Lesson 4.1.4.4
4.1.4.4 Cognitive approach to depression Quiz: AQA Psychology, Unit 1
20 questions
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Lesson 4.1.4.4, Cognitive approach to depression: 20 multiple choice questions for the AQA Psychology (7182), Unit 1: Introductory topics in Psychology, written with Revision Ninja.
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The 20 questions
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What are the three elements of Beck's negative triad?
- Negative views of food, sleep and exercise
- Negative views of the self, the world and the future
- Negative views of money, time and health
- Negative views of parents, friends and teachers
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In Ellis's ABC model, what does the letter B represent?
- Beliefs, which may be irrational and lead to negative emotional consequences
- Biological factors, which are the physical causes of depression
- Behaviour, which is the observable action taken by a person
- Background, which is the person's childhood history
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In Ellis's ABC model, what does the letter A represent?
- The activating event that a person experiences
- The adaptation that occurs after treatment
- The attachment bond that the person has with others
- The anxiety that results from the belief
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In Ellis's ABC model, what does the letter C represent?
- The cause of the depression in the person's biology, which is inherited and sets the level of mood across life
- The contact the person has with their family, which shapes how often they feel sad and withdrawn at home
- The consequence, meaning the emotional and behavioural outcome of the belief
- The cycle of thoughts that the person repeats, which keeps the mind busy and stops any change in mood
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What is the main aim of cognitive behaviour therapy (CBT) in treating depression?
- To restrict the person's contact with friends, so that negative thoughts have less chance to take hold
- To change the person's genetic makeup, so that the inherited risk of depression is removed over time
- To remove all memories of past negative events, so that the person no longer recalls painful experiences at all
- To identify and challenge irrational thoughts and replace them with more realistic ones
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Which example best illustrates an irrational thought that CBT would challenge in depression?
- The weather today is cold and I need a warm coat
- I missed the bus and will get to school a few minutes late
- I failed one test, so I will always fail everything and I am worthless
- I need to revise more for the next test to improve my grade
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According to the cognitive approach, what role do negative thoughts play in depression?
- They are a central cause that maintains the depression and drives negative emotions
- They are only a result of depression and never a cause
- They only appear after recovery from depression
- They have no role at all in depression, which is only caused by genes
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Which feature of the ABC model suggests that beliefs, rather than events, cause emotional consequences?
- The model places the consequence before the activating event, so that feelings come before any cause in the chain
- The model places biology between the event and the belief, so that hormones decide how a person interprets the event
- The model excludes beliefs from the chain of events, so that feelings follow directly from the event itself
- The model places irrational beliefs between the activating event and the consequence
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A student fails an exam and concludes that they are stupid and will never succeed. Using the ABC model, which part is the belief?
- The student's decision to stop studying, which is the behaviour that follows the exam result in the sequence
- The conclusion that they are stupid and will never succeed
- The failure of the exam, which was the event that happened first in the sequence of the student's experience
- The sadness that the student feels afterwards, which is the emotional result that follows from the exam result
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A student fails an exam and feels sad and withdraws from friends. Which part of the ABC model is the consequence?
- The decision to revise for the next exam
- The exam failure
- The sadness and withdrawal from friends
- The belief that the failure proves the student is stupid
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Which of these is an example of a cognitive restructuring technique used in CBT?
- Asking the person to avoid all situations that might cause negative thoughts, so that they stay away from triggers
- Using electric shock to remove negative thoughts, because the pain was thought to break the link with the belief
- Asking the person to test the evidence for a negative belief and consider alternative explanations
- Asking the person to repeat the same negative belief many times, so that the belief becomes weaker through repetition
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What is a behavioural experiment in CBT?
- A test of the person's reflexes during a physical examination, in which the doctor records how quickly the limbs respond
- An experiment conducted by a researcher in a laboratory on rats, in which the animal's response to a reward is measured over time
- A planned activity that tests a negative belief in real life, such as trying an activity to see whether a prediction comes true
- A survey of the person's favourite activities, in which they list the things that they enjoy most in their free time each week
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Which evaluation point applies to the cognitive approach to depression?
- It has good evidence of effectiveness for many people, but may not suit those whose depression has a strong biological cause
- It cannot be used alongside any other treatment, so patients must choose either therapy or medication and never both together
- It is wholly ineffective, as shown by all studies of depression, which have found no improvement in any patient treated with it
- It has no connection with the patient's thoughts, since the therapy works only on the patient's physical and biological state
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Which criticism of the cognitive explanation of depression is most valid?
- It is unclear whether negative thoughts cause depression or are a consequence of it
- It shows that all people with depression have identical thoughts, which means the content of their thinking can be predicted
- It proves that depression is caused only by genes, so the thoughts that people report are only a side effect of inheritance
- It has been ruled out by every study since 1950, so researchers no longer consider thinking to play any part in depression
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Which evaluation point applies to CBT as a treatment for depression?
- It requires the patient to be active and engaged
- It works only through drug therapy
- It can be carried out without any participation from the patient
- It has no effect on the patient's emotional state
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A person with depression believes that no one will ever like them. Which element of Beck's negative triad does this most directly reflect?
- A negative view of the self
- A negative view of the future
- A negative view of the world
- A neutral view of all three
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A person with depression thinks that life is unfair and that nothing good ever happens to them. Which triad elements are reflected?
- Negative views of the world and of the self
- Positive views of the world and the self
- Negative views of the future only
- A neutral view of the world and the future
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A psychologist uses the ABC model to help a client with depression. Which first step is most consistent with the model?
- Ask the client to record their dreams, which will show the underlying beliefs that are driving the depressive symptoms
- Ask the client to avoid all activating events, so that the belief is never triggered and the depression slowly fades away
- Prescribe medication to change the client's chemistry, which is the first and main step in any treatment of depression
- Identify the activating event and the belief that the client has about it
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A researcher wants to test whether CBT reduces depression more than no treatment. Which design would be most informative?
- Measure depression only in those who choose to have CBT, and compare their scores with their own earlier self-reports
- Randomly allocate depressed participants to CBT or a control group and compare their depression levels
- Compare depression levels in people who have never been depressed, and treat the difference as the effect of the therapy
- Ask CBT therapists whether they think CBT works, and count how many of them give a positive answer about its value
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A person's depression improves after challenging their belief that they are worthless. What does this best support?
- The biological explanation that depression is caused only by genes
- The cognitive explanation that changing irrational thoughts can improve depression
- The psychodynamic explanation that depression is caused by repressed childhood conflict
- The behavioural explanation that depression is caused by avoidance of feared stimuli
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