Deck 4: Generalized Anxiety Disorder GAD
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Deck 4: Generalized Anxiety Disorder GAD
1
Which of the following is not one of the diagnostic symptoms of GAD listed in DSM-5?
A) Feeling on edge
B) Irritability
C) Low mood
D) Sleep disturbance
A) Feeling on edge
B) Irritability
C) Low mood
D) Sleep disturbance
C
2
Which of the following is one of the key features that distinguishes worry in GAD from normal worry?
A) It temporarily reduces anxiety.
B) The content of the worry.
C) The individual feels that they cannot control the worry.
D) The worry is carried out in a ritualized and mechanical way.
A) It temporarily reduces anxiety.
B) The content of the worry.
C) The individual feels that they cannot control the worry.
D) The worry is carried out in a ritualized and mechanical way.
C
3
Which of the following is not a negative prognostic indicator for recovery from GAD discussed in the chapter?
A) Length of illness.
B) Difficult family relationships.
C) Comorbid personality disorder.
D) Stressful life events.
A) Length of illness.
B) Difficult family relationships.
C) Comorbid personality disorder.
D) Stressful life events.
A
4
In one etiological model of GAD, worry is considered to be part of constructive problem-focused coping in healthy individuals. In this model, individuals who go on to develop GAD …
A) Have parents with high levels of negative expressed emotion.
B) Lack confidence in their ability to solve problems.
C) Have high levels of neuroticism.
D) Lack serotonin receptors in key areas of the brain.
A) Have parents with high levels of negative expressed emotion.
B) Lack confidence in their ability to solve problems.
C) Have high levels of neuroticism.
D) Lack serotonin receptors in key areas of the brain.
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5
Type 2 or "meta" worry is …
A) Globalized worry about all aspects of life.
B) Worry about individuals that one is close to.
C) Worry regarding things that one has no control over (e.g., world events).
D) Worry about worrying itself.
A) Globalized worry about all aspects of life.
B) Worry about individuals that one is close to.
C) Worry regarding things that one has no control over (e.g., world events).
D) Worry about worrying itself.
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6
Which of the following is not a brain region widely held to be associated with GAD?
A) Basal ganglia
B) Amygdala
C) Cerebellum
D) Superior temporal gyrus
A) Basal ganglia
B) Amygdala
C) Cerebellum
D) Superior temporal gyrus
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7
Most people who develop GAD do so before they are 20 years old.
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8
Which of the following is a drawback of treating GAD with benzodiazepines?
A) Longer delay before onset of clinical action as compared with SSRIs
B) Less short-term clinical efficacy than CBT
C) Risk of long-term tolerance
D) High rate of sexual side effects
A) Longer delay before onset of clinical action as compared with SSRIs
B) Less short-term clinical efficacy than CBT
C) Risk of long-term tolerance
D) High rate of sexual side effects
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9
Which of the following is the best overall summary of research on the efficacy of new CBT variants for treating GAD?
A) More work is needed to understand what treatment components are effective.
B) None have shown promise.
C) Non-CBT derived treatments consistently outperform them.
D) They are rarely informed by etiological models of GAD.
A) More work is needed to understand what treatment components are effective.
B) None have shown promise.
C) Non-CBT derived treatments consistently outperform them.
D) They are rarely informed by etiological models of GAD.
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10
Which of the following is not a common component of CBT treatment for GAD?
A) Relaxation training.
B) Imaginal exposure.
C) Monitoring cues and triggers for worry.
D) In-session induction of somatic symptoms.
A) Relaxation training.
B) Imaginal exposure.
C) Monitoring cues and triggers for worry.
D) In-session induction of somatic symptoms.
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11
Research on GAD has suffered due to:
A) Lack of interest among the academic community
B) Consistent exclusion of participants due to comorbid substance abuse disorder
C) Unreliable and changing diagnostic status of GAD
D) None of the above
A) Lack of interest among the academic community
B) Consistent exclusion of participants due to comorbid substance abuse disorder
C) Unreliable and changing diagnostic status of GAD
D) None of the above
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12
Although research findings have been largely inconclusive, which of the following neurotransmitters has been studied and potentially implicated in GAD?
A) Serotonin
B) GABA
C) Cortisol
D) All of the above
A) Serotonin
B) GABA
C) Cortisol
D) All of the above
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13
Which of the following is the best-studied psychological intervention for GAD?
A) Cognitive Behavioral Therapy (CBT)
B) Behavioral Activation (BA)
C) Dialectical Behavior Therapy (DBT)
D) Mentalization Based Therapy
A) Cognitive Behavioral Therapy (CBT)
B) Behavioral Activation (BA)
C) Dialectical Behavior Therapy (DBT)
D) Mentalization Based Therapy
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14
In reviews of pharmacotherapy for GAD, which pharmacological treatment is considered as the "first-line therapy" for GAD?
A) Benzodiazepines
B) Selective Serotonin Reuptake Inhibitors (SSRIs)
C) Buspirone
D) Second-generation antipsychotic medications
A) Benzodiazepines
B) Selective Serotonin Reuptake Inhibitors (SSRIs)
C) Buspirone
D) Second-generation antipsychotic medications
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