Bipolar Disorder
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And Inter-Personal Emotion Regulation
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by YorkSpace EXAMINING INTRA- AND INTER-PERSONAL EMOTION REGULATION, PSYCHOPATHOLOGY, WELL-BEING, AND RELATIONSHIP QUALITY IN EMERGING ADULTHOOD SAMANTHA CHAN A THESIS SUBMITTED TO THE FACULTY OF GRADUATE STUDIES IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS GRADUATE PROGRAM IN CLINICAL DEVELOPMENTAL PSYCHOLOGY YORK UNIVERSITY TORONTO, ONTARIO AUGUST 2019 Ó Samantha Chan, 2019 ii Abstract Identifying components of emotion regulation (ER) that contribute to emerging adults’ (18-29 years) psychosocial outcomes is crucial to promoting their development. This study aimed to identify emerging adults’ intra- and inter-personal ER strategy use and explore the associations between their ER strategy use and difficulties and psychosocial outcomes, including internalizing symptoms (depressive and anxiety symptoms and perceived stress), well-being (subjective happiness and flourishing), and relationship quality. Results showed that emerging adults utilized a range of intra- (e.g., acceptance,) and inter-personal (e.g., enhancing positive affect) ER strategies. The structural equation modelling results indicated that emotion dysregulation was the strongest predictor of emerging adults’ psychosocial outcomes. Some ER strategies (e.g., positive reappraisal, enhancing positive affect) were more strongly associated with emerging adults’ psychosocial outcomes than other strategies. The findings highlight the links between intra- and inter-personal ER and emerging adults’ psychosocial outcomes and can inform mental health intervention programs for emerging adults. iii Acknowledgements First and foremost, I would like to thank my supervisor, Dr. Jennine Rawana for all of her invaluable advice and support with this research. -
Specificity of Psychosis, Mania and Major Depression in A
Molecular Psychiatry (2014) 19, 209–213 & 2014 Macmillan Publishers Limited All rights reserved 1359-4184/14 www.nature.com/mp ORIGINAL ARTICLE Specificity of psychosis, mania and major depression in a contemporary family study CL Vandeleur1, KR Merikangas2, M-PF Strippoli1, E Castelao1 and M Preisig1 There has been increasing attention to the subgroups of mood disorders and their boundaries with other mental disorders, particularly psychoses. The goals of the present paper were (1) to assess the familial aggregation and co-aggregation patterns of the full spectrum of mood disorders (that is, bipolar, schizoaffective (SAF), major depression) based on contemporary diagnostic criteria; and (2) to evaluate the familial specificity of the major subgroups of mood disorders, including psychotic, manic and major depressive episodes (MDEs). The sample included 293 patients with a lifetime diagnosis of SAF disorder, bipolar disorder and major depressive disorder (MDD), 110 orthopedic controls, and 1734 adult first-degree relatives. The diagnostic assignment was based on all available information, including direct diagnostic interviews, family history reports and medical records. Our findings revealed specificity of the familial aggregation of psychosis (odds ratio (OR) ¼ 2.9, confidence interval (CI): 1.1–7.7), mania (OR ¼ 6.4, CI: 2.2–18.7) and MDEs (OR ¼ 2.0, CI: 1.5–2.7) but not hypomania (OR ¼ 1.3, CI: 0.5–3.6). There was no evidence for cross-transmission of mania and MDEs (OR ¼ .7, CI:.5–1.1), psychosis and mania (OR ¼ 1.0, CI:.4–2.7) or psychosis and MDEs (OR ¼ 1.0, CI:.7–1.4). -
Chapter 7 Mood Disorders
An Overview of Mood Disorders • Gross Deviations in Mood • 2 Fundamental states: Depression & Mania Chapter 7 • Depression: “The Low” – Major Depressive Episode •The most commonly diagnosed & most severe Mood Disorders depression •Depressed (or in children, irritable) mood state that lasts at least 2 weeks –Cognitive symptoms •Feelings of worthlessness or inappropriate guilt •Diminished ability to concentrate or indecisiveness – Dysthymic Disorder –Disturbed physical functions (vegetative •Similar symptoms to Major Depressive Episode, symptoms) (central to the disorder) but milder •Insomnia or hypersomnia nearly every day –Also fewer symptoms: need only 2 of the •Significant weight loss or gain or change in symptoms, as opposed to 5 in Major Depressive appetite Episode •Fatigue or loss of energy nearly every day •A persistently depressed (or, in children & •Psychomotor agitation or retardation adolescents, irritable) mood that continues for at –Nearly always accompanied by markedly least 2 years diminished interest or ability to experience pleasure –During those 2 years, the individual has never been (anhedonia) from life without the symptoms for more than 2 months at a • Average duration if untreated: 9 months time •Most people with Dysthymia eventually experience a major depressive episode • Mania: “The High” –Abnormally exaggerated elation, joy, or euphoria OR irritability (common toward the –Behavioral symptoms end of the episode) lasting at least 1 week •More talkative / pressured speech –Cognitive symptoms •Psychomotor agitation -
The Evolution of Animal Play, Emotions, and Social Morality: on Science, Theology, Spirituality, Personhood, and Love
WellBeing International WBI Studies Repository 12-2001 The Evolution of Animal Play, Emotions, and Social Morality: On Science, Theology, Spirituality, Personhood, and Love Marc Bekoff University of Colorado Follow this and additional works at: https://www.wellbeingintlstudiesrepository.org/acwp_sata Part of the Animal Studies Commons, Behavior and Ethology Commons, and the Comparative Psychology Commons Recommended Citation Bekoff, M. (2001). The evolution of animal play, emotions, and social morality: on science, theology, spirituality, personhood, and love. Zygon®, 36(4), 615-655. This material is brought to you for free and open access by WellBeing International. It has been accepted for inclusion by an authorized administrator of the WBI Studies Repository. For more information, please contact [email protected]. The Evolution of Animal Play, Emotions, and Social Morality: On Science, Theology, Spirituality, Personhood, and Love Marc Bekoff University of Colorado KEYWORDS animal emotions, animal play, biocentric anthropomorphism, critical anthropomorphism, personhood, social morality, spirituality ABSTRACT My essay first takes me into the arena in which science, spirituality, and theology meet. I comment on the enterprise of science and how scientists could well benefit from reciprocal interactions with theologians and religious leaders. Next, I discuss the evolution of social morality and the ways in which various aspects of social play behavior relate to the notion of “behaving fairly.” The contributions of spiritual and religious perspectives are important in our coming to a fuller understanding of the evolution of morality. I go on to discuss animal emotions, the concept of personhood, and how our special relationships with other animals, especially the companions with whom we share our homes, help us to define our place in nature, our humanness. -
The Somatic Marker Hypothesis: a Neural Theory of Economic Decision
Games and Economic Behavior 52 (2005) 336–372 www.elsevier.com/locate/geb The somatic marker hypothesis: A neural theory of economic decision Antoine Bechara ∗, Antonio R. Damasio Department of Neurology, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA Received 8 June 2004 Available online 23 September 2004 Abstract Modern economic theory ignores the influence of emotions on decision-making. Emerging neuro- science evidence suggests that sound and rational decision making, in fact, depends on prior accurate emotional processing. The somatic marker hypothesis provides a systems-level neuroanatomical and cognitive framework for decision-making and its influence by emotion. The key idea of this hypothe- sis is that decision-making is a process that is influenced by marker signals that arise in bioregulatory processes, including those that express themselves in emotions and feelings. This influence can oc- cur at multiple levels of operation, some of which occur consciously, and some of which occur non-consciously. Here we review studies that confirm various predictions from the hypothesis, and propose a neural model for economic decision, in which emotions are a major factor in the interac- tion between environmental conditions and human decision processes, with these emotional systems providing valuable implicit or explicit knowledge for making fast and advantageous decisions. 2004 Elsevier Inc. All rights reserved. Introduction Modern economic theory assumes that human decision-making involves rational Bayesian maximization of expected utility, as if humans were equipped with unlim- ited knowledge, time, and information-processing power. The influence of emotions on * Corresponding author. E-mail address: [email protected] (A. -
Life with Bipolar Fact Sheet.Pdf
Being so scared Having so Trying to You do not Exhilarating. You you’remisunderstood paralyzed much energy catch up to want the finally feel like that you stress your own high of the you’re normal, out your mind mind mania to until the anger and your body end; then sets in An amazing after the feeling that high of the leads to feeling Things are mania is horrible going You have no over, the Difficult to tell if great and inhibitions, and lows set in you can trust your it’s scary consequences and reality own perception because don’t apply to becomes a of reality You feel you know what you do problem everything at it will not once and then stay that you are numb way to the world Being on a see-saw Flipping a The of human emotion switch in future your mind “Normal” quickly people are goes Mania is speed. from annoying You must start and Being constantly in bright because finish everything activities that take up to you’ll never Productive, now—you can’t time with hardly any carefree, bleak have that stop moving results or satisfation and then stability exhausting Busy brain, When the mania busy Unending back burns out, you’ve senses, and forth with got nothing left Frightening to be so out of busy libido yourself in you control and off-balance Share what life with bipolar disorder feels like for you in words, images or video by tagging your social media posts with #mentalillnessfeelslike. Posts will be displayed at mentalhealthamerica.net/feelslike where you can also submit anonymously if you choose. -
Which Is It: ADHD, Bipolar Disorder, Or PTSD?
HEALINGHEALINGA PUBLICATION OF THE HCH CLINICIANS’ HANDSHANDS NETWORK Vol. 10, No. 3 I August 2006 Which Is It: ADHD, Bipolar Disorder, or PTSD? Across the spectrum of mental health care, Anxiety Disorders, Attention Deficit Hyperactivity Disorders, and Mood Disorders often appear to overlap, as well as co-occur with substance abuse. Learning to differentiate between ADHD, bipolar disorder, and PTSD is crucial for HCH clinicians as they move toward integrated primary and behavioral health care models to serve homeless clients. The primary focus of this issue is differential diagnosis. Readers interested in more detailed clinical information about etiology, treatment, and other interventions are referred to a number of helpful resources listed on page 6. HOMELESS PEOPLE & BEHAVIORAL HEALTH Close to a symptoms exhibited by clients with ADHD, bipolar disorder, or quarter of the estimated 200,000 people who experience long-term, PTSD that make definitive diagnosis formidable. The second chronic homelessness each year in the U.S. suffer from serious mental causative issue is how clients’ illnesses affect their homelessness. illness and as many as 40 percent have substance use disorders, often Understanding that clinical and research scientists and social workers with other co-occurring health problems. Although the majority of continually try to tease out the impact of living circumstances and people experiencing homelessness are able to access resources comorbidities, we recognize the importance of causal issues but set through their extended family and community allowing them to them aside to concentrate primarily on how to achieve accurate rebound more quickly, those who are chronically homeless have few diagnoses in a challenging care environment. -
The Republican Theology of Benjamin Rush
THE REPUBLICAN THEOLOGY OF BENJAMIN RUSH By DONALD J. D'ELIA* A Christian [Benjamin Rush argued] cannot fail of be- ing a republican. The history of the creation of man, and of the relation of our species to each other by birth, which is recorded in the Old Testament, is the best refuta- tion that can be given to the divine right of kings, and the strongest argument that can be used in favor of the original and natural equality of all mankind. A Christian, I say again, cannot fail of being a republican, for every precept of the Gospel inculcates those degrees of humility, self-denial, and brotherly kindness, which are directly opposed to the pride of monarchy and the pageantry of a court. D)R. BENJAMIN RUSH was a revolutionary in his concep- tions of history, society, medicine, and education. He was also a revolutionary in theology. His age was one of universality, hle extrapolated boldly from politics to religion, or vice versa, with the clear warrant of the times.1 To have treated religion and politics in isolation from each other would have clashed with his analogical disposition, for which he was rightly famous. "Dr. D'Elia is associate professor of history at the State University of New York College at New Paltz. This paper was read at a session of the annual meeting of the Association at Meadville, October 9, 1965. 1Basil Willey, The Eighteenth Century Background; Studies on the Idea of Nature in the Thought of the Period (Boston: Beacon Press, 1961), p. 137 et passim. -
Prescription Stimulants
Prescription Stimulants What are prescription stimulants? Prescription stimulants are medicines generally used to treat attention-deficit hyperactivity disorder (ADHD) and narcolepsy— uncontrollable episodes of deep sleep. They increase alertness, attention, and energy. What are common prescription stimulants? • dextroamphetamine (Dexedrine®) • dextroamphetamine/amphetamine combination product (Adderall®) • methylphenidate (Ritalin®, Concerta®). Photo by ©iStock.com/ognianm Popular slang terms for prescription stimulants include Speed, Uppers, and Vitamin R. How do people use and misuse prescription stimulants? Most prescription stimulants come in tablet, capsule, or liquid form, which a person takes by mouth. Misuse of a prescription stimulant means: Do Prescription Stimulants Make You • taking medicine in a way or dose Smarter? other than prescribed Some people take prescription stimulants to • taking someone else’s medicine try to improve mental performance. Teens • taking medicine only for the effect it and college students sometimes misuse causes—to get high them to try to get better grades, and older adults misuse them to try to improve their When misusing a prescription stimulant, memory. Taking prescription stimulants for people can swallow the medicine in its reasons other than treating ADHD or normal form. Alternatively, they can crush narcolepsy could lead to harmful health tablets or open the capsules, dissolve the powder in water, and inject the liquid into a effects, such as addiction, heart problems, vein. Some can also snort or smoke the or psychosis. powder. Prescription Stimulants • June 2018 • Page 1 How do prescription stimulants affect the brain and body? Prescription stimulants increase the activity of the brain chemicals dopamine and norepinephrine. Dopamine is involved in the reinforcement of rewarding behaviors. -
Generalized Anxiety Disorder: Practical Assessment and Management MICHAEL G
Generalized Anxiety Disorder: Practical Assessment and Management MICHAEL G. KAVAN, PhD; GARY N. ELSASSER, PharmD; and EUGENE J. BARONE, MD Creighton University School of Medicine, Omaha, Nebraska Generalized anxiety disorder is common among patients in primary care. Affected patients experience excessive chronic anxiety and worry about events and activities, such as their health, family, work, and finances. The anxiety and worry are difficult to control and often lead to physiologic symptoms, including fatigue, muscle tension, restless- ness, and other somatic complaints. Other psychiatric problems (e.g., depression) and nonpsychiatric factors (e.g., endocrine disorders, medication adverse effects, withdrawal) must be considered in patients with possible generalized anxiety disorder. Cognitive behavior therapy and the first-line pharmacologic agents, selective serotonin reuptake inhibitors, are effective treatments. However, evidence suggests that the effects of cognitive behavior therapy may be more durable. Although complementary and alternative medicine therapies have been used, their effectiveness has not been proven in generalized anxiety disorder. Selection of the most appropriate treatment should be based on patient preference, treatment success history, and other factors that could affect adherence and subsequent effective- ness. (Am Fam Physician. 2009;79(9):785-791. Copyright © 2009 American Academy of Family Physicians.) ▲ Patient information: nxiety disorders, such as generalized GAD is 3.1 percent in population-based sur- -
Mood Disorders and Trauma- What Are the Associations? Yael Dvir M.D., Michael Hill B.S, Steven M Hodge M.A., Jean a Frazier M.D
Mood Disorders and Trauma- What are the Associations? Yael Dvir M.D., Michael Hill B.S, Steven M Hodge M.A., Jean A Frazier M.D. University of Massachusetts Medical School, Child and Adolescent psychiatry [email protected] Background Results Mood dysregulation in traumatized children may be misdiagnosed as bipolar disorder (BD) TABLE 1: Demographic data and conversely, the diagnosis of BD overlooked. Note: test statistic is p-value of Chi-square test for categorical data or t-test for continuous data (corrected for unequal variance) BP MD-NOS Statistic* Our aim is to characterize the relationship between trauma and mood dysregulation and Group size (N) 10 10 . pediatric BD by describing the clinical correlates and demographics of children with Gender (number of Females) 4 4 1.0 trauma/abuse and comorbid mood disorders in a community mental health setting. Ethnicity (% Caucasian) 100 78 0.07 Age at time of Interview (mean (SD)) 13.2 (2.5) 12.5 (3.1) 0.6 Number of Siblings (mean (SD)) 2.2 (1.5) 1.8 (1.4) 0.6 Such distinctions may be especially important among individuals with BD given the disproportionably high prevalence of childhood trauma histories (reported in about half of TABLE 2: Types of trauma experienced and the number of incidents by group adult patients with BD, across several studies) coupled with frequent prepubertal onset of Type of Trauma BP MD-NOS affective symptoms (1-4), significantly younger age at bipolar illness onset, as well as Witnessed violence 8 7 Sexual assault or abuse 7 5 higher severity level of symptoms (3). -
Beyond Panic Prevention: Addressing Emotion in Emergency Communication by Dr
Beyond Panic Prevention: Addressing Emotion in Emergency Communication By Dr. Peter Sandman Originally published in: Emergency Risk Communication CDCynergy (CD-ROM) Centers for Disease Control and Prevention, U.S. Department of Health and Human Services February 2003. On the Web at: www.psandman.com This is one of three articles I wrote for the CDC’s CD-ROM on emergency risk communication. This one deals with the likely emotional impacts of terrorism (and other major emergencies), and how communicators can best help the public cope with these emotions. The focus is especially on denial and misery as more common emotional reactions than panic — reactions that may be mishandled if the communicator is over-worried about panic prevention instead. This project was supported in part by an appointment to the Research Participation Program for the Office of Communication, Centers for Disease Control and Prevention, administered by the Oak Ridge Institute for Science and Education through an agreement between the Department of Energy and CDC. —Peter M. Sandman Many risk communication documents, columns, and articles are available at: www.psandman.com www.psandman.com/articles/beyond.pdf Beyond Panic Prevention: Addressing Emotion in Emergency Communication by Peter M. Sandman Copyright © 2002 by Peter M. Sandman September 2002 By far the most common reaction to risky situations is apathy. Figuring out how to combat apathy – how to get people to recognize a risk as serious, to become concerned about it, and to take action – is the mainstay of a risk communication specialist’s job. It is also the mainstay of a health educator’s or health communicator’s job.