Addiction: Biological explanations for nicotine addiction Flashcards

1
Q

What is the neurotransmitter for nicotine?

A

ACh

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2
Q

ACh plays a key role in all nervous system activity, which means there are ACh receptors on the surfaces of many ______ in the _________.

A

Neurons
Central nervous system

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3
Q

nACHR receptors are activated by ____/______.

A

ACh/nicotine

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4
Q

When nAChRs are activated by nicotine molecules, the neuron transmits _______.

A

Dopamine

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5
Q

nAChRs are activated by nicotine molecules and transmits dopamine. This is immediately followed by shutdown- where they cannot respond to _______.

A

Neurotransmitters.

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6
Q

When nAChRs cannot respond to neurotransmitters, they are said to be ________.

A

Desensitised.

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7
Q

What is the result of nAChRs becoming desensitised?

A
  • Leads to a downregulation
  • A reduction in the number of active neurons because fewer of them are available.
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8
Q

Where are nAChRs found?

A

Ventral Tegmental Area (in the brain)

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9
Q

What happens when nAChRs are stimulated by nicotine?

A
  • Neurons transmit dopamine along the mesolimbic pathway to the nucleus accumbens (NA).
  • This triggers the release of more dopamine from the NA to the frontal cortex.
  • Dopamine is also transmitted along the mesocortical pathway to the frontal cortex
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10
Q

Give 3 impacts of the brain’s dopamine reward system being activated (via nicotine):

A
  • Mild euphoria
  • Increased alertness
  • Reduction of anxiety
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11
Q

What are the two pathways that are a part of the brain’s dopamine reward system?

A
  • Mesolimbic
  • Mesocortical
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12
Q

Explain how withdrawl occurs:

A
  • A person does not use nicotine for a prolonged period of time- no nicotine in their system/body
  • nAChRs become functional again, so dopamine neurons resensitise and become more available.
  • nAChRs become overstimulated by ACh (because there is no nicotine to bind to them), which increases their sensitivity.
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13
Q

Why do smokers often say that their first cigarette of the day is the best?

A
  • Withdrawl starts to occur
  • nAChRs become functional, sop dopamine receptors resensitise and become more available
  • nAChRs become overstimulated by ACh, which increases their sensitivity
  • The first cigarette of the day reactivates the dopamine reward system, alongside the increased nAChR sensitivity.
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14
Q

Explain dependence and tolerance in terms of nicotine addiction:

A
  • The smoker avoids unpleasant physiological and psychological withdrawl states by having another cigarette.
  • This creates a constant cycle of daytime downregulation and nighttime upregulation, creating long-term desensitisation of nAChRs.
  • Continuous exposure to nAChRs causes permanent changes to brain neurochemistry- a decrease in the number of active receptors.
  • A tolerance develops as a smoker has to smoke more to get the same effects.
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15
Q

Name the 4 evaluation points for nicotine addiction via brain neurochemistry:

A
  • Research support (S)
  • Real world application (S)
  • Withdrawl symptoms (L)
  • Determinism (L)
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16
Q

Explain research support (S) as an evaluation point for nicotine addiction via brain neurochemistry:

A
  • Support from human research
  • McEvoy studied schizophrenics who were taking a dopamine antagonist drug (reduces dopamine transmission).
  • The schizophrenics showed a significant increase in smoking.
  • This was because they used smoking as a form of self-medication, they used nicotine as a way to make up for the dopamine loss.
  • Supports the view that dopamine has a key role in the neurochemistry of nicotine addiction.
17
Q

Explain real world application (S) as an evaluation point for nicotine addiction via brain neurochemistry:

A
  • Neurochemistry leads to new treatments e.g. nicotine replacement therapy (NRT)
  • NRTs deliver a controlled dose of nicotine
  • This nicotine binds to nAChRs and mimics the effects of nicotine from cigarettes, inducing dopamine release
  • Allows for cravings to be satisifed in a way where dosage is cleaner and can be reduced
18
Q

Explain determinism (L) as an evaluation point for nicotine addiction via brain neurochemistry:

A
  • The neurochemical explanation does not fully explain withdrawl.
  • The theory states that withdrawl symptoms mainly depend upon the amount of nicotine in the body (e.g. levels of nicotine within the blood)
  • Gilbert states that these factors are not strongly correlated. He argues that withdrawl depends more on environment and personality
  • E.g. people with neuroticism generally experience worse withdrawl symptoms than people who are emotionally stable
19
Q

Explain determinism (L) as an evaluation point for nicotine addiction via brain neurochemistry:

A
  • The neurochemical explanation is biologically deterministic
  • Suggests that we become addicted to nicotine because of chemical events involving the dopamine reward system that is beyond our control, including withdrawl.
  • So nicotine addiction is inevitable for someone who starts smoking.
  • However it may not be inevitable for everyone as some people start to smoke but do not become addicted, e.g. due to their personality.