Carlsson et al (Sz) Flashcards

Clinical

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1
Q

What was the first AIM of his study?

A

It was to look into the relationship between neurotransmitter levels and the symptoms of schizophrenia

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2
Q

What was the second AIM of his study?

A

To explore a theory of glutamatergic deficiency could be seen with some schizophrenic patients

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3
Q

What method did he used to collect data?

A

He used a literature review based on 32 previous schizophrenic studies looking at a range of different causes and hypothesis’.

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4
Q

What type of data did Carlsson collect?

A

Secondary data

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5
Q

What did Lindstrom et al study?

A

He radioactively labelled a chemical L-dopa and administered it do 10 patients with SZ and 10 patients without SZ.

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6
Q

What did Lindstrom et al find?

A

L-dopa was taken up quicker in the SZ patients than it was in the control group.

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7
Q

What research methods did Lindstrom use?

A

PET scans

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8
Q

Scientific

A strength of using PET scans

A

PET scans are highly scientific and are objective measures of measuring brain activity. This allows researchers to look and compare between Sz and non SZ brains to look for abnormalities and possible conclusions of this. They are also highly standardised which increases test re-test reliability

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9
Q

Induces Stress

A weakness of PET scans

A

Stress contributes to brain acitivity therefore if you scan a Schizophrenic brain this may cause the individual to become stressed and have anxiety therefore the increased activity may not be due to the SZ but may be caused by the stress from the anxiety provoking situation they are put into.

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10
Q

What did Miller and Ambercrombe study?

A

They tested the relationship between NMDA antagonsists and increased dopamine in rats.

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11
Q

A weakness of animal research

A

Rats have a smaller cerebral cortex which means that they might have reduced activity as their brain is different to humans. You also cant monitor symptoms of schizophrenia in rats and therefore doesnt generalise to humans.

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12
Q

What did Miller and Ambercrombe find?

A

They found that dopamine is increased if glutamate activity if lowered.

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13
Q

What did Laruelle find?

A

Schizophrenia patients in remission only had normal development.

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14
Q

Dopamine as an explanation for SZ

Results

A

Evidence from the PET and SPECT supports the dopamine hypothesis (dopamatergic dysfunction). SZ participants show more dopamine activity than a healthy control group, especially in the basal ganglia

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15
Q

Glutamate as an explanation for SZ

Results

A

Glutamate failure in the cerebral cortex leads to negative symptoms whereas Glutamate failure in the basal ganglia leads to positive symptoms.

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16
Q

Drug treatments

Results

A

Hyperdopaminergia (too much dopamine)
Hypoglutamatergia (too little glutamate).
Some patients respond better to drugs that others and this was especially seen between dopamine and gluatamate. Glutamatergic patients were treatment resistant as they didnt respond to typical antipsychotics.

17
Q

TGA

Conclusions

A

Third generation antipsychotics (TGA) are currently in the works to treat glutamatergic patients (as they are treatment resistant to typical antipsychotics).

18
Q

Data collected

Strength

A

Secondary data is collected which is highly ethical as it means you dont have to gather consent etc. It also gives a large sample and is quick and easy to collect which gives practical advantages.

19
Q

Sample

Strength

A

A large sample was used - Carlsson looked at 32 different stuides looking at SZ patients ranging from acute to severe. This means that a large range of symptoms and SZ was looked at increasing generalisibility.

20
Q

Triangulation

Strength

A

Carlsson looked at all different studies which used an array of different data collection techniques. For example he looked at studies which used PEt scans, SPECT scans etc. This means that theres high internal validity.

21
Q

Data used

Weakness

A

Secondary data means that Carlsson did not have control over extraneous variables therefore this could have skewed his results as the data he used wasnt representitive of SZ patients.