schizophrenia neurotransmitter explanation Flashcards

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1
Q

what was the orginal dopamine hypothesis

A
  • increased D2 receptor activity in mesolimbic pathway leads to increased dopamine so positive symptoms
  • decreased D1 receptor activity in the mesocortical pathway leads to decrease in dopamine so negative symptoms
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2
Q

how does PCP

A

blocks the NMDA recptor (glutamate) and effects serotonin

both involved in regulation of dopamine

excess serotonin linked to negative symptoms

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3
Q

what happens in the mesolimbic pathway

A

glutamate normally acts as a BREAK

in schizophrenic
break doesnt work
gluatmate low
low GABA
high levels of dopamine
+ve symptoms

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4
Q

what happens in the mesocortical pathways

A

glutamate normally acts as an ACCELERATOR

in schizophrenic
accelerator doeesnt work
low levels of glutamate
low levels of dopamine
-ve symptoms

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5
Q

what are the strengths of the dopamine glutamate hypothesis

A

+ amphetamines produce excess dopamine causing symptoms of psychosis

+ drugs given to patients work by blocking dopamine receptors

+ sufferers of Parkinsons are given levodopa adding dopamine can experience symptoms of Sz

+ genes likely to increase sensitivity to dopamine for found in schizophrenics

+ those with Sz appear to have differences in their brains, gray matter in front and temporal lobes, changes linked to sensitivity to dopamine

+ glutamate hypothesis expamds on dopamine not replacing it, adds to scientific credibility

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6
Q

what are the weaknesses of the dopamine glutamate hypothesis

A
  • PET scans shoe dopamine blocking drugs were not effectove for 10 years or more, if administered early more than 90% repond, more than just dopamine
  • reductionist, stressful life events act as triggers producing excess dopamine
  • Carlosson mentioned that undergoing scanning puts on pressure and likely to respond differently, lack validity
  • Carlosson highlighted NT pathways and interconnections are complicated and need for continuing research, more needs to be found out about GABA and serotonin
  • animal studies lack validity, only a human disorder
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