Neurobiology of Abnormal Mood Flashcards

1
Q

What are your appetitive/approach systems

A

function to mediate seeking and approach behaviour i.e. pleasure

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2
Q

What are your aversive/defensive systems

A

promote survival i.e. avoid in response to fear/pain

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3
Q

What neurotransmitter is involved in appetitive/approach systems

A

dopamine

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4
Q

what neurotransmitter is involved in aversive/defense systems

A

serotonin

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5
Q

list the parts of the brain involved in appetitive/approach systems

A

ventral and dorsal striatum
amygdala
anterior cingulate
orbitofrontal cortex

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6
Q

Name the partf of the brain involved in aversive/defense systems

A

amygdala
hippocampus
hypothalamus
periaqueductal gray matter

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7
Q

What happens when the appetitve/approach system is dysfunctioning

A

depression or mania can occur

depression - difficulty identifying rewarding stimuli results in decreases contact with rewards

mania- neutral stimuli become rewarding

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8
Q

what gender is depression more common in

A

women

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9
Q

Describe the changes that occur in the hypthalmic-pituitary-adrenal axis in depression

A
increased ACTH
increased cortisol
elevated cortisol in urine
increased CRH in CSF
enlarged adrenals

half of pts fail to suppress cortisol following dexamethasone

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10
Q

Decribe the changes that happen in the thyroid axis in major depression

A

increased TRH in CSF can occur

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11
Q

What are the key regions implicated in mood disorders

A

prefrontal cortex
hippocampus
amygdala
anterior cingulate cortex

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12
Q

what happens to the hippocampus in depression

A

it becomes atrophied

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13
Q

What is seen on imaging in bipolar disorder

A

reduced grey matter in anterior cingulate

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