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Chapter 4 Anxiety
Anxiety and obsessive-compulsive and related disorders
30
Psychology
Undergraduate 1
10/05/2014

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Term
Anxiety
Definition
Fundamental human emotion. Uneasy or apprehension feeling. Waiting for a dreaded event to occur. Adaptive function
Term
Fear
Definition
Intense emotion experienced in response to threatening situation
Term
Anxiety disorder
Definition
Fear or anxiety symptoms that interfere with an individual's day-to-day functioning. Phobias,panic disorder, generalized anxiety disorder
Term
Etiological models
Definition
Explain the cause of a disorder.
Term
Multipath perspective model
Definition
biological, psychological,social, and sociocultural all interact with one another
Term
Biological
Definition
Brain function(amygdala, hippocampus, prefrontal cortex). Genetic influences(modest contribution to anxiety disorders)-Neurotransmitter,alleles, predisposition: a susceptibility to certain symptoms or disorders
Term
Psychological
Definition
Interact with biological predispositions. One's sense of control may also be involved.
Term
Social and sociocultural
Definition
Daily environmental stress, poverty, gender, social support network, discrimination and prejudice
Term
Phobias
Definition
strong, persistent fear of a specific object or situation. Extreme anxiety or panic is expressed. Most common mental disorder USA
Term
Social anxiety disorder SAD
Definition
Intense fear of being scrutinized in one or more social or performance situations. Generalized vs performance type. Can exist simultaneously with another condition. Chronic and siabling
Term
Specific Phobia
Definition
Extreme fear of a specific object or situation; exposure->intense anxiety or panic.
Common: animal, natural environmental, blood, situational
Term
Agoraphobia
Definition
Intense fear of at least two of the following:
Being outside of the home alone
Traveling in public transportation
Being in open spaces
Being in stores or theaters
Standing in line or being in crowd
Feared->escape or help is not available
Anxiety over having a panic attack
Term
Phobia Treatments
Definition
Biochemical: Medication like benzodiazepines and antidepressant SSRIs.
Side effects:
Dependence,withdrawal, paradoxical reactions, symptoms may recur when med is discontinued
Medicine shouldn't be the first option, get rid of anxiety
Term
Behavioral treatments
Definition
Exposure treatment: gradually introduce the feared situation
Systematic desensitization: muscle relaxation
Cognitive restructuring: unrealistic thought are altered
Modeling: patient observes a model coping or responding appropriately to feared situation
Term
Panic disorder
Definition
Recurrent unexpected panic attacks in combination with apprehension over having another attack or worry about consequences of an attack, chances in behavior or activities designed to avoid another panic attack, reaction must be present for a 1 month.
Frequently diagnosed
Term
Etiology of panic disorder: Biological
Definition
higher concordance rates in monozygotic
Brain structures and neurotransmitters involved.
Reduction in GABA receptors in hippocampus and amygdala
Term
Etiology of panic disorder: Psychological
Definition
Characteristics associated with panic disorder.
Term
Etiology of panic disorder: Social and sociocultural
Definition
stressful childhood involving: separation anxiety, family conflicts, school problems, loss of loved one. culture
Term
Treatment of panic disorder
Definition
Medication and cognitive-behavioral->effective
Cognitive->help them change an unhealthy idea->help them see that their idea is unhealthy and wrong
Term
Generalized anxiety disorder
Definition
Persistent high levels of anxiety and excessive worry over many life circumstance: symptoms->3 months
Develops gradually beginning in childhood or adolescence
Somatic symptoms: muscle tension, restlessness, sleep difficulties, poor concentration, and avoidance of situations associated with worry
Term
Etiology of GAD:Biological
Definition
disrupt prefrontal cortex modulation of amygdala
Term
Etiology of GAD:Psychological
Definition
cognitive theories:role of dysfunctional thinking and beliefs
negative schemas:set of beliefs or ideas
Term
Etiology of GAD: social and sociocultural
Definition
Children of mother with GAD may develop anxiety disorder
poverty and etc
Term
Treatment of GAD
Definition
biochemical but problems of dependence
Cognitive-behavioral validated psychological treatment
Term
Obsessive-Compulsive and Related disorders
Definition
Common with anxiety disorders. Characterized by obsessions: images that produce anxiety, intrusive
Compulsions: need to perform acts or dwell on thoughts to reduce anxiety
Obsessive-Compulsive and Related disorders
Body dysmorphic disorder, skin picking disorder, hair pulling disorder
Recognition of thoughts and impulses but no control
Term
Body dysmorphic disorder (BDD)
Definition
Preoccupation with a perceived physical defect in a normal appearing person or excessive concern over a slight physical defect. Compulsive behaviors-frequent mirror checking
common concern: bodily features
Term
Hair-pulling disorder
Definition
recurrent and compulsive hair pulling that causes significant distress and results in hair loss
. age 17. higher in women
Term
Skin-picking
Definition
recurrent and compulsive skin pulling that causes significant distress and resulting skin lesions
Term
Etiology of Obsessive-Compulsive and Related disorders
Definition
bio-decision making, planning, and metal flexibility may be endophenotypes for OCD
Psychological: obsessive behaviors develop to reduce anxiety
social and sociocultural: family variables,adverse environmental.
minorities are underrepresented
Term
Treatment of Compulsive and Related disorders
Definition
Medication:SSRI's
Behavioral treatments: exposure and response prevention
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