Question 112 marks
Question
(a) Explain what is meant by ‘unipolar depression’. [2] (b) Describe two drug treatments for depression. [4] (c) Explain one similarity and one difference between drug treatments for depression and cognitive restructuring treatment for depression (Beck, 1979). [6]
Mark scheme
1(a) Explain what is meant by ‘unipolar depression’. 2 Award 1 mark for a basic explanation of the term/concept. Award 2 marks for a detailed explanation of the term/concept. For example: An affective disorder characterised by persistent low mood(1), OR lack of energy(1), OR and hopelessness(1). Low mood is long term(1) OR periods of mania are not experienced(1). Response must mention that low mood is long term or periods of mania are not experienced to receive full marks. Other appropriate responses should also be credited. 1(b) Describe two drug treatments for depression. 4 For each named drug treatment (up to max of two): Award 1 mark for a basic answer with some understanding of the topic area. Award 2 marks for a detailed answer with clear understanding of the topic area. For example: Tricyclics (1) – increasing the brain's supply of norepinephrine (1) and serotonin levels (1). MAOI (1) – slowing the natural breakdown of norepinephrine (1) and serotonin (1) and dopamine (1). SSRI (1) – Act on the levels of the neurotransmitter serotonin at the synapse, preventing its breakdown and reuptake. (1) Other appropriate responses should also be credited. 1(c) Explain one similarity and one difference between drug treatments for 6 depression and cognitive restructuring treatment for depression (Beck, 1979). Similarities could include – • Both require professional (doctor to prescribe and psychologist to ‘teach’ CBT) • Both have research support for their success. • Both take some time to be effective (usually 4 weeks for SSRI) Differences could include – • Individual needs to be motivated (and of certain personality type/insight) for cognitive treatment, whereas individual needs relatively little motivation to take drug. • Drugs have side effects including dizziness, nausea, insomnia, constipation. No side effects with cognitive treatment. • Patient more actively involved in cognitive restructuring but passive in drug therapy. Mark according to the levels of response criteria below: Level 3 (5–6 marks) • Candidates will show a clear understanding of the question and will include one similarity and one difference. • Candidates will provide a good explanation with clear detail. Level 2 (3–4 marks) • Candidates will show an understanding of the question and will include one appropriate similarity in detail or one appropriate difference in detail. OR one similarity and one difference in less detail. • Candidates will provide a good explanation. Level 1 (1–2 marks) • Candidates will show a basic understanding of the question and will attempt a similarity and/or difference. This could include both but just as an attempt. • Candidates will provide a limited explanation. Level 0 (0 marks) No response worthy of credit. Other appropriate responses should also be credited