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Many behavioral and cognitive changes accompany depression
Become inactive and feel unmotivated, more often recall negative rather than positive information, expect negative outcomes, 50% of the time comes with other disorders (ex. anxiety, substance abuse), negativity disappears when depression lifts
Depression is widespread
> 350 mil people suffer from depression, #1 reason why people seek mental health services, plagues 12% of people in Canada and 17% of people in US at some point in life, leading cause of disability
Women’s risk of major depression is nearly double men’s
in 2009 poll: 13% of men diagnosed & 22% of women diagnosed w/ depression, 17% of men & 28% of women claimed to experience sadness “a lot during the day yesterday“, gender gap is worldwide, starts in adolescence (women tend to think more about appearance), women more predisposed genetically (child abuse, low self esteem, marital issues), women more prone to mental disorders (depression, anxiety) due to societal expectations and misogyny
Most major depressive episodes self-terminate
therapy helps to speed up recovery but people usually recover on their own, usually comes and goes and then returns, later depression = more permanent recovery,
stressful events related to work, marriage, and close relationships often precede depression
1 in 4 people w/ diagnosed depression was from loss or trauma (family/friend death, bad marriage, physical assault, lost job, etc.), minor daily stressors build up, overreaction —> more risk of depression, moving to new culture can cause depression, younger people who are trying to figure out self identity also at risk of depression
Depression comes earlier in more recent generations (late teens) and affects more people
highest rates among young adults (trend reported in Canada, US, England, France, Germany, Italy, Lebanon, New Zealand, Puerto Rico, Taiwan), most children hide depression from parents & 90% of parents don’t think their kids have depression, young adults in North America 3x more likely to experience depression than grandparents
linkage analysis
a statistical method used to identify chromosome regions that co-segregate with a disease or genetic trait
hippocampus
memory processing center linked with brain’s emotional circuitry
norepinephrine
neurotransmitter, increases arousal, boosts mood, decreases in depression & increases in mania
social cognitive perspective
psychological perspective that emphasizes the roles of cognitive processes such as beliefs, expectations, and goals in shaping human behavior and personality
self defeating beliefs
negative or unhelpful thoughts and assumptions that hinder personal growth, well-being, and success
negative explanatory style
people who generally blame themselves for negative events, believe that sch events will continue indefinitely, and let such events affect many aspects of their life
rumination
overthinking, compulsive fretting about problems and their causes
explanatory style
a person’s characteristic way of explaining the causes and effects of events, particularly negative ones
stable explanatory style
“it’s going to last forever“ aspect in life, in depression, used to describe negative events
global explanatory style
“It’s going to affect everything I do“ aspect in life, in depression, used to describe negative events
internal explanatory style
“It’s all my fault“ aspect in life, in depression, used to describe negative events
state dependent memory
the phenomenon where recall of information is enhanced when the internal state during learning matches the internal state during retrieval
national differences
Britain, Italy, and Spain’s suicide rates are a little more than ½ Canada, Australia & US, Austria & Finland are almost double, different backgrounds have different suicide rates (society & culture)
racial differences
Native Americans are 2x more prone to suicide than any other population in the US
gender difference
woman are more likely to attempt suicide, men are more likely to commit (2x-4x) b/c men use more lethal weapons, 6/10 Americans who kill themselves use a gun
age differences
suicide rates increase in late adulthood, peaking starting middle age & beyond
other groups differences
suicide rates higher among rich, nonreligious, single, widowed, or divorced. Pain and trauma can increase vulnerability to suicide
day of the week difference
negative emotions increase midweek, leading to most suicides to occur on Wednesdays
nonsuicidal self injury (NSSI)
people who hurt themselves in various ways (cutting, burning themselves, etc.) not fatal but less able to tolerate emotional distress, extremely self critical and poor communication, may:
find relief from intense negative thoughts as a distraction
attract attention to get help
relieve guilt through self punishment
get others to change negative behavior
peer pressure
schizophrenia
a psychological disorder characterized by delusions, hallucinations, disorganized speech, and/or diminished, inappropriate emotional expression
psychosis
a mental health condition characterized by a loss of touch with reality
hallucinations
seeing, hearing, feeling, tasting, or smelling things that are only in their heads
delusions
a false belief, often of persecution or grandeur that may accompany psychotic disorders
paranoid
unreasonably or obsessively anxious, suspicious, or mistrustful
selective attention
the cognitive ability to focus on specific stimuli while ignoring others, allowing to prioritize relevant information and filter out distractions
flat affect
diminished or absent expression of emotion, characterized by a lack of typical emotional response in facial expression, voice, tone, and body language
catatonia
abnormailty of movement and behavior arising from a disturbed mental state, may involve repetitive or purposeless overactivity, resistance to passive movement, and negativism
chronic/process schizophrenia
a form of schizophrenia in which symptoms usually appear by late adolescence or early adulthood. As people age, the psychotic episodes last longer and recovery periods shorten
acute/reactive schizophrenia
a form of schizophrenia that can begin at any age, frequently occurs in response to an emotionally traumatic event, and has extended recovery periods
prenatal events that increase risk of schizophrenia
country experiences a flu epidemic, densely populated areas (easier spread of disease), born in the fall and spring, mothers catching the flu during pregnancy giving their children schizophrenia, being born in the southern hemisphere, blood drawing from pregnant women
environmental factors that increase risk of schizophrenia
mother with long and severe schizophrenia, birth compilations (oxygen deprivation and low birth weight), separation from parents, short attention span & poor muscle coordination, disruptive or withdrawn behavior, emotional unpredictability, poor peer relationships & solo play, childhood abuse
dissociative disorders
controversial, rare disorder in which conscious awareness becomes separated (disassociated) from previous memories, thoughts, and feelings
disassociative identity disorder (DID)
a rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities. Formerly called multiple personality disorder
personality disorders
inflexible and enduring behavior patterns that impair social functioning
avoidant personality disorder (APVD)
a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
schizotypal personality disorder
a pervasive pattern of social anziety, difficulty forming close relaitonships, and odd, eccentric thoughts or behaviors
borderline personality disorder
difficulties regulating emotions, unstable self image, unstable relationships, leads to impulsive behaviors and fear of abandonment
narcissistic personality disorder
persistent pattern of grandiosity, need for admiration, and lack of empathy for others
antisocial personality disorder
personality disorder in which a person (usually a man) exhibits a lack of conscience for wrongdoing, even towards friends and family members, may be aggressive and ruthless or a clever con artist
sociopaths
an outdated/informal term for someone with antisocial personality disorder, not a clinical term, behavior is driven by impulsivity and lack of empathy
psychopaths
individuals with an egocentric and antisocial personality marked by lack of remorse for ones actions
emotional intelligence (EI or EQ)
the ability to perceive, understand, express, and manage emotions, both in oneself and in others
biosocial group
societies formed around a biological condition
anorexia nervosa
an eating disorder in which a person (usually a female) maintains a starvation diet despite being significantly underweight, sometimes accompanied by excessive exercise
bulimia nervosa
an eating disorder in which a person alternates binge eating with purging or fasting
binge eating disorder
significant binge eating episodes, followed by distress, digust, or guilt, without the compensatory purging or fasting that marks bulimia nervosa