Schizophrenia and affective disporders Flashcards

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1
Q

what does overactivity of dopamine neurons cause

A

positive symptoms

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2
Q

what is chlorpromazine and what does it do

A

a dopamine antagonist - diminishes positive symptoms

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3
Q

an example of a dopamine agonist and what it does

A

amphetamine - induce positive symptoms

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4
Q

what is the dopamine hypothesis

A

more dopamine release in schz’s than controls

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5
Q

what did MRI scans of the brains of schz twin show

A

enlarged lateral ventricles in twin with schz

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6
Q

what is the seasonal effect

A

higher no. of sz births born from Jan to May

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7
Q

how many months after the start of the influenza epidemic was there a high number of schz births

A

3-6 months after start of the epidemic

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8
Q

what stage of pregnancy did the viral infection occur

A

2nd trimester

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9
Q

some of the minor physical abnormalities found in people with schz

A

wide set eyes, fine electric hair, low set ears

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10
Q

name main affective disorders

A

depression, mania, bipolar disorder, unipolar disorder

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11
Q

symptoms of mania

A

eiphoria, delusional, poor attention span, self important

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12
Q

what is bipolar disorder

A

alternating periods of mania and depression

equally frequent in men/women

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13
Q

what is unipolar disporder

A

depression without mania

2/3 times more likely in women than in men

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14
Q

which twin type has a higher concordance rate for affective disorders

A

monozygotic - 69% v 13%

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15
Q

what is MOA

A

monoamine oxidase - enzyme that destroys monoamines

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16
Q

name 3 monoamines

A

serotonin, dopamine, norepinephrine

17
Q

name an SSRI drug and how it works

A

prozac - agonists of serotonin - inhibits reuptake of 5HT

18
Q

How to cyclic antidepressants work

A

agonists of serotonin and norepinephrine - inhibits reuptake of neurotransmitter

19
Q

what is the monoamine hypothesis for depression

A

depression is caused by low activity on monoamine neurons

20
Q

evidence for the dopamine hypothesis

A

reserpine - treats high blood pressure - side effect = depression - reserpine = monoamine antagonist

21
Q

treatment for mania and side effects

A

Lithium - hand tremors, weight gain, thirst

22
Q

links between depression and sleep deprivation

A

preventing REM sleep acts as an antidepressant

examined effects of 20 antidepressants - all reduced REM sleep - most increased slow-wave sleep