Deck 11: Anxiety Disorders and Obsessivecompulsive Disorder

Question 1

Which of the following is true of selective mutism?

A) It is relatively rare.
B) It typically occurs in late childhood.
C) It typically resolves itself without intervention.
D) It is a relatively short-term condition.

Answer 1

It is relatively rare.

Question 2

Results of the Child-Adolescent Anxiety Multimodal Study (CAMS)indicated which of the following?

A) For selective mutism, SSRIs were the most effective treatment.
B) For GAD, SSRIs were as effective as CBT.
C) For SAD, social phobia, and GAD, the combination of Zoloft and CBT increased the likelihood of improvement compared to either treatment alone.
D) No treatment was found to be more effective than placebo.

Answer 2

For SAD, social phobia, and GAD, the combination of Zoloft and CBT increased the likelihood of improvement compared to either treatment alone.

Question 3

Jo has just been adopted.Since his adoption,he has not spoken to his adoptive parents.Which of the following would NOT help in assessing whether or not he has selective mutism ?

A) knowing Jo's age
B) knowing if Jo's language background is the same as that of his adoptive parents
C) knowing if he speaks to others
D) knowing if he has any biological siblings

Answer 3

knowing if he has any biological siblings

Question 4

Learning to identify the somatic sensations associated with anxiety corresponds to which step of the FEAR acronym as a cognitive-behavioral treatment for anxiety?

A) feeling frightened 
B) expecting bad things to happen 
C) actions and attitudes
D) results and rewards

Question 5

One primary difference in separation anxiety disorder between children and adolescents is which of the following?

A) In young children, the disorder is seen primarily in males, while in adolescence the disorder is seen primarily in females.
B) Somatic complaints are more common in adolescents with separation anxiety disorder than in children with separation anxiety disorder.
C) Young children with separation anxiety disorder more commonly worry about harm befalling them or other loved ones through unlikely means, while older children worry about more realistic events.
D) Separation anxiety disorder needn't persist as long to be diagnosed in young children compared to adolescents.

Question 6

Anxiety disorders are ______.

A) very rare in adolescents
B) more common in boys than girls in childhood, though this reverses in adolescence
C) present in approximately 20% of children and adolescents at any given time
D) more common in adolescents than in children

Question 7

Seana is afraid of driving on the freeway,especially to unfamiliar places.She learns of an internship that sounds perfect for her future career goals,but it requires her to drive on the freeway to get there.Seana decides she can't go to the interview.This is an example of an anxiety that has an unusual degree of which of the following factors?

A) intensity
B) chronicity
C) degree of impairment
D) number of situations in which it occurs

Question 8

Josie,age 5,has separation anxiety disorder.Based on the Early Developmental Stages of Psychopathology study,which of the following is most likely to be true of Josie at age 15?

A) She will still meet criteria for separation anxiety disorder.
B) She will no longer display symptoms of any anxiety disorder.
C) She will likely not meet criteria for separation anxiety disorder but is likely to meet criteria for a different anxiety or depressive disorder.
D) She will likely meet criteria for both separation anxiety disorder and another anxiety or depressive disorder.

Question 9

Which of the following anxiety disorders does NOT typically emerge in early or middle childhood?

A) separation anxiety disorder
B) panic disorder
C) selective mutism
D) specific phobia

Question 10

Genetic factors play the smallest role in  which of the following?

A) generalized anxiety disorder
B) separation anxiety disorder
C) social anxiety disorder
D) panic disorder

Question 11

The results of research studies on the effectiveness of medications in treating anxiety disorders have indicated which of the following?

A) Stimulants seem most effective in treating anxiety disorders.
B) Antipsychotics seem most effective in treating anxiety disorders, but they have not yet been rigorously tested in adolescents.
C) SSRIs seem most effective in treating anxiety disorders, but they only result in substantial improvement about half of the time.
D) Lithium seems most effective in treating anxiety disorders, but its side effects limit its usefulness.

Question 12

Sophia,a child with OCD,has an obsession that stepping on a crack will result in harm befalling her family members.If she does so by mistake,she has to walk in five circles.As part of her treatment,her therapist has her intentionally step on a crack and will not allow her to walk in five circles.What is this aspect of treatment called?

A) information gathering
B) exposure and response prevention
C) generalization
D) cognitive restructuring

Question 13

Which of the following is NOT a way in which maladaptive anxiety differs from adaptive,healthy anxiety?

A) intensity
B) chronicity
C) degree of impairment
D) number of situations in which it occurs

Question 14

Which of the following is NOT thought to be acquired through classical conditioning or social learning and maintained through negative reinforcement?

A) social anxiety disorder
B) panic disorder
C) specific phobia
D) separation anxiety disorder

Question 15

Selective mutism is most strongly comorbid with which of the following?

A) separation anxiety disorder
B) specific phobia
C) social anxiety disorder
D) panic disorder

Question 16

Studies on the effectiveness of cognitive-behavioral therapy to treat anxiety disorders have indicated which of the following?

A) Only the behavioral component is necessary for effective treatment.
B) Only the cognitive component is necessary for effective treatment.
C) It is effective as measured by improvements in self-report, parent report, and behavioral observations but these benefits are not clinically significant.
D) It is effective as measured by improvements in self-report, parent report, and behavioral observations and these benefits are clinically significant, such that most children who participate in CBT no longer meet diagnostic criteria for anxiety disorders after treatment.

Question 17

Benny is 14 months old and every time his mom leaves for work,he cries for about 5 minutes.This is ______.

A) developmentally normative
B) inappropriate because of its unusual intensity
C) inappropriate because of its unusual chronicity
D) inappropriate because of its unusually high degree of impairment

Question 18

Risk for anxiety is greatest for which of the following?

A) among those with insecure attachment, though the studies that have been conducted cannot determine which factor came first
B) among those with low levels of behavioral inhibition
C) among those with high levels of behavioral inhibition
D) in those with high behavioral inhibition and insecure attachment

Question 19

Malik is sitting in class thinking about the dinner he has planned with his friends over the weekend when the teacher calls on him.As he tries to think what she might have asked,all he wants to do is to slide down in his seat.He feels his heart beating quickly.Malik is experiencing which of the following?

A) worry
B) cognitive aspects of anxiety
C) fear
D) attention violation effect

Question 20

Two large studies have examined the effectiveness of various treatments for OCD.What were the central findings of these two studies (POTS I and POTS II)?

A) Sertraline and CBT were approximately equally effective in treating OCD in youths.
B) A combination of sertraline and CBT was the most effective treatment for OCD in youths.
C) Sertraline was most effective when coupled with information regarding exposure and response prevention, but whether the exposure and response prevention was led by a therapist or led by parents did not influence the effectiveness.
D) CBT was only effective when led by a trained therapist and the addition of sertraline did not increase the effectiveness of treatment.

Question 21

In order to meet criteria for diagnosis,children with Specific Phobia must ______.

A) consistently and completely avoid situations in which they might encounter their feared stimulus
B) know that their fear is excessive and unreasonable
C) cling to their attachment figure when in the presence of a feared stimulus
D) experience fear that is more extreme than the actual danger of the stimulus warrants

Question 22

Hilari is terrified to present her poem in front of her 10th-grade English class.She's worried that others will think it's stupid,or that she'll trip on the way up to the front of the room,or that her classmates will make fun of her.These thoughts are consistent with which of the following?

A) specific phobia: situational subtype
B) generalized anxiety disorder
C) social anxiety disorder
D) panic disorder

Question 23

Two months ago,Judy had her first panic attack,and it was very severe.She's been worrying about having another one ever since.Her panic attack occurred while she was at the gym,so she's avoided the gym for the past two months,significantly cutting down her physical activity and leaving many of her cross-fit buddies to wonder where she is.Can Judy be diagnosed with panic disorder?

A) Yes, because she's been worried for months about having another attack and has changed her behavior as a result of the attack.
B) No, because the duration of the worry and change in behavior is not long enough.
C) No, because she has had only one panic attack.
D) No, because these changes in her routines are not sufficient to constitute clinically significant distress or impairment.

Question 24

Systematic desensitization differs from graded exposure in that ______.

A) only graded exposure involves a hierarchy of feared stimuli
B) graded exposure takes much longer than systematic desensitization
C) only graded exposure involves classical conditioning
D) systematic desensitization is essentially graded exposure plus relaxation training which produces an incompatible response to anxiety in the presence of a feared stimulus

Question 25

Phobias can be classically conditioned when ______.

A) fear becomes an unconditioned response
B) a neutral stimulus becomes an unconditioned stimulus
C) an unconditioned stimulus is paired with a conditioned response
D) a neutral stimulus is repeatedly paired with an unconditioned stimulus

Question 26

Which of the following is a behavioral symptom of fear or anxiety?

A) avoidance
B) negative self-statements
C) increased heart rate
D) minimizing the ability to cope

Question 27

The evidence supports which of the following regarding the genetic component of specific phobia?

A) There is a prominent genetic component for specific phobia.
B) Animal phobia appears to be propagated via epigenetic effects.
C) Blood-injection-injury phobias tend to have a relatively greater genetic component than other phobias.
D) A specific genetic marker that increases predisposition to specific phobia has been located on the 7th chromosome.

Question 28

Tamar's brother,Eric,witnessed Tamar become scared by a monster in a movie.Now,Eric is also scared of monsters.Eric's fear developed through which of the following?

A) classical conditioning
B) operant conditioning
C) observational learning
D) informational transmission

Question 29

Which of the following phobias is equally common in boys and girls?

A) animals
B) heights
C) blood-injection-injury
D) natural disasters

Question 30

Tamar was watching a movie with a violin soundtrack.At one point,a scary monster came on the screen and Tamar got scared.Later,when she heard violins,she shrieked and asked her mother to turn the music off.This is an example of which of the following?

A) classically conditioned fear
B) classically conditioned worry
C) negative punishment
D) association anxiety

Question 31

Which of the following best describes the effectiveness of CBT for youths with panic disorder?

A) Evidence has indicated that the cognitive component is most effective for youths.
B) Evidence has indicated that the behavioral component is most effective for youths.
C) Evidence has indicated that CBT is not effective in youths with panic disorder unless it includes interoceptive exposure.
D) No randomized, controlled trial of sufficient size has yet investigated the effectiveness of CBT for panic disorder in youths.

Question 32

What is the relationship between gender and panic attacks?

A) Panic attacks are more common in girls, but more severe when they occur in boys.
B) Panic attacks are more common in boys, but more severe when they occur in girls.
C) Panic attacks are equally common among boys and girls, but more severe in girls.
D) Panic attacks are more common in girls, but panic disorder is more common in boys.

Question 33

Research has indicated that all of the following are ways in which parents might contribute to social anxiety disorder in their children EXCEPT ______.

A) genetics
B) parental modeling or teaching of anxiety responses
C) parental avoidance of charged discussions
D) parental practices that allow the child too much autonomy

Question 34

In DSM-5 classification,a fear of enclosed places would fall into which category of phobias?

A) natural environment
B) specific situations
C) other stimuli
D) suffocating or choking

Question 35

Which of the following is true about panic disorder?

A) It cannot, by definition, occur in children under the age of 10.
B) It is most common in those between the ages of 15 and 19.
C) It is usually diagnosed shortly after the onset of symptoms.
D) It is most common in those between 10 and 15.

Question 36

Which of the following is most strongly associated with the likelihood an individual will seek treatment for a panic attack?

A) age of onset
B) history of panic attacks
C) number of symptoms experienced
D) comorbidity with social anxiety disorder

Question 37

One theory of the causes of panic disorder says that it arises in part from  which of the following?

A) low anxiety sensitivity
B) unusually low sensitivity to the typical symptoms of arousal and anxiety that causes only extreme forms, such as a panic attack, to be characterized and understood
C) a tendency to personalize negative events
D) a tendency toward overly rational thinking, which can be overwhelmed by the somatic symptoms of a panic attack

Question 38

How do the feared stimuli in specific phobia vary across child development?

A) Younger children are more likely to fear blood and injury than are older children.
B) Fear of being alone is more common in adolescence than in childhood.
C) Fear of animals usually does not develop until late childhood or early adolescence.
D) The most common fear is fear of the dark.

Question 39

Parents of children with social anxiety disorder are often described as ______.

A) intrusive and overprotective
B) harsh and cold
C) reasonable and accommodating
D) alternating between hostile and permissive

Question 40

A panic attack includes which of the following?

A) cognitive symptoms, such as feelings of unreality or detachment
B) emotional systems, such as thoughts of losing control
C) somatic symptoms, such as the desire to flee a situation
D) intense autonomic arousal

Question 41

Which is true about children with generalized anxiety disorder?

A) They needn't experience any symptoms as a result of their worrying, while adults must.
B) They must experience a somatic symptom as a result of their worrying, while for adults the symptom must be cognitive.
C) They must experience a somatic symptom as a result of their worrying, while adults must experience at least two symptoms, of which at least one must be cognitive.
D) They must experience at least one symptom as a result of their worrying, while adults must experience at least three.

Question 42

The frequency and severity of GAD increases with children's ______.

A) capacity for worry
B) need for reassurance
C) linguistic ability
D) social awareness

Question 43

Mila is afraid of germs.In order to treat Mila,her therapist has her rub her hands in dirt and then she must sit there for 10 minutes without washing it off or using hand sanitizer.At the end of the 10 minutes,her therapist gives Mila lots of praise for tolerating her feared situation.Which of the following is true?

A) This is an example of classical conditioning.
B) Washing her hands would be negatively reinforcing.
C) The praise is positive reinforcement.
D) This is an example of modeling.

Question 44

Laila is worried that her classmates won't like her,that she won't do as well as she wants to in school,and that she won't get into a good college.Which of the following would be most helpful in determining whether Laila might meet criteria for generalized anxiety disorder?

A) knowing whether these worries impact her daily functioning
B) knowing how old Laila is
C) knowing whether she worries about things in the home setting as well
D) knowing whether Laila worries equally on the weekends as she does on weekdays

Question 45

A primary theory of the persistence of worry,the cognitive avoidance theory,indicates that worry is which of the following?

A) positively reinforcing
B) negatively reinforcing
C) positively punishing
D) negatively punishing

Question 46

Differences between typical worrying and the worrying done by those with generalized anxiety disorder seem to be all of the following EXCEPT ______.

A) the topics of the worry
B) the amount of problem-solving engaged in while worrying
C) the persistence of the worry
D) the number and degree of cognitive distortions

Question 47

Which of the following best describes the causes of agoraphobia?

A) It is purely genetic.
B) It is purely due to overprotective parenting.
C) It is most likely to arise via positive reinforcement.
D) It is most commonly due to a combination of genetic risk and authoritarian parenting.

Question 48

Marlene spends most of the day thinking about fairies.Sometimes,when she's at school,thoughts about fairies will just pop into her head.Marlene's thoughts about fairies,therefore,sometimes interfere with her school work,but Marlene can't help it-she just loves thinking about fairies.Is Marlene experiencing an obsession with fairies?

A) Yes.
B) No, because we don't know how long this has been going on.
C) No, because she likes these thoughts.
D) No, because these thoughts don't spur her to complete compulsions.

Question 49

Which of the following factors is LEAST impactful in the development of OCD?

A) genetics
B) nonshared environmental factors
C) neurodevelopmental factors
D) shared environmental factors

Question 50

Which of the following is NOT part of the brain circuit thought to underlie OCD?

A) orbitofrontal cortex
B) amygdala
C) cingulate gyrus
D) caudate

Question 51

Children with OCD are ______.

A) much less common than adolescents with OCD
B) very unlikely to be receiving treatment
C) very unlikely to be male
D) very unlikely to have no comorbidities

Question 52

Which of the following was NOT a way that Mary Cover Jones attempted to reduce Peter's fear of rabbits?

A) bringing the rabbit closer to Peter, releasing the rabbit from its cage and then encouraging Peter to touch it
B) exposing Peter to additional animals
C) giving Peter candy when he did not protest the rabbit's presence
D) having Peter play with other children who were not afraid of the rabbit

Question 53

Which of the following is true about the course of OCD?

A) It is most likely to be chronic, particularly for those with early symptom onset.
B) It lasts 5 years or more for about half of youths with the disorder.
C) It is that, more often than not, the severity of symptoms lessens in late adolescence and early adulthood even without treatment.
D) It is that its symptoms usually lessen within the first 2 years of the condition.

Question 54

Gilda misses the bus and immediately thinks,"Now I'll have to walk all the way home and what if I get hit by a car or even kidnapped?" This is an example of which cognitive distortion?

A) catastrophizing
B) overgeneralizing
C) personalizing
D) absolute thinking

Question 55

The relationship between generalized anxiety disorder and depression entails all EXCEPT which of the following?

A) high comorbidity between the disorders
B) an increased risk for those with generalized anxiety disorder to develop depression later on
C) a particular risk for those with depression to develop generalized anxiety disorder later on
D) the existence of an "anxious-misery" factor as one that partially explains the development of generalized anxiety disorder and may also relate to depressive disorders

Question 56

Which anxiety disorder is most closely associated with depression?

A) social anxiety disorder
B) panic disorder
C) separation anxiety disorder
D) generalized anxiety disorder

Question 57

Which part of the cortico-basal-ganglionic circuit would be responsible for initiating an action in response to an irregularity in the environment (for instance,turning off the oven if it were left on)?

A) orbitofrontal cortex
B) amygdala
C) cingulate gyrus
D) caudate

Question 58

Jillian has always wanted to ride in a hot air balloon,but when she learns that the entire adventure involves 4 hours without access to a bathroom,Jillian feels she cannot do it.She can't bear the thought of having to go to the bathroom and being unable to for all that time,so she does not fulfill this dream.Jillian's behavior is most consistent with which of the following conditions?

A) specific phobia
B) agoraphobia
C) panic disorder
D) social anxiety disorder

Question 59

Mimi is trying to overcome her fear of flying.Which of the following treatment scenarios would be most consistent with an in vivo flooding with massed exposure approach?

A) first watching a video about an airport, then visiting an airport, then sitting on a small, nonmoving plane at an air and space museum, and finally boarding a plane without taking off before taking a very short airplane trip
B) thinking about how it would feel to fly
C) spending a few minutes every day relaxing while imagining flying in an airplane
D) booking a trip from New York to Australia and getting on the 18-hour flight

Question 60

Which of the following is NOT a typical difference between the obsessions of children with OCD and the obsessions of adults with OCD?

A) Children typically have more obsessions than adults do.
B) Children's obsessions tend to be more vague.
C) Children may be less willing to state their obsessions aloud.
D) Children's obsessions are more likely to change over time.

Question 61

Felicia is always plucking out the hair in her eyebrows; she does this without paying attention and sometimes looks up and an entire eyebrow is gone.She feels that she cannot control this habit and it is very distressing to her.Felicia is exhibiting symptoms consistent with which of the following?

A) normal behavior
B) trichotillomania with focused hair pulling
C) trichotillomania with automatic hair pulling
D) excoriation

Question 62

Eliza is very afraid of spiders.She wants to become a Girl Scout,but is too worried that she might see a spider on a camping trip to participate.In fact,she doesn't even want to walk home from school for fear of seeing a spider; she makes her mom come pick her up instead.In what ways is Eliza demonstrating the criteria for specific phobia?

Question 63

Which of the following is a difference between trichotillomania and OCD?

A) age of onset
B) neurological underpinnings
C) the existence of a genetic component
D) effective treatments

Question 64

What is interoceptive exposure? In what ways is it helpful to those with panic disorder?

Question 65

The focus of cognitive behavioral therapy in children with anxiety is to increase the number of positive self-statements.

Question 66

Exposure and response prevention seems to be the most critical aspect of treatment for OCD.

Question 67

In what ways can parenting style contribute to the development of social anxiety disorder?

Question 68

Compared to OCD,tic disorder usually occurs ______.

A) earlier in life
B) only when an individual has had a psychosocial stressor
C) more consistently, without waxing and waning
D) due to heritability as opposed to environmental factors

Question 69

All children have an attachment style.

Question 70

Onset of social anxiety disorder is typically between 7 and 9 years of age.

Question 71

Obsessions cannot be suppressed,but tics can.

Question 72

An obsession almost always occurs before a tic.

Question 73

Describe how agoraphobia might arise from panic disorder.How might it arise in those with no history of panic disorder?

Question 74

Why are tics considered "largely involuntary"?

A) They can be suppressed for short periods of time, but not indefinitely.
B) They are involuntary in most people, but some people have greater control.
C) They are involuntary in most circumstances, but in certain learned circumstances they can be controlled.
D) They are involuntary in those with poor insight, but may be voluntary in the few with good insight.

Question 75

Horatio moves his arm in a similar way every few seconds,jutting his elbow to the side and then flicking his wrist upward.This is an example of which of the following?

A) OCD
B) Tourette's disorder
C) a motor tic
D) a vocal tic

Question 76

In what ways can anxiety be positive,helpful,or adaptive?

Question 77

In obsessive-compulsive disorder,how can obsessions occur without compulsions? How can compulsions occur without obsessions?

Question 78

Thought-action fusion is most commonly seen in which disorder?

A) generalized anxiety disorder
B) obsessive-compulsive disorder
C) panic disorder
D) separation anxiety disorder

Question 79

PANDAS is more closely tied to obsessive-compulsive disorder than to anxiety disorders.

Question 80

The genetic component appears to be particularly strong for selective mutism when compared to other anxiety disorders.