schizophrenia- biological explanations Flashcards
genetic basis of sz: family studies
-strong relationship between the degree of genetic similarity and shared risk of sz
-Gottesman’s (1991) large. scale study
-family share environment but still indicates support for genetic view.
who investigated family studies in sz and what did they find?
Gottesman (1991) large scale study
-s/o with aunt with sz has 2% chance of developing it, 9% for sibling and 48% for identical twin
genetic basis of sz: candidate genes
-sz is polygenic
-also aetiologically heterogenous (risk affected by diff combos)
-Ripke wt al (2014)
who investigated candidate genes in sz and what did they find?
Ripke et al. (2014) combined all previous data from genome-wide studies
-found 108 separate genes associated w slightly increased risk of sz
genetic basis of sz: mutation
-sz can also have a genetic origin in absence of a family history bc of mutation in parental DNA
-correlation between parental age (associated w/ increased risk of sperm mutation) and risk of sz (Brown et al. 2002)
who investigated mutation in the genetic basis and what did they find?
Brown et al. 2002
correlation between parental age (associated w/ increased risk of sperm mutation) and risk of sz
role of dopamine in neural correlates of sz
dopamine (DA) featured in the functioning of brain systems related to the symptoms of schizophrenia
original dopamine hypothesis in neural correlates of sz
-high dopamine activity in subcortex, associated w hallucinations and poverty off speech (excess of DA receptors in pathway linking from sub cortex to Broca’s area)
updated dopamine hypothesis in neural correlates of sz
-updated hypothesis added low levels of DA in the prefrontal cortex, could explain negative symptoms
who researched the updated dopamine hypothesis and what did they find?
Howes et al.
-genetic variations and early experiences of stress make some more sensitive to cortical hyperdopaminergia
-explains origins of abnormal DA
ao3 of bio explanations of sz: strong evidence base
-family studies show risk with w genetic similarity. twin studies found 33% concordance for MZ and 7% for DZ (Hilker et al. 2018)
-Adoption studies (e.g. Tienari et al. 2004) show biological children of parents w/ sz are at greater risk even if they grow up in an adoptive family
-shows that some people are more vulnerable to sz bc of their genes.
ao3 of bio explanations of sz: environmental risk factors
-bio risk factors include birth complications (Morgan et al. 2017) and smoking THC-rich cannabis in teenage years (Di Forti et al. 2015)
-psych risk factors include childhood trauma e.g. 67% w/ sz (38% matched controls) reported at least one childhood trauma (Mørkved et al. 2017)
-genes alone cannot provide a complete explanation
ao3 of bio explanations of sz: support of dopamine in symptoms of sz
-amphetamines (increase DA) mimic symptoms (Curran et al, 2004). Antipsychotic drugs (reduce DA) reduce intensity of symptoms (Tauscher et al. 2014)
-candidate genes act on production of DA or DA receptors
-strongly suggests dopamine involved in the symptoms of sz
ao3 of bio explanations of sz: central role of glutamate
-post-mortem and scanning studies found raised glutamate in people w/ sz (McCutcheon et al. 2020)
-also several candidate genes for sz believed to be involved in glutamate production or processing
-strong case can be made for role of other neurotransmitters in sz