Posttest

Please answer the following questions based on the required readings by Taylor & colleagues (2012) and by Dent & colleagues (2012):

1. Is there a difference in weight gain in people who have been on antipsychotics vs those that are taking them for the first time?

   Previous exposure increases risk
   Being drug naive increases risk
   It is a drug effect and it is the same for any population
   Weight gain is not an issue with antipsychotics
   

2. Do different antidepressants confer different risk of weight change?

   All drugs result in the same amount of weight gain
   There is no significant weight gain with antidepressants
   Different medications can cause a varying degree of weight gain
   Most medications cause weight loss
   

3. Which mental illness is linked to weight gain?

   Attention deficit disorder
   Bipolar Disorder
   Major Depression
   All of the above?
   

4. What is the most common hormonal change associated with depression?

   An increase in cortisol
   An increase is leptin
   A decrease in adiponectin
   A circadian fluctuation
   

Please answer the following questions based on the multimedia information presented in this module:

5. What is a social link between obesity and depression?

   There is stigma associated with both conditions
   Eating is social so eating reduces depression
   People whom have obesity are typically happier and thus it protects against depression
   People with depression are not impacted by negative external attitudes. They have issues with problems with brain chemistry only
   

6. What is the monoamine hypothesis of depression?

   The use of drugs called monoamines to treat depression
   Depression results from a decrease in neurotransmitters in the brain
   Depression caused by damage to brain areas called monoamines
   Depression leading to weight gain because of a craving in monoamine rich foods
   

7. What role does cortisol play in depression?

   Cortisol is a stress hormone and we need large amounts when depression to help treat symptoms of depression
   Cortisol is involved with weight issues but not depression
   Cortisol is elevated in those with depression
   Cortisol is deficient in those with depression and the antidepressants are designed to increase it
   

8. Which factors explain the association between depression and obesity?

   Behavioural factors
   Psychological factors
   Social factors
   Biological factors
   All of the above
   

9. Biologically, how can obesity impact depression?

   Eating high fat foods helps with antidepressant absorption
   Obesity has been linked to inflammatory dysregulation, resulting in neuron cell death
   Antidepressants cause inflammation, causing weight gain
   Weight gain reduces inflammation, making antidepressants more effective
   

10. What do we think is the mechanism via which most antidepressants work?

    Increasing serotonin and dopamine and decreasing norepinephrine
    Increasing serotonin and epinephrine and decreasing dopamine
    Decreasing serotonin and increasing norepinephrine and dopamine
    Increasing dopamine, serotonin and norepinephrine
    

11. How does the use of medications to treat depression impact weight?

    There is no link between medication and weight gain
    Medications used to treat depression make people sleepy so they do not exercise
    Most medications used to treat depression cause weight loss
    A side effect of some medications to treat depression is weight gain
    

12. What is important to understand in the treatment of weight issues and depression?

    Do not talk about weight issues to someone with depression as it will make them feel worse
    Pick one area and treat it first, then address the other
    Encourage patients to engage in a healthy lifestyle to benefit their wellbeing as a whole
    Do not point out weight gain risks of antidepressants as it will lead to non-compliance
    

13. Approximately what percent of clients with obesity have binge eating disorder?

    10%
    Approximately 80%
    50%
    30%
    

14. What are behavioural links between depression and obesity?

    A person with depression may adopt an unhealthy life style
    High calorie foods reduce symptoms of depression
    Individuals with depression have less will power, resulting in weight gain
    People with depression are prone to impulsivity, and make poor food choices
    

15. Rate your level of knowledge about obesity and mental health, after reviewing this module.

    Very Low
    Low
    Medium
    High
    Very High
    

Please PRINT/PDF your test answers before you submit. Compare your Pretest & Posttest answers. What areas have you improved your knowledge? Where are your knowledge gaps?