tailieunhanh - Ebook High-Yield behavioral science (4th edition): Part 2

(BQ) Part 2 book "High-Yield behavioral science" presents the following contents: Mood disorders, cognitive disorders, other psychiatric disorders, suicide, the family, culture and illness, sexuality, legal and ethical issues in medical practice, epidemiology, statistical analyses. | 12 Mood Disorders Chapter r Definition Categories and Epidemiology Patient Snapshot 12-1. A 35-year-old man comes to his physician complaining of tiredness K and mild headaches which have been present for the past 8 months. The patient relates es that he is not interested in playing basketball a game he formerly enjoyed nor does he have much interest in sex or food. The patient denies that he is depressed but tells the physician Maybe I am more trouble to my family than I am worth. Physical examination and laboratory testing are unremarkable except that the patient who has maintained a normal weight for years has lost 25 lb since his last visit 1 year ago. What is wrong with this patient See III A 1 and Table 12-1. A. DEFINITION. In mood disorders emotions that the individual cannot control cause serious distress and occupational problems social problems or both. B. MAJOR CATEGORIES 1. Major depressive disorder. Patients with this disorder have recurrent episodes of depressed mood see III A 1 and Table 12-1 each episode lasting at least 2 weeks. 2. Bipolar disorder a. Bipolar I disorder. Patients have episodes of both mania . greatly elevated mood and depression. Identification of one manic episode is adequate for this diagnosis. b. Bipolar II disorder. Patients have episodes of both hypomania . mildly elevated mood and depression. 3. Dysthymic disorder. Patients with this disorder are mildly depressed dysthymia most of the time for at least 2 years with no discrete episodes of illness. 4. Cyclothymic disorder. Patients have alternating periods of dysthymia and hypomania lasting at least 2 years with no discreet episodes of illness. C. EPIDEMIOLOGY 1. Lifetime prevalence a. The lifetime prevalence of major depressive disorder is about 2 times higher in women than in men lifetime prevalence respectively is 10 -20 for women 5 -12 for men. b. The lifetime prevalence of bipolar disorder 1 is about equal in men and women. 2. No ethnic differences are found in the