Biopsych Chapter 18 part 2

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Questions and Answers

What is the hypothesized relationship between antidepressants and BDNF levels?

Antidepressants have no impact on BDNF levels or neuroplastic processes

Antidepressants initially increase BDNF levels, but then lead to a decrease in neuroplastic processes

Antidepressants increase BDNF levels, boosting neuroplastic processes that reduce depression (correct)

Antidepressants decrease BDNF levels, leading to a reduction in neuroplastic processes

What are the effects of stress on neuroplastic processes?

Stress enhances neuroplastic processes, leading to improved mental health

Stress decreases BDNF levels, resulting in neuroplastic enhancement

Stress is associated with the disruption of various neuroplastic processes (correct)

Stress has no impact on neuroplastic processes

What is the relationship between depression and neural pathology?

Depression results from a decrease of neuroplastic processes, leading to neuron loss and other neural pathology (correct)

Neuroplastic processes are not linked to depression or neural pathology

Depression has no association with neural pathology

Depression leads to an increase in neuroplastic processes, which causes neural pathology

What is the role of Brain-Derived Neurotropic Factor (BDNF) in depression?

BDNF is a possible biomarker for depression and depression improvements Signup and view all the answers

What is the consistent change observed in the brain structures of individuals with depression?

Consistent decrease in Grey matter in the prefrontal cortex, hippocampus, amygdala, cingulate cortex Signup and view all the answers

What is the impact of effective treatment for depression on BDNF levels?

Effective treatment for depression has been shown to increase BDNF levels Signup and view all the answers

What is the relationship between antidepressants and neuroplastic processes?

Antidepressant treatments are associated with an enhancement of neuroplastic processes Signup and view all the answers

Which brain structures show decreased volume and lower density in bipolar disorder?

Frontal cortex and medial temporal lobe Signup and view all the answers

What do fMRI studies reveal about brain activity in bipolar patients?

Atypical activation in the frontal cortex Signup and view all the answers

What do functional connectivity disturbances in bipolar disorder seem to center around?

Brain networks involved in emotional processing Signup and view all the answers

What is a characteristic of anxiety attacks compared to panic attacks?

Anxiety attacks do not involve extreme symptoms Signup and view all the answers

What do anxiety disorders include?

Generalized anxiety disorder, specific phobia, agoraphobia, and panic disorder Signup and view all the answers

What drugs are used to treat anxiety disorders?

Benzodiazepines, antidepressant drugs, and pregabalin Signup and view all the answers

What are animal models of anxiety disorders used for?

Measure anxiety in rats and study the effects of potential treatments Signup and view all the answers

What is the average onset age of bipolar disorder?

25 years Signup and view all the answers

What are the characteristics of hypomania?

Reduced need for sleep and increased confidence Signup and view all the answers

Which type of bipolar disorder involves hypomania and depression?

Type 2 Signup and view all the answers

What are the symptoms of depressive episodes in bipolar disorder?

Feelings of sadness and changes in sleep pattern Signup and view all the answers

What is the Diathesis-Stress Model of bipolar disorder?

Stress interacts with biological instabilities to induce the illness Signup and view all the answers

What are the treatment options for bipolar disorder?

Mood stabilizers, antipsychotics, and antidepressants Signup and view all the answers

What does the Reward Hypersensitivity of Bipolar Disorder suggest?

Dysfunctional brain reward systems overreact to rewards or the lack of Signup and view all the answers

What is the purpose of using functional brain-imaging in anxiety disorders?

To link specific brain structures to anxiety Signup and view all the answers

Why is the use of double-blind design in clinical trials considered controversial?

It may ignore patients who expect drug efficacy Signup and view all the answers

What is the purpose of using active placebos in clinical trials?

To provide side effects similar to experimental drugs Signup and view all the answers

Why is the lack of diversity in experimental participants a concern in clinical trials?

It may lead to dangerous generalizations of experimental results Signup and view all the answers

What is the primary challenge in putting new experimental drugs into use during severe public health issues?

The time required for the approval and implementation of new drugs Signup and view all the answers

Why are most drugs limited in their therapeutic effects according to the text?

A symptom may be caused by multiple concurrent causes Signup and view all the answers

What is the concern related to the financial costs of drug development according to the text?

Patients may ultimately bear these costs Signup and view all the answers

What is the impact of experimental drug side effects on the control group in clinical trials?

The control group becomes meaningless Signup and view all the answers

What is the focus of attention in the controversial aspects of clinical trials according to the text?

Intrinsic functional connectivity Signup and view all the answers

Study Notes

Understanding Bipolar Disorder

Bipolar disorder involves episodes of depression and mania/hypomania, affecting 3% of the global population with equal prevalence in men and women and an average onset age of 25 years.
Types of bipolar disorder include type 1 (mania, hypomania, and depression), type 2 (hypomania and depression), rapid cycling subtype, and cyclothymic disorder.
Hypomania is characterized by high energy, positive affect, reduced need for sleep, impulsivity, and increased confidence, while mania is a more extreme form of hypomania with additional symptoms like delusions of grandeur and risk-taking behavior.
Depressive symptoms in bipolar disorder include feelings of sadness, loss of interest in activities, changes in sleep pattern, and thoughts of death or suicidal ideation.
Mixed states, where symptoms of mania and depression coexist, occur in type 1 and are less responsive to medication, leading to a high suicide rate.
Risk factors for bipolar disorder include family history, location (more common in high-income countries), marriage status, stress, and substance abuse as triggers for the first episode.
Diagnosis involves physical exams, lab tests, psychiatric assessments, and mood-charting, with the possibility of changes in diagnosis over a lifetime.
Treatment options for bipolar disorder include medication (mood stabilizers, antipsychotics, and antidepressants), therapy, and electroconvulsive therapy for treatment-resistant cases.
Bipolar disorder, formerly known as manic-depressive illness, causes unusual shifts in mood, energy, and concentration, and proper understanding of its mechanisms is limited due to the lack of clear understanding and adequate animal models.
The Reward Hypersensitivity of Bipolar Disorder suggests that dysfunctional brain reward systems overreact to rewards or the lack of, leading to risky choices and explaining manic and depressive phases.
The Diathesis-Stress Model proposes that stress interacts with biological instabilities to induce the illness in vulnerable individuals, with additional research linking lack of social support, family environment, lifestyle, and sleep irregularity to illness instigation and relapse.
In Canada, 2.2% of individuals experience bipolar disorder, with cognitive deficits and brain structure changes studied using MRI, showing strong links between gray matter volume reduction and clinical outcomes, as well as smaller brain structures in diagnosed individuals.

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Test your knowledge of bipolar disorder with this informative quiz. Explore the types, symptoms, risk factors, and treatment options for bipolar disorder, as well as the latest research on its underlying mechanisms. Gain a deeper understanding of this complex mental health condition.