Weeks 4-5 Flashcards
What is the reward system made up of?
Ventral tegmental area (VTA)
Nucleus accumbens
Amygdala
Hippocampus
Prefrontal cortex (PFC)
What regions of the reward system do substances affect?
Basal ganglia
Amygdala
Prefrontal cortex
What are the two primary reward pathways in the body?
Mesocortical dopamine pathway
Mesolimbic dopamine pathway
Describe the mesocortical pathway
Starts in the VTA, travels to the nucleus accumbens and then to the PFC (skips the limbic system)
Describe the mesolimbic pathway
Starts in the VTA, travels to the nucleus accumbens, and then spreads into the limbic system (hippocampus and amygdala)
What is the main difference between the mesocortical and mesolimbic pathways?
Mesocortical is more about behavior while mesolimbic is more about emotions/learning (hippocampus)
What hormone does stress increase the release of?
Corticotropin-releasing hormone (CRH)
What does stress do to the reward system?
Strengthens the amygdala and weakens the hippocampus and PFC
Hypofrontality
Decrease in PFC activity (often due to atrophy from substance use; common in schizophrenia)
What are control orientations?
Ways to manage stress (primary or secondary)
What are peptides?
2 or more amino acids linked by peptide bonds, widely distributed in CNS and PNS
What are the most common endogenous peptides?
Enkephalins, endorphins, dynorphins
What are the functions of endogenous peptides?
Mediate the reward and reinforcement properties
How does substance use interplay with endogenous peptides?
Drugs are exogenous peptides which increase endorphins and enkephalins resulting in a dopamine surge
Where is alcohol metabolized
Liver (hepatic)
What are the neural effects of alcohol?
CNS depressant, indirect GABAa receptor agonist which results in sedation
Where do we see the most alcohol use? (among whom)
The ends of the SES spectrum
What are neuropsychiatric conditions that can result from drinking?
Wernicke’s encephalopathy (thiamine deficiency)
Korsakoff psychosis (thiamine deficiency)
Alcoholic neuropathy
Alcoholic cerebellar damage
Alcoholic myopathy
Alcohol withdrawal syndrome
Fetal alcohol syndrome disorders
Describe Wernicke’s encephalopathy and Korsakoff psychosis and how they are related?
Both due to thiamine deficiency, Wernicke’s encephalopathy is the acute phase (still treatable) whereas Korsakoff psychosis is chronic and untreatable
What are fetal alcohol syndrome disorders?
FASD is an umbrella term for a range of physical, cognitive, and behavioral disorders caused by prenatal alcohol exposure.
What do stimulants affect?
Epinephrin, norepinephrine, dopamine, serotonin
What do stimulants create/cause?
Alertness, attention, energy
People with ADHD show a ___ reduction in symptoms using stimulants.
80%
How is nicotine absorbed?
Through blood stream via the lungs if you are inhaling but when using smokeless tobacco, it is absorbed through the mucosal membranes of the mouth, nose, and skin
How fast does nicotine reach the brain?
7 seconds
What neurotransmitter does nicotine mimic?
Acetylcholine