NURS 3407 - Ch. 14, 25, & 30
1.Symptoms: constant and severe irritability and anger
• Tantrums and outbursts at least 3x/week
• Misperceive other's facial expressions as angry: Disruptive Mood
Dysregula- tion Disorder (DMDD)
2.When is DMDD typically diagnosed?: Ages 6-18 (onset < 10)
3.What is the treatment for DMDD?: Symptoms-based and problem-focuse
•Medications: antipsychotics
•Psychosocial interventions: CBT, parenting training, computer based
training
4.Formally known as dysthymia. Depression occurs most of the day,
the majority of the day.
• x2 years for adults, x1 year for children and adolescents: Persistent
Depres- sive Disorder
5.When is the typical onset of Persistent Depressive Disorder?: Teenage
years
6.What is the treatment for Persistent Depressive Disorder?: S/t MDD,
antide- pressants, psychotherapy
7.Cluster of symptoms the week before menses
Severe! Interferes with the ability to work or interact with others:
Premenstrual dysphoric disorder (PMDD)
8.What are the symptoms of PMDD?: Psychological and somatic
9.What is the treatment for PMDD?: Lifestyle modifications, medications
10.What are the lifestyle modifications to treat PMDD?: •Regular exercise
(par- ticularly aerobic)
• Foods rich in complex carbohydrates
• Sufficient sleep
11.What are the medications to treat PMDD?: •Yaz (OCP)
• SSRIs
• Diuretics
12.Result of prolonged use of or withdrawal from drugs, alcohol, or meds: -
Substance/Medication-Induced Depressive Disorder
13.What are some medications associated with Substance/Medication-In-
duced Depressive Disorder?: •Antiviral agents
• Cardiovascular drugs
• Antidepressants
• Anticonvulsants
• Antimigraine agents
• Antipsychotics
• Hormonal agents
, NURS 3407 - Ch. 14, 25, & 30
• Smoking cessation agents
, NURS 3407 - Ch. 14, 25, & 30
• Immunological agents
• Retinoids
14.Depression after a stroke = 30%-50% in the first year, TBI, Parkinson
disease, hypothyroidism, arthritis, back pain, metabolic conditions (B12
defi- ciency), HIV, diabetes, cancer, autoimmune disorders, etc.: Depressive
disorder due to another medical condition
15.What is the prevalence of Major Depressive Disorder (MDD): 7% of
Ameri- can adults
16.Daily depressed mood for a minimum of 2 weeks, can be singular
episodes or recurrent.: Major Depressive Disorder (MDD)
17.T/F? MDD is the leading cause of disability in the US?: True
18.What is the percentage for recurrance of MDD within the first year of
an episode? Percentage for lifetime recurrence?: First year recurrence =
50%; lifetime recurrence = 85%
19.What percentage of MDD cases become chronic & what is
considered chronic?: 20%, >2 years
20.What can MDD be associated with?: Seasons (MDD with seasonal
pattern), or grieving
21.T/F? MDD frequently accompanies other psychiatric problems?: True
22.How often (%) does anxiety commonly coexist with depression cases?: -
70%
23.What population is most affected by MDD?: Young adults
24.What are risk factors for MDD?: •Female Gender
• Adverse childhood experiences
• Stressful life events
• First-degree family members with MDD
• Chronic medical conditions
• Substance use
• Anxiety
• Personality disorders
• Hormones
• Chronic pain
25.Potentially traumatic events that occur in childhood (0-17) such
as: Experiencing violence, abuse, or neglect
Witnessing violence in the home or community
Having a family member attempt or die by suicide: Adverse childhood
experi- ence (ACEs)
26.What does serotonin affect?: Mood, hunger, sleep, and arousal
27.What does norepinephrine affect?: Mood, alertness, arousal
1.Symptoms: constant and severe irritability and anger
• Tantrums and outbursts at least 3x/week
• Misperceive other's facial expressions as angry: Disruptive Mood
Dysregula- tion Disorder (DMDD)
2.When is DMDD typically diagnosed?: Ages 6-18 (onset < 10)
3.What is the treatment for DMDD?: Symptoms-based and problem-focuse
•Medications: antipsychotics
•Psychosocial interventions: CBT, parenting training, computer based
training
4.Formally known as dysthymia. Depression occurs most of the day,
the majority of the day.
• x2 years for adults, x1 year for children and adolescents: Persistent
Depres- sive Disorder
5.When is the typical onset of Persistent Depressive Disorder?: Teenage
years
6.What is the treatment for Persistent Depressive Disorder?: S/t MDD,
antide- pressants, psychotherapy
7.Cluster of symptoms the week before menses
Severe! Interferes with the ability to work or interact with others:
Premenstrual dysphoric disorder (PMDD)
8.What are the symptoms of PMDD?: Psychological and somatic
9.What is the treatment for PMDD?: Lifestyle modifications, medications
10.What are the lifestyle modifications to treat PMDD?: •Regular exercise
(par- ticularly aerobic)
• Foods rich in complex carbohydrates
• Sufficient sleep
11.What are the medications to treat PMDD?: •Yaz (OCP)
• SSRIs
• Diuretics
12.Result of prolonged use of or withdrawal from drugs, alcohol, or meds: -
Substance/Medication-Induced Depressive Disorder
13.What are some medications associated with Substance/Medication-In-
duced Depressive Disorder?: •Antiviral agents
• Cardiovascular drugs
• Antidepressants
• Anticonvulsants
• Antimigraine agents
• Antipsychotics
• Hormonal agents
, NURS 3407 - Ch. 14, 25, & 30
• Smoking cessation agents
, NURS 3407 - Ch. 14, 25, & 30
• Immunological agents
• Retinoids
14.Depression after a stroke = 30%-50% in the first year, TBI, Parkinson
disease, hypothyroidism, arthritis, back pain, metabolic conditions (B12
defi- ciency), HIV, diabetes, cancer, autoimmune disorders, etc.: Depressive
disorder due to another medical condition
15.What is the prevalence of Major Depressive Disorder (MDD): 7% of
Ameri- can adults
16.Daily depressed mood for a minimum of 2 weeks, can be singular
episodes or recurrent.: Major Depressive Disorder (MDD)
17.T/F? MDD is the leading cause of disability in the US?: True
18.What is the percentage for recurrance of MDD within the first year of
an episode? Percentage for lifetime recurrence?: First year recurrence =
50%; lifetime recurrence = 85%
19.What percentage of MDD cases become chronic & what is
considered chronic?: 20%, >2 years
20.What can MDD be associated with?: Seasons (MDD with seasonal
pattern), or grieving
21.T/F? MDD frequently accompanies other psychiatric problems?: True
22.How often (%) does anxiety commonly coexist with depression cases?: -
70%
23.What population is most affected by MDD?: Young adults
24.What are risk factors for MDD?: •Female Gender
• Adverse childhood experiences
• Stressful life events
• First-degree family members with MDD
• Chronic medical conditions
• Substance use
• Anxiety
• Personality disorders
• Hormones
• Chronic pain
25.Potentially traumatic events that occur in childhood (0-17) such
as: Experiencing violence, abuse, or neglect
Witnessing violence in the home or community
Having a family member attempt or die by suicide: Adverse childhood
experi- ence (ACEs)
26.What does serotonin affect?: Mood, hunger, sleep, and arousal
27.What does norepinephrine affect?: Mood, alertness, arousal
