11108827
Description
Flashcards by Ellen Klerkx, updated more than 1 year ago
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Created by Ellen Klerkx
almost 7 years ago
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| Question | Answer |
| DSM-5 criteria for GAD | A. Excessive anxiety and worry, occurring for at least 6 months. B. Difficult to control the worry. C. The anxiety and worry are associated with at least three symptoms. D. These symptoms cause significant distress or impairment. |
| GAD symptoms | 1. Restlessness/feeling keyed up or on edge 2. Easily fatigued 3. Difficulty concentrating or mind going blank 4. Irritability 5. Muscle tension 6. Sleep disturbance |
| History of GAD in the DSM | 1. residual disorder until DSM-III-R 2. Worry as central characteristic, and 18 somatic symptoms in DSM-III 3. since DSM-IV only 6 somatic symptoms 4. Continues to have lower interrater reliability than many other disorders. |
| Features of GAD | 1. "basic" anxiety disorder. 2. Strong overlap with depression. 3. Commonly co-occurs with irritable bowel syndrome and headaches. 4. 9% lifetime prevalence. 5. Mean age of onset 30 years. 6. Lower treatment succes rates and unremitting without therapy. |
| Function of worry | It's not typically an effective problem-solveing strategy. |
| Distonctions from normal worry (pathological worry) | Topics tend to be the same, but greater focus on minor events and personal inadequacy. Excessiveness and uncontrollability are key Meta-worry: worry about worry |
| Pathological worry: Distinctions from obsessions | Worry is more likely to be ego-syntonic and focus on non-bizarre content. Worries are resisted less than obsessions. Worries are verbal/linguistic, obsessions more often images/impulses |
| Pathological worry: Distinctions from rumination | Worry focuses more on future, rather than past Worry is broader in content |
| Intolerance of uncertainty | Trait that describes distress when focusing on unvertain or unknown outcomes. Elevated in multiple anxiety disorders but mainly associated with GAD. Escalates because we can never be certain of things. Linked to avoidance behavior. |
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