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Abnormal Psychology Ninth Edition 9/e

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Chapter 10

Mood Disorders

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Chapter Main Points

Depressive and Manic EpisodesDepressive and Manic Episodes Mood Disorder SyndromesMood Disorder Syndromes SuicideSuicide Mood Disorders: Theory and TherapyMood Disorders: Theory and Therapy

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Depressive and Manic Episodes Major Depressive Episode:Major Depressive Episode:

Depressed moodDepressed mood Loss of pleasure or interest in usual activities Loss of pleasure or interest in usual activities

(anhedonia)(anhedonia) Disturbance of appetiteDisturbance of appetite Sleep disturbanceSleep disturbance

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Depressive and Manic Episodes Major Depressive Episode:Major Depressive Episode:

Psychomotor retardation or agitationPsychomotor retardation or agitation retarded depressionretarded depression agitated depressionagitated depression

Loss of energyLoss of energy Feelings of worthlessness and guiltFeelings of worthlessness and guilt Difficulties in thinkingDifficulties in thinking Recurrent thoughts of death or suicideRecurrent thoughts of death or suicide

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Depressive and Manic Episodes Manic Episode:Manic Episode:

Elevated, expansive, or irritable moodElevated, expansive, or irritable mood Inflated self-esteemInflated self-esteem SleeplessnessSleeplessness TalkativenessTalkativeness

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Depressive and Manic Episodes Manic Episode:Manic Episode:

Flight of ideasFlight of ideas DistractibilityDistractibility HyperactivityHyperactivity Reckless behaviorReckless behavior

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Mood Disorder Syndromes Major Depressive Disorder:Major Depressive Disorder:

One or more major depressive episodes with One or more major depressive episodes with no intervening periods of maniano intervening periods of mania

Bipolar Disorder:Bipolar Disorder: Involves both manic and depressive phasesInvolves both manic and depressive phases

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Dimensions of Mood Disorders Psychotic versus Neurotic:Psychotic versus Neurotic:

Continuity Hypothesis:Continuity Hypothesis: depression appears, above all, to be an depression appears, above all, to be an

exaggerated form of everyday sadnessexaggerated form of everyday sadness Endogenous versus ReactiveEndogenous versus Reactive Early versus Late OnsetEarly versus Late Onset

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Comorbidity: Mixed Anxiety-Depression

Comorbidity:Comorbidity: Co-occurrence of depressive and anxiety Co-occurrence of depressive and anxiety

disordersdisorders Intraepisode Comorbidity:Intraepisode Comorbidity:

SimultaneousSimultaneous Lifetime Comorbidity:Lifetime Comorbidity:

At different timesAt different times

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Suicide in Westernized Countries

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Suicide by Age (US)

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Suicide by Age part 2 (US)

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Suicide Suicide Prediction:Suicide Prediction:

Unbearable psychological painUnbearable psychological pain Self-denigrationSelf-denigration Constriction of the mindConstriction of the mind IsolationIsolation HopelessnessHopelessness Egression as the only solutionEgression as the only solution

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Mood Disorders: Theory and Therapy

The Psychodynamic Perspective:The Psychodynamic Perspective: Reactive lossReactive loss Repairing the lossRepairing the loss

The Behavioral Perspective:The Behavioral Perspective: ExtinctionExtinction Aversive social behaviorAversive social behavior Increasing reinforcement and social skillsIncreasing reinforcement and social skills

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Mood Disorders: Theory and Therapy

The Cognitive Perspective:The Cognitive Perspective: Helplessness and hopelessnessHelplessness and hopelessness

Learned helplessnessLearned helplessness Negative self-schemaNegative self-schema Cognitive retrainingCognitive retraining

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Mood Disorders: Theory and Therapy

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Mood Disorders: Theory and Therapy

The Sociocultural Perspective:The Sociocultural Perspective: Society and depressionSociety and depression Changing the societyChanging the society

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Mood Disorders: The Biological Perspective

Genetic ResearchGenetic Research Neurophysiological researchNeurophysiological research

Seasonal Affective Disorder (SAD)Seasonal Affective Disorder (SAD) Neuroimaging researchNeuroimaging research

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Mood Disorders: The Biological Perspective

Biochemical Research:Biochemical Research: Hormone ImbalanceHormone Imbalance

dexamethasone suppression test (DST)dexamethasone suppression test (DST) Neurotransmitter ImbalanceNeurotransmitter Imbalance

catecholamine hypothesis catecholamine hypothesis

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Mood Disorders: The Biological Perspective

Antidepressant Medication:Antidepressant Medication: Mono-amine Oxidizers (MAO) InhibitorsMono-amine Oxidizers (MAO) Inhibitors Tricyclic AntidepressantsTricyclic Antidepressants Selective Serotonin Reuptake Inhibitors Selective Serotonin Reuptake Inhibitors

(SSRIs)(SSRIs)

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Mood Disorders: The Biological Perspective

Antimanic Medication:Antimanic Medication: Lithium CarbonateLithium Carbonate

Electroconvulsive therapy (ECT)Electroconvulsive therapy (ECT) Bilateral versus Unilateral ECTBilateral versus Unilateral ECT

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Recapping the Main Points

Depressive and Manic EpisodesDepressive and Manic Episodes Mood Disorder SyndromesMood Disorder Syndromes SuicideSuicide Mood Disorders: Theory and TherapyMood Disorders: Theory and Therapy

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End of Chapter 10

Mood Disorders