NT's SZ Flashcards

1
Q

What are the 4 neurotransmitters mentioned in this cause of SZ?

A

-Dopamine
-Glutamate
-Serotonin
-GABA

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2
Q

Dopamine function and behaviours (5)

A

-pleasure, satisfaction and motivation
-reward pathway
-Factor in addiction
-High levels improve focus
-once past point can turn into manic behaviour

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3
Q

Glutamate (2)

A

-Memory, cognition, learning and processing info
-Low levels = anxiety

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4
Q

GABA(5)

A

-Calming effect
-controls anxiety stress and fear
-lessens ability for nerve cells to send or receive messages
-regulates other NT’s
-Calms firing neurons in CNS

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5
Q

Serotonin(2)

A

-Body functions: mood, sleep, digestion,
-Happiness and well-being

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6
Q

What are 8 AO1 points to use in an essay?

A

-Dopamine hypothesis
-D1 and D2 receptors
-Mesolimbic and meso-cortical pathway
-serotonin imbalance
-Gaba
-Glutamate
-Basal ganglia and c.cortex
-example eg drugs/parkinsons

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7
Q

Dopamine hypothesis

A

-Excess dopamine (imbalance)
-Messages from neuron fire too often
-High DA
-Positive sympt
-Hallucinations and delusions

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8
Q

D1 and D2 receptors

A

-D2 receptors meso-limbic pathway. Too many or too sensitive on post-synaptic. More D absorbed. Manic beh. Attention and perception issues.
-Not enough D1 receptors in the meso-cortical pathway. Lack activation. Can’t communicate to PFC through cortical, slows down. neg symtp like disordered thnking

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9
Q

Meso-limbic and meso-cortical pathway

A

-Meso-limbic: too much DA. Pos symtp like hallucinations. Reward pathway so if pleasure then activated. D released
-Meso-cortical: low DA. negative and cognitive symptoms (disordered speech) links to PFC, slows everything down

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10
Q

Serotonin

A

-Imbalance.
-Regulates body temp, sleep, mood and appetite.
-More recent anti-psychotics target serotonin and also are better
-Regulates D in meso-limbic
-Neg symptoms like depression, withdrawal

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11
Q

Gaba

A

-No regulation of other NT’s
-More severe sympt
-calms CNS
-More anxiety

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12
Q

Glutamate (4)

A

-Deficiencies
-Cog and neg sympt
-learning and memory
-leads to insomnia, problems concentrating, exhaustion, poverty of speech

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13
Q

Basal ganglia and C.cortex (2)

A

-low glut in BG. leads to pos symtpoms
-low glut in c.cortex leads to negative

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14
Q

Example

A

Parkinsons
-Low DA leads to parkinsons. high DA leads to SZ. Those with parkinsons taking drugs to inc dopamine, showed symptoms of SZ

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15
Q

Evidence to use for NT’s (3+ 3-)

A

+Lindstroem et al
+Randrup and Munkvan
+Falkai
-Carlsson
-Angrist
-Noll

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16
Q

Lindstroem et al (6)

A

-Supports
-Radioactively labelled L-DOPA (produces dopamine0
-Gave to 10 SZ and 10 non SZ.
-PET scans to trace L-DOPA.
-Taken up quicker in meso-limbic pathway of SZ’s
-More D2 receptors and produce more D

17
Q

How good is the research for Lindstroem?

A

-PET scans.
-correlations no c&e.
-Only look at post diagnosis when T starts
-Carlsson said stress and anxiety could impact, change NT and distort
-Lowers cred
BUT
-scientific and obj data. Can’t be argued. Improves validity. Live activity, can see uptake of D

18
Q

Randrup and Munkvan

A

-Amphetamines are agonists which worsen SZ symtp. Similar to paranoid SZ
-They release dopamine
-Gave rats amphetamine and they developed SZ like symptoms.

19
Q

How good is the research for randrup and munkvan?

A

-Animal studies: can’t tell rat is hallucinating. what seems to be psychotic in rats may not be in humans.
-But can generalise as bio similarities in brain and NT’s function. scientific cred, cause and effect.

20
Q

Evidence to contrast Randrup and Munkvan

A

Angrist: treated with single shot of amphetamines showed reduction in neg symtpoms like withdrawal. supports glutamate as amphetamines inc glutamate.

21
Q

Falkai

A

-Post mortem. found SZ patients more D2 receptors than usual in left amygdala & mesolimbic pathway. Supports that DA production abnormal for SZ

22
Q

How good is the research for Falkai?

A

-Retrospective as post mortem
-Don’t know what behaviour or symptoms were like

23
Q

Carlsson

A

-Supports dopamine but in review suggests more than just excess DA.
-Deficiency of glutamate
-Stress and anxiety could impact and change NT levels

24
Q

How good is the research for Carlsson?

A

-meta analysis. researcher bias as can choose studies to use which support idea. Used many of his own studies so reduces credibility.

25
Q

Noll 2009

A

-1/3 patients dont respond to drugs which block dopamine. Other NT’s involved.
-Clozapine has weakest dopamine antagonist effects but is effective for those who don’t respond to drugs

26
Q

Credibility (strengths)

A

-Drugs to treat SZ reduce dopamine, side effects like Parkinsons which lacks DA. Supports that major contributor
-DA can explain why dev sympt when never met someone withSZ. Learning requires exposure or positive reinforcement
-Animal studies
-Brain scans

27
Q

Comparisons (5)

A

-Drugs block DA quick but sympt reduce slowly. expect to reduce as soon as dopamine. more effect on pos
-one level of explanation. may be multiple facotrs. eg family influence, other stresses. Drugs only effective for 65%
-only study post diagnosis, DK if cause or conseq. Start drugs straight away. Impact on NT’s
-only explains pos sympt.
-not only NT. serotonin, gaba and glutamate. reductionist. can explain indiv diffs if look at all NT’s.

28
Q

Alt explanation

A

-Brain structure (ventricles, redcued vol) and social causation (psychosocial stressors trigger SZ)

29
Q

Conclusions

A

-Stress diathesis provides best explanation - bio and environment
-Treatments, some only focus on dopamine. 15% SZ non-responsive to drugs