Day # 74: Review Quiz -> Anxiety Part 3

Today will be our third review quiz for the anxiety disorder theme. Take a few minutes and check your learning.

1) Which of the following increases the risk of developing social anxiety disorder?

a) Male gender

b) Higher socioeconomic status

c) Latino heritage

d) Asian heritage

e) Native American heritage

f) Older age

g) Living in an urban setting

2) Which of the following criteria is not required to diagnose panic disorder?

a) Recurrent and unexpected panic attacks with no known trigger.

b) Panic attacks characterized by ≥ 4 physical or cognitive symptoms.

c) Panic attacks occur ≥ once per month.

d) At least one of the attacks are followed by ≥1 month of persistent concerns about attacks and/or a maladaptive change in behavior.

3) At what age is the peak incidence for separation anxiety disorder?

a) 4-5 years old

b) 7-8 years old

c) 10-11 years old

d) 13-14 years old

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Answers

DON'T LOOK UNTIL YOU HAVE FINISHED THE ENTIRE QUIZ

Question 1:

From day #69

Answer: e

Native American heritage.

Explanation:

• Risk factors for social anxiety disorder 3

• Factors that increase risk include: Early childhood adversity, family history of SAD, female gender (mild), younger age, early childhood shyness, behaviorally inhibited temperament (tendency to experience distress and withdraw), native american heritage, and low socioeconomic status.

• Factors that decrease risk include: asian, black, or latino heritage and living in an urban setting.

Question 2:

From day #70

Answer: c

Panic attacks do not need to occur ≥ once per month in order to be diagnosed with panic disorder.

Explanation:

The diagnostic criteria for a panic attack are as follows 2:

• Abrupt surge of intense anxiety/discomfort that peaks within minutes.

• Presence of at least four of the following symptoms:

• Physical -> palpitations/tachycardia, sweating, trembling, shortness of breath, choking sensation, chest pain/discomfort, GI upset, pre-syncope, diaphoresis, and extremity tingling.

• Cognitive -> fear of losing control, fear of death, derealization (people/surroundings seem unreal), or depersonalization (sense of detachment from your body/identity).

The diagnostic criteria for panic disorder are as follows 3:

• Recurrent and unexpected panic attacks with no known trigger.

• At least one of the attacks are followed by ≥1 month of one or both of the following:

• Persistent concern about additional attacks or their consequences.

• A significant maladaptive change in behavior related to the attacks (especially avoidance behaviors).

•The frequency of these attacks varies widely between and within individuals. Attacks may occur daily or weekly and may even be separated by months without attacks.

Question 3:

From day #72

Answer: b

7-8 years old

Explanation:

Epidemiology/Pathogenesis

• Prevalence estimated to be ~4-5% in children/adolescents and lifetime prevalence in adults of 6.5%.

• More common in younger children than in adolescents with peak incidence around 7-8 years old.

• Some studies report occurrence equally in boys and girls while others report higher cases in girls.

• Risk factors include: Family history of anxiety disorders, maternal depression and anxiety, poverty, parental overprotection, insecure parent-child attachment, behavioral inhibition (temperament of shyness and withdrawal), may be preceded by a stressful life event (such as severe illness of a primary caregiver).

CONCLUSION

Nice work. If you want to see all of the weekly quizzes you can see them here. Next lesson we will discuss benzodiazepines.