Stress: Beta Blockers (Modifying Behaviour) Flashcards

1
Q

What points can be made when describing beta blockers?

A

How they work
Types of beta blocker
Off label use
Use by musicians

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2
Q

How do beta blockers work?

A

Reduce the symptoms of sympathetic arousal (the physical symptoms of acute stress) by blocking the receptor sites of hormones such as adrenaline in antagonist action

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3
Q

What is the full name for beta blockers?

A

Beta adrenoceptor blocking agents

block the receptor sites of hormones in atagonist action

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4
Q

What are the two types of beta blockers?

A

Selective

Non-selective

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5
Q

What are non-selective beta blockers?

A

They block all adrenaline receptors around the body as well as the heart so have more side effects on the liver and kidneys

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6
Q

What are selective beta blockers?

A

They work on the adrenaline receptors around the heart and have less of an effect on the rest of the body so less side effects

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7
Q

Which type of beta blocker has less side effects?

A

Selective drugs

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8
Q

What can be said about the drug’s off label use?

A

They were originally designed for cardiac problems which means that the manufacturer doesn’t have a licence to make them for anti-anxiety reasons. The drug is untested in this area but doctors still perscribe it if they think that the benifits outweigh the risks

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9
Q

How are beta blockers used by musicians?

A

To combat stage fright

Lockwood: 2,000 musicians - 27% use beta blockers, 19% on a daily basis

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10
Q

According to Lockwood, what percentage of musicians use beta blockers?

A

27%

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11
Q

According to Lockwood, what percentage of musicians use beta blockers on a daily basis?

A

19%

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12
Q

How many musicians did Lockwood study?

A

2,000

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13
Q

What points can be made about effectiveness?

A

Benifits on performance
Benifits on other aspects (habit behaviour)
Long term

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14
Q

What benifits to performance do beta blockers have?

A

Effective in reducing performance anxiety
Neftel: Gave musicians a beta blocker or placebo 6 hours before performance. Those on the drug had lower heart rates, played better and reported less stage fright
Schweitzer: Different types of drug has varying effects. Students rated them differently despite them having the same physical effects

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15
Q

What psychologists investigated the effects of beta blockers on performance?

A

Neftel

Schweitzer

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16
Q

What was Neftel’s study into the effects of beta blockers on performance?

A

Gave musicians a beta blocker or placebo 6 hours before performance. Those on the drug had lower heart rates, played better and reported less stage fright

17
Q

What was Schweitzer’s study into the effects of beta blockers on performance?

A

Different types of drug has varying effects. Students rated them differently despite them having the same physical effects

18
Q

What other benifits do beta blockers have apart from on performance?

A

Schwabe: Stressed people fall into habits rather than focusing on their goals
Groups given beta blockers were just as goal directed as a group with no stress. Placebo group fell into negative habits
Shows beta blockers prevent stress-induced bias

19
Q

Who looked into the effects of beta blockers on habit behaviour?

20
Q

What can be said about the long-term effectiveness of beta blockers?

A

Don’t adress emotional side so don’t stop route cause
Revolving door syndrome
Unhelpful for people who think irrationally or are type A
People may build up a tolerance or become dependent

21
Q

What are the ethical implications?

A

Side effects

Performance enhancement

22
Q

What are the social implications?

A

Off label impact (valid consent)

Overperscription