L8 Flashcards
defining feature of major depression
loss of pleasure AKA anhedonia/dysphoria.
chronic vs severe depresion
chronic = persist for at least 2 weeks severe = dramatically impact daily functioning
major depression generally accompanied by?
feelings of guilt and grief
take in factual info but misinterpret to align with depression-related beliefs
delusion of facts
– walk around hospital more than yesterday, improvement! no, they changed the halls, it was only half as much.
symptom of depression - remembering images study
clinical depression vs healthy
depression = remembered negative pics better
healthy = remembered positive pics better
slowing down of physical ability to move
psychomotor retardation
- no energy to move
- sleep disturbance impedes deep sleep = impede restfulness less energy.
atypical depression characterized by?
not mobilizing enough stress hromones - can contribute to psychomotor retardation
depression presentation & glucocort
usually significantly elevated stress hormones = impede deep sleep, less restful, less energy = psychomotor retardation
3 forms of depression - work on what?
unipolar: depressed or ok
bipolar: ok, depressed, manic
seasonal: affected by enviro aka no sun.
cycle = cycle’s have strong biological underpinning to depression
heritability % in genes?
38% in genes.
- likely people are predisposed to depression.
twin study: corrleation between twin diagnosed with depression and likelihood of other twin being diagnosed.
f-f MZ = 0.44, mm- dz & mf dz = 0.11. ff-dz > risk than MM MZ
NT and depression
abnoraml NA, 5-HT, DA - treatments act on these.
- SSRI: prevent 5-HT reuptake into presynaptic neuron = greater chance to hit post-synaptic neuron
MAO inhibitors: stop MAO from degrading 5-ht, more time in synapse = more downstream neuronal activation
relation btw gut and 5-ht
gut is hgih in 5-ht receptors. correlation with gut bacteria out of whack & depression.
- deficiency in magnesium, important as enzyme for 5-ht and da
low 5-ht and depression
= incessant ideation, perseverating on idea.
- ocd affected by this as well.
- need more 5-ht
NA and depression
increase = increase brain activation
DA fxn in brain
pleasure centre
- maybe decrease in depression therefore anhedonia