Depressive Disorders

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AP Psychology › Depressive Disorders

Questions 1 - 10
1

Karen is showing signs of depression.

Which is most likely NOT a symptom that Karen is experiencing?

Signs of aggression

Inability to experience pleasure

Lack of motivation

Low self-esteem

Psychomotor retardation

Explanation

Depression is accompanied by an overall decrease in energy, pleasure, motivation, and positive thoughts. Aggression is not a common symptom of depression.

2

Depression is associated with low levels of which of the following neurotransmitters?

Serotonin

GABA

Dopamine

Epinephrine

Explanation

Low levels of serotonin or abnormalities with serotonin receptors are generally associated with depression and other mood disorders.

3

If someone has had constant symptoms of depression for five years, what disorder would they most likely be diagnosed with?

Dysthymia

Major depressive disorder

Minor depressive disorder

Seasonal Affective Disorder

Bipolar disorder

Explanation

Major depressive disorder is the most common mood disorder and is characterized by a depressed mood and physical symptoms such as loss of appetite and fatigue for 2 or more weeks in the absence of a clear cause. SAD has the symptoms of major depressive disorder but the episodes occur seasonally, typically during winter. Dysthymia is similar to major depressive disorder but it is less severe and lasts longer (at least 2 years). Bipolar disorder involves episodes of both depression and mania. Minor depressive disorder is still being researched and you do not have to know it for the AP Psychology exam.

4

Which of the following is not a symptom of major depressive disorder?

Preoccupation with maintaining a rigid, productive schedule

Ahnedonia (an inability to experience any pleasure at all)

Lack of drive, initiative, and spontaneity

Pessimism due to feelings of hopelessness and helplessness

Disturbances in appetite and sleep

Explanation

People with major depressive disorder typically give up their productivity and their motivation to complete daily tasks. Below is a comprehensive list of some of the most common symptoms of major depressive disorder.

When people are living with major depressive disorder, they experience emotional symptoms (feeling sad and dejected), motivational symptoms (loss of desire to pursue usual activities and duties), behavioral symptoms (feeling less active and less productive), cognitive symptoms (holding negative views of self, like feeling inadequate, undersireable, inferior, worthy of blame), and physical symptoms (experiencing headaches, indigestion, constipation, dizzy spells, and general pain).

Preoccupation with schedules and productivity is more indicative of an obsessive-compulsive disorder than a depressive disorder.

5

Sarah has been experiencing sadness, loss of appetite, disinterest in activities, weight loss, and insomnia for several years. Which of the following could be the reason these symptoms are occurring?

Major depressive disorder

Generalized anxiety disorder

Anorexia

Anemia

Explanation

Sarah displays all of the classic symptoms of a major depressive disorder. The fact that her condition is long-term makes it more likely to be a major depressive disorder. Generalized anxiety disorder is the persistence of a feeling of uneasiness or that something bad will occur over a long period of time, with no specific trigger. Anorexia is an eating disorder. Anemia is a decrease of oxygen in the blood.

6

Which of the following is not hypothesized as a contributing factor of depression?

Excess levels of dopamine in the brain

Learned helplessness

The cognitive triad

Low levels of serotonin in the brain

Genetic predisposition

Explanation

Genetics, low serotonin, learned helplessness, and the cognitive triad are all hypothesized to be contributing factors to depression; however, excess levels of dopamine contribute to schizophrenia, not depression.

Learned helplessness is the idea that a person has learned from past experiences that they cannot control parts of their life, which can contribute to depression. Beck's cognitive triad examines the explanations people make about themselves, their future, and their world. When something happens, someone can decide that it was either caused by them or caused by an external factor (internal/external), generalize the event to all events or keep it specific to the event at hand (global / specific), and decide whether he or she thinks it will continue in the future or will end soon (stable/unstable). When someone is depressed, they tend to believe that good events are external, specific, and unstable, while bad events are internal, global, and stable.

7

Which of the following psychological disorders are affective disorders?

Depression, anxiety, and bipolar disorders

Schizophrenia, sociopathy, and obsessive compulsive disorder

Narcisssistic, histrionic, and dependent disorders

Depression, schizophrenia, and obsessive compulsive disorder

None of these

Explanation

Affective disorders are defined by heightened and prolonged emotional states. In the instance of anxiety, which can manifest in many forms, one experiences a consistent state of fear that may or may not have a specific set of triggers. Depression is a prolonged state of sadness and apathy, which often involves a general lack of motivation or pleasant emotions, irritability, difficulty focusing, and, in extreme cases, suicidal thoughts. Bipolar disorder includes this kind of depressive state, yet also a manic one. During the manic state, there is a general feeling of euphoria, an "on top of the world" kind of feeling that may invite impulsive decision-making and an inflated sense of self-importance.

Psychological disorders that are not affective have to do with delusional thinking patterns, personality, attention deficits, addictions, psychosexuality, or developmental problems. While they may share commonalities and even intersect, affective disorders have distinctly to do with prolonged and extreme emotional states, which can be caused by biological or environmental factors.

8

In the past two months, Ann has had very little motivation to get out of bed. She sleeps upwards of twenty hours a day and is no longer interested in activities that she used to enjoy. She has very little energy to care for herself, and also has lost a significant amount of weight. Which of the following is a likely diagnosis for Ann?

Major depressive episode

Major depressive disorder

Dysthymic disorder

Disruptive mood dysregulation disorder

Explanation

Major Depressive Episode is correct, because going off of the description we do not know if Ann has had a manic episode in the past or not. In order to have Major Depressive Disorder, an individual cannot have had a manic episode in the past. The answer would not be Dysthymic Disorder, because those symptoms must persist for two years or more, and disruptive mood dysregulation disorder is characterized by outbursts of severe temper in addition to depressive symptoms.

9

Which of the following is not true about dysthymic disorder?

Dysthymic disorder is a shorter form of major depressive disorder; it typically lasts less than one month

Dysthymic disorder is a longer version of major depressive disorder; it is diagnosed when a person has been experiencing depressive-like symptoms for more than two years

Dysthymic disorder is a less-disabling form of major depressive disorder

Dysthymic disorder is one of the possible patterns of unipolar depression

None of the other answers

Explanation

Dysthymic disorder is a mood disorder that is similar to, but longer-lasting and less disabling, than major depressive disorder. It is diagnosed after at least two years of on-going, mild symptoms of unipolar depression.

10

What is the main difference between dsythymia and major depressive disorder?

Dsythymia is a pervasive "low level" depression that lasts numerous years, while major depressive disorder is a single episode of severe depression

Dsythymia is an anxiety disorder, while major depressive disorder is a mood disorder

Dsythymia includes bipolar symptoms, while major depressive disorder does not

Dsythymia occurs in children, while major depressive disorder occurs in teenagers and adults

Dsythymia includes hallucinations, while major depressive disorder does not

Explanation

Dsythymia and major depressive disorder are both mood disorders, specifically focused on depressive symptomology. The main difference between them is that dsythymia is a low grade depression that lasts multiple years, while major depressive disorder is a single, severe depressive episode.

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