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Mood Disorders Module 38 1 Psychological Disorders Mood Disorders Major Depressive Disorder Bipolar Disorder Explaining Mood Disorders Link 58:53 2 Major Depressive Disorder Depression is the “common cold” of psychological disorders. In a year, 5.8% of men and 9.5% of women report depression worldwide (WHO, 2002). 3 Major Depressive Disorder Major depressive disorder occurs when signs of depression last two weeks or more and are not caused by drugs or medical conditions. 1. 2. 3. 4. Signs include: Lethargy and fatigue Feelings of worthlessness Loss of interest in family & friends Loss of interest in activities 4 5 Bipolar Disorder Formerly called manic-depressive disorder. An alternation between depression and mania signals bipolar disorder. Depressive Symptoms Manic Symptoms Gloomy Elation Withdrawn Euphoria Inability to make decisions Tired Slowness of thought Desire for action Hyperactive Multiple ideas 6 Bipolar Disorder Many great writers, poets, and composers suffered from bipolar disorder. During their manic phase creativity surged, but not during their depressed phase. Earl Theissen/ Hulton Getty Pictures Library The Granger Collection Wolfe George C. Beresford/ Hulton Getty Pictures Library Bettmann/ Corbis Whitman Clemens Hemingway 7 8 Explaining Mood Disorders Since depression is so prevalent worldwide, investigators want to develop a theory of depression that will suggest ways to treat it. Lewinsohn et al., (1985, 1998) note that a theory of depression should explain the following: 1. Behavioral and cognitive changes 2. Common causes of depression 9 Theory of Depression 3. Gender differences 10 Theory of Depression Desiree Navarro/ Getty Images 4. Depressive episodes self-terminate. 5. Stressful events often precede depression. 6. Depression is increasing, especially in the teens. Post-partum depression 11 Pharmacology • Bipolar disorders most effectively treated with tricyclic antidepressants and Lithium Carbonate • Lithium serves as a mood stabilizer 12 Suicide The most severe form of behavioral response to depression is suicide. Each year some 1 million people commit suicide worldwide. 1. 2. 3. 4. 5. Suicide Statistics National differences Racial differences Gender differences Age differences Other differences 13 • Ever wonder why you did not read about your friend’s suicide in the paper or see news about it on tv…? • Are the reporters just jerks who were IGNORING your friend…no,…they were actually doing the rest of us a favor! Those jerks,…she was my best friend! How dare they disrespect my friend! @$$^*(#$ 14 Suicide • Publicizing suicide especially dangerous because of social proof. • Auto and plane deaths increase after well publicized suicides…1000% • The more publicity the more suicide • Within 2 months of every front page suicide 58 more people than usual killed themselves from 1947-1968 • Cialdini, Influence 15 Biological Perspective Genetic Influences: Mood disorders run in families. The rate of depression is higher in identical (50%) than fraternal twins (20%). Jerry Irwin Photography 21 The Depressed Brain PET scans show that brain energy consumption rises and falls with manic and depressive episodes. Courtesy of Lewis Baxter an Michael E. Phelps, UCLA School of Medicine 22 Social-Cognitive Perspective The social-cognitive perspective suggests that depression arises partly from self-defeating beliefs and negative explanatory styles. 23 Negative Thoughts and Moods Explanatory style plays a major role in becoming depressed. 24 Depression Cycle 1. Negative stressful events. 2. Pessimistic explanatory style. 3. Hopeless depressed state. 4. These hamper the way the individual thinks and acts, fueling personal rejection. 25 EXPLORING PSYCHOLOGY (7th Edition in Modules) David Myers PowerPoint Slides Aneeq Ahmad Henderson State University Worth Publishers, © 2008 26