Helplessness-Hope- Seligman
lessness Theory
8. Genetic predisposition Strong genetic load for depression for
child
of depressed parent -having 3 fold
in- crease in lifetime risk of MDD &
40% chance of depressive episode
before age 18.
9. Endocrine dysfunction Theory Probably related to etiology of MDD
10. Sleep disturbances, appetite al axis (HPA)
disturbances, libido distur-
bances, lethargy, anhedonia
are neurovegitative
symptoms that are related to
functions of the
11. Endocrine dysfunction
and pregnancy
12. Hypothalamic-pituitary-adren-
1/
, ANCC Certification PMHNP Chapter 7
Study online at https://quizlet.com/_5viss0
Hypothalamus and pituitary
gland secre- tions
A high incidence of postpartum
mood dis- turbances is
suggested with this
A theory of MDD, may be a
result of an abnormal stress
response related to dys-
regulation of this system
2/
, ANCC Certification PMHNP Chapter 7
Study online at https://quizlet.com/_5viss0
13. HPA axis Controls the physiological response
to stress and is composed of
interconnective feedback pathways
between the hypothal- amus,
pituitary gland, and adrenal gland.
15. Adrenocorticotropin hormone Released by pituitary in response to
(ACTH) CRH by hypothalamus
16. Cortisol Released by adrenal glands in
response to ACTH by pituitary gland
17. Hyperactivity of the HPA axis Demonstrated to be present in
individuals
with MDD. May also have elevated
cortisol levels
18. Elevated cortisol levels Over time damages the CNS by alter-
ing neurotransmission and electrical
signal conduction. Cortisol over time
can cause changes in size and
function of brain tissue
19. Dexamethasone MDD
suppression test (DST)
23. Circadian rhythms control these
20. Hypovolemic hippocampus biological processes
and hypovolemic prefrontal
cortex-limbic striatal regions
21. Brain damage, including
that from stroke and trauma
22. What is the
Chronobiological theory of
3/
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