Deck 20: Integrating Psychopharmacology and Psychological Therapies in Patient Care

Question 1

Thase and coworkers (2007)demonstrated that in depressed patients failing to respond to initial drug therapy,an augmentation therapy adding cognitive therapy was just as effective as switching to a different drug.

Answer 1

True

Question 2

A group of caregivers for a patient with a mental or psychological illness is termed a:

A)psychiatrist.
B)treatment team.
C)hospital team.
D)psychological team.

Answer 2

B

Question 3

The number of Americans seeking mental health care has __________ in the past 20 years.

A)stayed constant
B)doubled
C)tripled
D)quadrupled

Answer 3

B

Question 4

Gilbody and coworkers' treatment teams are made up of a team of caregivers,which may include a case manager,a primary care practitioner,and a mental health professional.

Question 5

In the CATIE and Cutlass studies,patients with schizophrenia were relatively compliant with medication prescriptions.

Question 6

In the United States,psychologists:

A)can prescribe drugs in every state.
B)cannot prescribe drugs in any state.
C)can prescribe drugs in all states except New Mexico and Louisiana.
D)cannot prescribe drugs in any state except New Mexico and Louisiana.

Question 7

Collaborative (as opposed to standard primary)care:

A)fails to improve either short-term or long-term outcomes in depression.
B)improves short-term but not long-term outcomes in depression.
C)improves long-term but not short-term outcomes in depression.
D)improves short-term and long-term outcomes in depression.

Question 8

The addition of cognitive-behavioral therapy fails to improve drug treatment outcome in depressed children and adolescents.

Question 9

Nearly two-thirds of physicians' patients have a diagnosable mental condition.

Question 10

In the STAR*D Study,medication efficacy in treating depression in adults was about ________ with the first drug.

A)1 percent
B)10 percent
C)30 percent
D)60 percent

Question 11

The approach used to treat mental illness is best viewed as similar to the approach used to treat chronic diseases such as diabetes and hypertension.

Question 12

Medication alone in the treatment of mental illness is usually sufficient for successful outcome.

Question 13

________ is the most formidable obstacle to future progress in the arena of mental illness.

A)Cost
B)Lack of respect between physicians and therapists
C)Patient resistance to referral to psychotherapists
D)All of the answers are correct.

Question 14

Gilbody and coworkers' results confirmed the effectiveness of collaborative care in improving long-term treatment of depression.

Question 15

A formidable obstacle to future progress in the arena of mental illness is the cost.

Question 16

There is a general perception among physicians and patients that medications alone can alleviate disease.

Question 17

In the STAR*D Study,with multiple medication switches or augmentation,the remission rate increased to about:

A)10 percent.
B)30 percent.
C)60 percent.
D)90 percent.

Question 18

The approach used to treat mental illness with medication is best viewed as similar to the approach used to treat bacterial infections with antibiotics.

Question 19

In the United States,psychiatrists:

A)can prescribe drugs in every state.
B)cannot prescribe drugs in any state.
C)can prescribe drugs in all states except New Mexico and Louisiana.
D)cannot prescribe drugs in any state except New Mexico and Louisiana.

Question 20

Which of the following statements is TRUE?

A)There is now a general consensus that depression can be best treated by a combination of
B)There is now a general consensus that depression can be best treated by pharmacotherapy only.
C)There is now a general consensus that depression can be best treated by psychological
D)There is now a general consensus that depression can be best treated by admittance to a

Question 21

In the CATIE and Cutlass studies,compliancy varied with the antipsychotic medication prescribed.

Question 22

Comparison of the STAR*D and TADS studies reveals that the proportion of depressed adults and children who respond to initial drug therapy differs drastically.

Question 23

Academic research of drug treatments is more likely to be supported than research into alternative approaches.

Question 24

Psychologists are not allowed to prescribe drugs in any states in the United States.

Question 25

Swartz,et al.,(2007)concluded that medications alone are sufficient to offer rehabilitative outcomes.

Question 26

In the STAR*D study,medication efficacy in treating depression in adults was about 90 percent.

Question 27

New research suggests that clinical psychologists are not adequately trained in the sciences.

Question 28

Psychiatrists are not allowed to prescribe drugs in the United States

Question 29

Insurance companies are more likely to reimburse medications than non-drug therapies.

Question 30

In the STAR*D study,the proportion of depressed adults who responded to a medication switch or augmentation was twice that of those who responded to initial drug therapy.

Question 31

In the STEP-BD study,about 50 percent of patients relapsed frequently.

Question 32

With the exception of New Mexico and Louisiana,psychologists can prescribe drugs in the United States.

Question 33

Depression is best treated by pharmacotherapy alone.

Question 34

Approximately 70 percent of individuals in the TADs study responded to medication alone.

Question 35

With the exception of New Mexico and Louisiana,psychiatrists can prescribe drugs in the United States.

Question 36

In the STEP-BD study,remission of bipolar symptoms was achieved in fewer than 30 percent of people.

Question 37

Current training in medical schools stresses psychological approaches to treatment.

Question 38

In some areas of the country,psychologists can be licensed to prescribe psychotherapeutic drugs.

Question 39

In treatment of major depressive disorder,according to the TADs study,antidepressant medications are more effective when combined with cognitive behavioral therapy.

Question 40

Depression can best be treated by adding psychotherapeutic interventions to pharmacotherapy.

Question 41

In chronic depression,psychotherapy is more effective than it is in non-chronic depression.

Question 42

For patients with social anxiety disorder,drug therapy is significantly more effective than placebo.

Question 43

The standards of scientific quality in doctoral programs in clinical psychology have markedly increased over time.

Question 44

There is now considerable evidence that psychological treatments have significant effects on depression.

Question 45

The number of Americans receiving mental health care has almost doubled in the past several years.

Question 46

In chronic depression,pharmacological treatment is more effective than it is in nonchronic depression.

Question 47

The role of clinical psychologists in providing therapeutic interventions has drastically increased over the last twenty years.

Question 48

New research suggests that behavioral therapy is overused.

Question 49

For patients with social anxiety disorder,cognitive behavioral therapy does not increase the effectiveness of pharmacotherapy.

Question 50

For patients with social anxiety disorder,behavioral treatment is no more effective than placebo.