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A goal of treatment for patients who have experienced major depressive disorders is delaying or preventing the next episode.In which of the following situations would this goal be LEAST important?


A) patients who have recovered from a major depressive episode but still have some residual symptoms
B) patients with a past history of chronic depression (dysthymia)
C) patients with a past history of multiple episodes of major depressive disorder
D) patients who have had a single, brief episode of major depressive disorder and recovered without treatment

E) A) and B)
F) A) and C)

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All of the following statements about lithium therapy are true EXCEPT


A) lithium can act as an antidepressant.
B) lithium can act as a mood stabiliser.
C) dosage must be carefully regulated to prevent toxicity.
D) the side effects of lithium are less serious than those of other antidepressants.

E) C) and D)
F) A) and B)

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Discuss the role of neurotransmitters, brain-wave activity and negative cognitions in the aetiology and treatment of depression.

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Low levels of depression in relation to ...

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A child raised by depressed parents is likely to


A) struggle with depression as well.
B) learn how to avoid depression.
C) be inoculated against depression.
D) deny stress symptoms.

E) A) and B)
F) None of the above

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A

Possible reasons for the higher rates of depression found in women include all of the following EXCEPT


A) culturally induced dependence and passivity.
B) sense of uncontrollability and helplessness.
C) low value placed on intimate relationships.
D) self-blame for being depressed.

E) A) and B)
F) A) and C)

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The peri-partum onset specifier is used to characterise a severe manic or depressive episode with psychotic features that occurs in a woman immediately before or after


A) childbirth.
B) a hysterectomy.
C) a physical assault.
D) menopause.

E) All of the above
F) B) and D)

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Cross-cultural research in the USA indicates that, due at least in part to very poor social and economic conditions, the prevalence of major depression is extremely high among ________.


A) African Americans
B) Hispanic Americans
C) Asian Americans
D) Native Americans

E) C) and D)
F) B) and C)

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Possible reasons for the higher rates of depression found in women relate to the disadvantages experienced by women in the United States such as


A) discrimination and poverty.
B) abuse and sexual harassment.
C) both of these
D) none of these

E) All of the above
F) C) and D)

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The antidepressant medications known as imipramine (Tofranil) and amitriptyline (Tryptanol) are included in the class of drugs called


A) SSRIs.
B) tricyclics.
C) MAO inhibitors.
D) tranquillisers.

E) A) and B)
F) C) and D)

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Being depressed __________ the risk of death in elderly patients who have had a stroke or heart attack.


A) has no effect
B) doubles
C) triples
D) reduces

E) C) and D)
F) B) and C)

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In about _____________patients, cyclothymic mood swings develop into full-blown bipolar disorder.


A) 25-33%
B) 33-50%
C) 50-66%
D) 10-20%

E) None of the above
F) All of the above

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Most individuals who experience a single episode of major depressive disorder will


A) never have another episode.
B) most likely have just one more episode.
C) later have a manic episode.
D) probably have several episodes throughout their lives.

E) B) and D)
F) B) and C)

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D

Recent research suggests that


A) the suppression of neurogenesis in the hippocampus is due to the connection between high stress hormones and depression.
B) low hippocampal volume may precede and contribute to the onset of depression
C) electroconvulsive therapy seems to produce neurogenesis in the hippocampus
D) all of the above

E) A) and C)
F) A) and D)

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Research has found that low serotonin levels may be implicated in suicidal behaviour because they affect all of the following EXCEPT


A) impulsivity
B) instability
C) agnosia
D) overreactivity

E) All of the above
F) C) and D)

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How many patients with severe cases of depression, where the episode lasts five years or longer, can be expected to recover?


A) 4%
B) 22%
C) 38%
D) 56%

E) A) and B)
F) A) and D)

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Tamara gave birth to a healthy child four days ago.Now she is tearful and having mood swings.Fortunately, these symptoms disappeared relatively quickly.Tamara was probably suffering from


A) major depressive disorder with peri-partum onset.
B) 'baby blues'.
C) persistent depressive disorder.
D) major depressive episode with seasonal onset.

E) None of the above
F) B) and D)

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Impulsive suicidal behaviour is often a symptom of _____________ personality disorder.


A) schizoid
B) borderline
C) obsessive-compulsive
D) paranoid

E) A) and C)
F) A) and D)

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In 1989, Abramson and his colleagues revised Seligman's theory of learnt helplessness, changing the focus from specific attributions to _________ as the crucial factor in depression.


A) lack of control
B) a sense of hopelessness
C) repressed anger
D) a feeling of failure

E) A) and B)
F) C) and D)

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During a dysphoric manic episode, the patient experiences mania and


A) schizophrenia.
B) confusion.
C) anxiety and depression.
D) anger.

E) All of the above
F) A) and B)

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C

The best conclusion about the dexamethasone suppression test (DST) for the diagnosis of depression is that


A) it is accurate.
B) it is effective but cannot differentiate bipolar disorder from major depression.
C) it promises to be an effective diagnostic tool in the future.
D) it is not useful as a diagnostic tool.

E) None of the above
F) B) and C)

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