depression Flashcards

1
Q

what kind of disorder is depression

A

affective disorder

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2
Q

name 4 types of symptoms of depression

A
  1. cognitive
  2. behavioral
  3. somatic (physical)
  4. affective (mood)
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3
Q

example of somatic symptom of depression

A

sleep difficulties

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4
Q

example of affecitve symptom of depression

A

depressed

worthless

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5
Q

what is reactive depression caused by

A

caused by negative experience

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6
Q

what is endogenous depression

A

no apparent negative lfie event

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7
Q

define bipolar

A

periods of mania occur

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8
Q

what is brown et al 1993 findings

A

depressed patients experience higher levels fo stress
84% depressed felt stress in previous year
32% of control group

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9
Q

what is the CR rate for depression in mz twins

A

60%

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10
Q

what is the CR rate for depression in dz twins

A

15%

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11
Q

What does the diathesis stress model show

A

people who have risk factor gene = higher chance of depression when exposed to stress

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12
Q

how were anti depressant drugs found

A

LUCK

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13
Q

what is an example of maoi

A

irproniazid

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14
Q

what do MAO inhibitors do

A

increase monoamine available by inhibiting monoamine oxidase in cytoplasm

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15
Q

what feelings do MAOI cause

A

feelings of calm

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16
Q

name the 2 tyoes of monoamine transmitters

A
  1. catecholamines

2. indolamines

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17
Q

name examples of catecholamines

A

dopamine, adrenaline and noradrenaline

18
Q

name example of idolamine

19
Q

where do NT projections and NT occur

A

raphe nucleus

20
Q

where do noradrenaline projections occur

A

dorsal and ventral projections

21
Q

what is monoamine oxidase

A

enzyme that breaks down NT for monoamine

22
Q

what do MAO inhibitors do

A

STOP BREAKDOWN - more NT available in neuron

23
Q

what is tyramine normally broken down by

A

Monoamine oxidase in liver

24
Q

what does tyramine cause if not broken down

A

increase in blood pressure

25
what are tricyclic antidepressants
chemical structure = 3 ringed chain
26
exmaple of tricylic antidepressant
imipramine
27
what do tricylic antidepressants do
block reuptake of seretonin and noradrenaline
28
example of ssris
PROZAC/ fluoxetine
29
what do ssris do
block reuptake = seretonin agonist | increase of NT in synapse
30
how does ecstasy block reuptake?
reverse transporter - increase seretonin
31
what is the effect of ecstasy on mood
increase of seretonin = elevate mood
32
what is a mood stabiliser
drugs that act against depression | without inducing mania
33
what does lithium treat
bipolar
34
how does lithium treat bipolar
calming agent - interfer with secondary messenger system
35
what is the monoamine theory of depression
depression caused by deficit of monoamine NT
36
explain evidence of increased number of receptors in depressed PP
process of up regulation | increase of NT available
37
what is the neuroplastic theory of depression
depression affects the neuroplastic chnages in the prefrontal cortex, hippocampus and amygdala
38
what effect do antidepressants have on neuroplastic changes
accelerate the changes
39
who is drug treatment for depression most effecttive for
severe depressed patients
40
who is chronic brain stimulation used for
affective for PP who are not responsive to other treatments
41
which areas of the brain are abnormal in patients with depression
hippocampus amygdala medial pre frontal cortex