15 Mood Disorders Flashcards
mental illness results from the combination of _____________ and ___________
biological predispositions and experieces
absence of _______ is more reliable symptom than increased sadness
happiness
people with 2 short forms of the genes, increasing numbers of stressful experience led to big _______ in probability of depression
increase
2 long forms stressful events ______ increased risk
hardly
link between gene and stress?
no, need more studies
viral infection of farm animals, which produces periods of frantic activity alternating with periods of inactivity
Borna disease
what does Borna disease illustrate
that many different causes can lead to similar behavioral results
types of antidepressants
tricyclics, SSRIs, MAOIs, atypical antidepressnts
operate by blocking transporter proteins that reabsorb, serotonin, dopamine, and norepinephrine, into the presynaptic neuron after their release
keeps the neurtransmitter in the postsynaptic neurons
tricyclics
side effects of ______
drowsiness, dry mouth, difficulties with urination, and heart irregularites
tricyclics
similar to tricyclics
produce milder effects than tricyclics but about the same in effectiveness
selective serotonin reuptate inhibitors (SSRIs)
block the enzyme MAO, a presynpatic terminal enzyme that metabolizes catecholamines and serotonin into inactive forms
MAOIs
when MAOIs block enzyme, presynpatic terminal has more of its _____ available fore release
transmitter
block reuptake of serotonin- prolongs presence of serotonin in the ______ cleft, where it continues to stimulate the _______ cell
presynaptic, postsynaptic
inhibits reuptake of dopamine but not serotonin
bupropion (Wellbutrin)
people with depression have approximately ______ levels of release of neurotransmitters
normal
antidepressant drugs produce effects with in hours, but mood elevation does not occur for ____ weeks
two or more
most people with depression have lower than average levels of:
brain derived neurptropic factor (BDNF)
BDNF is important for synaptic plasticity, ______ and _________ of new neurons in hippocampus
learning, and proliferation
most people with depression have _______ than average hippocampus
smaller
T/F BDNF by itself does not automatically elevate mood
true
do antidepressants elevate mood in normal people?
no, only people with depression
effectiveness of antidepressants is
limited
drugs or psychotherapy
dysthymia- long term depression
drugs
drugs or psychotherapy
patients who have suffered abuse, negelect, or other trauma, during early childhood
drugs ineffective
psychotherapy is more likely to have long-term benefits because it
reduced likelihood of a relapse at the end of treatment
electrically induced seizure
electroconvulsive therapy