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Part II ISQ Club - Depression

28 posts in this topic

Part II ISQs on two topics will be posted twice a week. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook you used). Please only deal with one ISQ in each post and include the question as the first line of your post. All ISQs are taken from previous posts by Forum members.

In a few days this ISQ Club thread will be moved to the Question Bank board. If you submit an answer, your status will be changed to 'Question Bank member' and you will be able to see the Question Bank board. Please allow up to 48 hours for this change to happen.

1. Bilateral ECT is more effective than unilateral

2. ECT is contraindicated with a diagnosis of dementia

3. The gender difference for affective disorders increases with age

4. There is a blunted TSH/TRH response in depression

5. Clonidine-induced GH response is blunted in depression

6. British psychiatric morbidity survey show that 1% of people have suicidal ideation in the past week.

7. The prognosis for depression is better if the depression occurs early.

8. Depression improves spontaneously more frequently in older age

9. Use of a light box for Seasonal Affective Disorder is equally effective when used in the morning or the evening

10. In Seasonal Affective Disorder, melatonin secretion at night increases in the winter

11. The prevalence of depression in old age is 13%

12. Loss of weight is associated with normal bereavement

13. Lithium is neuro-protective at therapeutic doses

14. St. John's Wort decreases the efficiency of oral contraceptives

15. Treatment of depression in CFS improves prognosis

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14. St. John's Wort decreases the efficiency of oral contraceptives

TRUE

(Pg 658, BNF)

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3. The gender difference for affective disorders increases with age

FALSE

(Pg 737, Comp to Psych Studies, 6th Ed, Johnstone et al)

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1. Bilateral ECT is more effective than unilateral

TRUE

(Pg 1119, Synopsis of Psy, 8th Ed, Kaplan & Sadock)

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2. ECT is contraindicated with a diagnosis of dementia

FALSE

(Pg 1121, Synopsis of Psy, 8th Ed, Kaplan & Sadock)

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5. Clonidine-induced GH response is blunted in depression

TRUE

(Pg 226, Exam Notes in Psych, Basic Sc, Malhi & Mitchell)

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4. There is a blunted TSH/TRH response in depression

TRUE

(Pg 225, Exam Notes in Psych, Basic Sc, Malhi & Mitchell)

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7. The prognosis for depression is better if the depression occurs early.

FALSE

(Pg 55, Exam Notes in Psych, Buckley, Bird & Harrison)

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9. Use of a light box for Seasonal Affective Disorder is equally effective when used in the morning or the evening

TRUE

(Pg 407, Comp to Psych St, 6th Ed, Johnstone et al)

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8. Depression improves spontaneously more frequently in older age

FALSE

(Pg 527-8, Oxford Txt of Psych, 3rd Ed, Gelder et al)

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10. In Seasonal Affective Disorder, melatonin secretion at night increases in the winter

TRUE

“…while healthy volunteers showed no seasonal change, the nocturnal melatonin secretion of patients with SAD was longer in winter than in summer.”

The British Journal of Psychiatry (2003) 182: 174-176

http://bjp.rcpsych.org/cgi/content/full/182/2/174

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11. The prevalence of depression in old age is 13%

FALSE

10%

(Pg 527, Oxford Txt of Psych, 3rd Ed, Gelder et al)

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15. Treatment of depression in CFS improves prognosis

TRUE

(Pg 651, Synopsis of Psy, 8th Ed, Kaplan & Sadock)

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WELL DONE DK2004.

PLS REFER TO REVISION NOTES IN PSYCH. PURI AND HALL  Pg 417 for Prevalence of Depression in the elderly

11-16%.

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15. Treatment of depression in CFS improves prognosis

true

TCA used

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12. Loss of weight is associated with normal bereavement

true

ref puri and hall pg 42

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13. Lithium is neuro-protective at theraputic doses

TRUE

Biol Psychiatry 1999 Oct 1;46(7):929-40

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9 Use of a light box for seasonal affective disorder is equally effective when used in the morning or the evening.

False

Manchester notes -

'The best evidence comes from trials which suggest that bright light is most effective when administered in the early morning (Lewy, Arch Gen Psych 55 890-6 1998)

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9. Use of a light box for Seasonal Affective Disorder is equally effective when used in the morning or the evening

FALSE

'it is most effective in the morning'

APT (2004) 10:233-240

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6-. British psychiatric morbidity survey show that 1% of people have suicidal ideation in the past week.

true. Manchester course

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3- The gender difference for affective disorders increases with age

false.

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14- St. John's Wort decreases the efficiency of oral contraceptives

true. as it is enzyme inducer. {Maudsley prescribing guidlines 2003}

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11. The prevalence of depression in old age is 13%

I am very tempted to say TRUE because Core Psychiatry Pg479 11.3% - 15.9%!

What do others think?

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11. The prevalence of depression in old age is 13%  

I am very tempted to say TRUE because  Core Psychiatry Pg479 11.3% - 15.9%!

What do others think?

APT march 04 'Management of Depression in Later Life' refers to Beehman et al study 1999 of depression community prevelence of 13.5% in the elderly but 'depressive episode' being 2%. Artical suggests figures are doubled in nursing homes.

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