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Week 15 Key Issue and Brown SID

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Week 15 Key Issue and Brown SID

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Week 15 Key Issue and Brown SID

  1. 1. How could we … … better educated the public about the issues of mental health? What would you want to tell them to help remove the stigma of mental health disorders?
  2. 2. Lesson Objectives By the end of the lesson you … • Must be able to describe (AO1) one key issues in clinical psychology. • Should be able to prepare a leaflet using secondary data for a particular audience about the key issue.
  3. 3. • Must be able to describe (AO1) one key issues in clinical psychology. • Should be able to prepare a leaflet using secondary data for a particular audience about the key issue.
  4. 4. Brown 1986 • Write down 5 symptoms of unipolar depression • What are two explanations for unipolar depression? • What are two treatments for unipolar depression?
  5. 5. Lesson Objectives By the end of the lesson you … • Should be able to describe (AO1) and evaluate (AO2) Brown 1986.
  6. 6. Specification • Describe and evaluate Rosenhan (1973) and two other studies. One other study must focus on schizophrenia (Gottesman & Shields) and one other study must focus on one other chosen disorder (Brown – unipolar depression).
  7. 7. Aims • To see whether crisis support protects against the onset of depression • To see if a lack of support and low selfesteem are vulnerability factors for depression • To see if support from someone close reduces the risk of depression
  8. 8. Key Terms • Core support = support of a husband, partner or close relation • Crisis support = professional support at the time of a major life event
  9. 9. Procedure (Design) • Prospective design • What does this mean? • Longitudinal and began when the participants were not affected by depression. This allows risk factors to be studied without depression affecting their answers.
  10. 10. Procedure (Sample) • • • • Women Islington, North London Aged 18-50 Women with husbands in manual occupations/single mothers (working class) • At least one child living at home • Letter sent out by GP • 395 in sample at start
  11. 11. Procedure (Phase 1) • Measures of self-esteem taken • Psychiatric history noted
  12. 12. Procedure (Phase 2) • One year later • Data collected about any onset of psychiatric disorder since first contact • Measures of life event stress and social support taken by experienced interviewers using semi-structured interviews • Satisfactory inter-rater reliability
  13. 13. Attrition Rate • Only 353 of the original 395 agreed to phase 2. • Of these 353, 50 women were excluded from phase 2 because they were found to already be depressed. • This left 303 women whose data was analysed after phase 2.
  14. 14. Results • Of the 303 women, 150 had experienced a severe event between phase 1 and phase 2. • 32 of these women had the onset of depression.
  15. 15. Results • 29 of the 32 had experienced a major life event involving a loss, failure or disappointment six months prior to developing depression.
  16. 16. Results • Having negative self-esteem had a significant effect on a woman’s reaction to the major life events.
  17. 17. Results • Of the 9 women who did not have core support or crisis support 4 of these developed depression (44%)
  18. 18. Conclusions • Core support reduced the onset of depression if it remained consistent • BUT if core support was not received at crisis there was an increased risk of depression • Low self-esteem is implicated in the onset of depression when a major life event is experienced • A major life event seemed to be necessary for the development of depression in most cases
  19. 19. Evaluation • R inter-rater reliability, follow up study, semi-structured interview • A treatment of risk factors • V experienced interviewers, qualitative and quantitative data, no causality, social desirability • E sensitive research, withdrawal • S random sampling, large sample, all women, all working class, attrition rate
  20. 20. Plenary • 1. Why did the researchers choose a prospective design? • 2. How might the attrition rate have affected the data collected? • 3. What do the findings seem to suggest about a possible explanation for depression?
  21. 21. • Should be able to describe (AO1) and evaluate (AO2) Brown 1986.
  22. 22. www.jamiesflipped.co.uk @jamiesflipped

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