Biological Approach to explaining and treating OC Flashcards

1
Q

what is a concordance rate

A

a measure of genetic similarity

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2
Q

what is a genetic explanation

A

focuses on how disorders are inherited through chromosomes and DNA

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3
Q

what is a neural explanation

A

focuses on the brain and/or brain functions and levels of neurotransmitters

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4
Q

what is a neurotransmitter

A

a chemical substance that transmit nerve impulses across the synapse, a key part of the nervous system

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5
Q

what is dopamine

A

a neurotransmitter that influences motivation, drive and pleasure

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6
Q

what is serotonin

A

a neurotransmitter that is involved in many behaviours and processes like aggression, eating, sleep and mood

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7
Q

what do genetic explanations to OCD suggest

A

mental disorders are inherited

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8
Q

what are the two genes that are important to the genetic explanations to OCD

A
  • COMT gene
  • SERT gene
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9
Q

what is the role of the COMT gene (genetic explanations to OCD)

A

regulates the production of dopamine

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10
Q

what is the relationship between OCD and the COMT gene

A

dopamine levels are higher in people with OCD than control groups

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11
Q

explain the biology behind the COMT gene in OCD patients

A

variation of the gene - less COMT gene - higher levels of dopamine because less regulation

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12
Q

why are dopamine levels higher in OCD patients

A

the variation of the COMT gene means there is less of it, meaning there is less regulation of dopamine

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13
Q

what does the SERT gene do

A

affects the transportation of serotonin

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14
Q

what is the relationship between the SERT gene and OCD

A

serotonin levels are lower in people with OCD

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15
Q

explain the biology behind the SERT gene and people with OCD

A

variation of the SERT gene means there is less of it to transport serotonin leading to lower levels of serotonin

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16
Q

why are serotonin levels lower in OCD patients

A

the variation of the SERT gene means there is less of it to transport serotonin

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17
Q

what are the biological
explanations to OCD based on

A
  • abnormal levels of neurotransmitters (dopamine high and serotonin low)
  • abnormal brain circuits
18
Q

how can OCD be explained through abnormal brain circuits

A

areas of the brain may not be functioning appropriately, causing the disorder

19
Q

what is the role of the OFC

A

tries to send messages to the thalamus via the caudate nucleus about things that are worrying

20
Q

what is the OFC

A

orbitofrontal cortex

21
Q

what is the role of the caudate nucleus

A

filters and supresses signals from the oFC if they are minor in nature

22
Q

where is the caudate nucleus

A

in the basal ganglia

23
Q

what happens if the caudate nucleus is damaged

A

it fails to suppress minor worry signals and the thalamus is repeatedly alerted - sending worry signals back to the OFC

24
Q

what is the specific part of the abnormal brain circuit that people with OCD have

A

the caudate nucleus fails to suppress minor worry signals

25
what is the impact of the abnormal brain circuit
a worry circuit is created between the OFC and caudate nucleus
26
how is OCD treated
drug therapy
27
what are the two types of drug therapies
antidepressants anti-anxiety drugs
28
what are the two types of antidepressants to know about
SSRIs Tricyclics
29
what is the type of anti-anxiety drugs to know about
BZs
30
what does SSRI stand for
selective serotonin reuptake inhibitors
31
how do SSRIs work
increase the levels of serotonin which regulates mood and anxiety
32
explain the biology behind how SSRIs increase serotonin levels
normally if neurotransmitter doesn’t reach post synaptic neurone it goes back to pre synaptic neurone - instead now reuptake is blocked so the neurotransmitter is forced to diffuse to post synaptic neurone
33
what are SSRIs used to treat
OCD and depression
34
what is the role of tricyclics
block the reuptake of noradrenaline as well as serotonin
35
biologically, how do tricyclics work
in the same way as SSRIs
36
what is noradrenaline
a neurotransmitter that governs the autonomic nervous system
37
what is the impact of neurotransmitters being in the synapse for longer
- eases the next impulse - prolongs their activity
38
what do BZs treat
anxiety
39
what is the role of BZs
enhance the activity of GABA
40
what is GABA
a neurotransmitter that has a quieting effect on neurones in the brain - slows them down
41
biologically how does GABA work
increases the flow of chloride ions into the neuron making it harder for the neuron to be stimulated by other neurotransmitters - slowing down activity
42
what does slowly down the activity of the nervous system have on a persons emotions
makes them feel more relaxe, reducing anxiety