5. Anxiety Flashcards

1
Q

What is anxiety? (Anxiety psychobiology)

A

The feeling of dread of fear

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2
Q

When is the term anxiety usually used? (Anxiety psychobiology)

A

When there is no reasonable external cause for the feelings

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3
Q

What does the term clinical anxiety refer to? (Anxiety psychobiology)

A

Pathological interfering with other activities and priorities

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4
Q

What are the 3 main drug based treatments for anxiety? (Anxiety psychobiology)

A
  • Barbiturates mepobromate
  • Benzodiazepines
  • Selective serotonin reuptake inhibitors
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5
Q

What are barbiturate mepobromates? (Anxiety psychobiology)

A
  • They act in a non-specific way

- Create a dependence

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6
Q

What are benzodiazepines? (Anxiety psychobiology)

A
  • Anxiolytic effect

- Initially thought to not induce dependence, but now is a major factor in their use

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7
Q

What are selective serotonin repute inhibitors? (Anxiety psychobiology)

A
  • Main pharmacological treatment

- Do have a delayed onset of action

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8
Q

When did clinical use of barbiturate mepobromates cease? (Anxiety psychobiology)

A

1960

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9
Q

What two ways can psychopharmacological treatments be looked at? (Anxiety psychobiology)

A
  • Disease centred model

- Symptom entered model

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10
Q

What does the disease centred model suggest? (Anxiety psychobiology)

A

The drug restores normal functioning to the brain

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11
Q

What does the symptom model suggest? (Anxiety psychobiology)

A

Drugs produce specific changes in aspects of mood, motivation and cognition that makes the condition less disabling

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12
Q

What is the most common neurotransmitter in the synapse of a human? (Anxiety psychobiology)

A

GABA

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13
Q

What does depolarisation lead to in a synapses? (Anxiety psychobiology)

A

Release of GABA

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14
Q

What does a release of GABA into the synapse do? (Anxiety psychobiology)

A

Acts on the postsynaptic GABA receptors to then be transported back to the presynaptic terminal by the repute pump

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15
Q

How many subunits is a GABA receptor made up of? (Anxiety psychobiology)

A

5

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16
Q

What are the GABA subunits? (Anxiety psychobiology)

A

Complex protein molecules

17
Q

What do benzodiazepines do? (Anxiety psychobiology)

A

Enhance the effect of GABA

18
Q

What happens in the early phase of benzodiazepines? (Anxiety psychobiology)

A

Sodium enters the axon and depolarises

19
Q

What happens in the late phase of benzodiazepines? (Anxiety psychobiology)

A

Potassium leaves the axon, depolarises and briefly hyper polarises

20
Q

What is the amygdala seen to be involved in? (Anxiety psychobiology)

A

Fear conditioning in rats

21
Q

Where do complex neutral loops run between? (Anxiety psychobiology)

A

The cortex, striatum and the thalamus

22
Q

What are neutral loops responsible for? (Anxiety psychobiology)

A

Modulation of motor output and cognition

23
Q

What neutral loop is most important in anxiety? (Anxiety psychobiology)

A

Dorsolateral prefrontal cortex