Brain functioning Flashcards
5HT transporter gene: portion of the gene - ______ region - has a
Portion of the gene – the promoter region – has long and short allele
5HT trans. gene: 20+ year longitudinal study recorded stressful life events:
- People with more stressful life events had more depression
- This increase in depression was much greater for people that had 1 or 2 short alleles
5HT trans. gene: Depressed pts with 2 long alleles
- more likely to respond to antidepressant meds than pts with 1 or 2 short alleles
- had better long term outcome for antidepressant med treatment than pts with 1 or 2 short alleles
5HT trans gene: recent meta-analyses found
no significant effects emerged when results of all published studies combined (promoter gene presented as having a much more certain role in depression in last edition of book)
Subgenual Anterior cingulate is proposed to be a
focal point of network of brain regions that regulate mood and plays critical role in development of depression
Re. SAC: Depressed pts have increased
- Increased sACC activity (said just the opposite in the last edition of the book)
Re. SAC: Depressed pts have decreased
Activity of other prefrontal areas including
a. DLPFC
b. VMPFC
c. Orbitofrontal cortex
Decrease in activity of sACC consistently seen in
Successful treatment for depression usually accompanied by increased activity in these other prefrontal areas
Earlier, it was noted that DBS and VNS
Decreased sACC activity and improved depression
Electrical stimulation and pharmacological tx of depression associated with
Decreased activation of sACC