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Questions and Answers
Which factor is LEAST likely to be implicated in the etiology of depression?
Which factor is LEAST likely to be implicated in the etiology of depression?
According to the diagnostic criteria, how many symptoms must be present within a two-week period to diagnose major depression?
According to the diagnostic criteria, how many symptoms must be present within a two-week period to diagnose major depression?
What percentage of weight change in a month is considered a significant symptom of major depression?
What percentage of weight change in a month is considered a significant symptom of major depression?
Which neurochemical is NOT directly implicated in the monoamine hypothesis of depression?
Which neurochemical is NOT directly implicated in the monoamine hypothesis of depression?
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Dysphoric mood is best described as:
Dysphoric mood is best described as:
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What is the current prevailing understanding of the etiology of mood disorders?
What is the current prevailing understanding of the etiology of mood disorders?
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Alterations in which brain region and neurotransmitter receptor have been found in suicide victims?
Alterations in which brain region and neurotransmitter receptor have been found in suicide victims?
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Which specific serotonin receptor subtype shows decreased binding in the frontal, temporal, and limbic cortex of depressed individuals?
Which specific serotonin receptor subtype shows decreased binding in the frontal, temporal, and limbic cortex of depressed individuals?
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Which of the following is a symptom of a manic episode?
Which of the following is a symptom of a manic episode?
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What neurotransmitter status is associated with bipolar mania?
What neurotransmitter status is associated with bipolar mania?
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Which of the following is a common side effect of MAOIs?
Which of the following is a common side effect of MAOIs?
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What physiological change is noted in individuals with depression?
What physiological change is noted in individuals with depression?
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Which locus is linked to the genetic predisposition of bipolar disorder?
Which locus is linked to the genetic predisposition of bipolar disorder?
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How do proinflammatory cytokines relate to depression?
How do proinflammatory cytokines relate to depression?
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Which of the following foods can induce hypertensive crisis in MAOI users?
Which of the following foods can induce hypertensive crisis in MAOI users?
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Which brain regions are linked to structural alterations in depression?
Which brain regions are linked to structural alterations in depression?
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What is one main characteristic of schizophrenia?
What is one main characteristic of schizophrenia?
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Which neurotransmitter system is primarily implicated in the pathogenesis of schizophrenia?
Which neurotransmitter system is primarily implicated in the pathogenesis of schizophrenia?
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What structural brain abnormality is commonly associated with schizophrenia?
What structural brain abnormality is commonly associated with schizophrenia?
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What role does glutamate play in schizophrenia?
What role does glutamate play in schizophrenia?
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Which of the following factors is associated with the risk of developing schizophrenia?
Which of the following factors is associated with the risk of developing schizophrenia?
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What is believed to be the effect of reduced thalamus size in individuals with schizophrenia?
What is believed to be the effect of reduced thalamus size in individuals with schizophrenia?
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Which enzyme's reduction is associated with impaired cognitive and emotional functions in schizophrenia?
Which enzyme's reduction is associated with impaired cognitive and emotional functions in schizophrenia?
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What percentage of the world’s population is affected by schizophrenia?
What percentage of the world’s population is affected by schizophrenia?
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Which brain area is primarily associated with cognitive problem-solving impairments in adolescents with early onset issues?
Which brain area is primarily associated with cognitive problem-solving impairments in adolescents with early onset issues?
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What is one of the positive symptoms of schizophrenia linked to excess dopamine?
What is one of the positive symptoms of schizophrenia linked to excess dopamine?
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Which of the following is a negative symptom associated with prefrontal pathologies in schizophrenia?
Which of the following is a negative symptom associated with prefrontal pathologies in schizophrenia?
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Which mood disorder is characterized by chronic and uncontrollable emotional states like sadness?
Which mood disorder is characterized by chronic and uncontrollable emotional states like sadness?
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What role does Reelin play in the brain?
What role does Reelin play in the brain?
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What structural change is commonly associated with cognitive impairments in patients with schizophrenia?
What structural change is commonly associated with cognitive impairments in patients with schizophrenia?
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Which neurotransmitter alterations are related to depression symptoms?
Which neurotransmitter alterations are related to depression symptoms?
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Which cognitive function is predominantly impaired in individuals with dorsal prefrontal cortex changes?
Which cognitive function is predominantly impaired in individuals with dorsal prefrontal cortex changes?
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What is a primary characteristic of generalized anxiety disorder (GAD)?
What is a primary characteristic of generalized anxiety disorder (GAD)?
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What is commonly associated with major depression concerning the HPA axis?
What is commonly associated with major depression concerning the HPA axis?
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What percentage of individuals may find relief from depressive symptoms through ECT?
What percentage of individuals may find relief from depressive symptoms through ECT?
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Which brain structures are associated with emotional and cognitive functions that ECT may increase in volume?
Which brain structures are associated with emotional and cognitive functions that ECT may increase in volume?
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Which cytokines are known to be increased due to psychosocial stress in individuals with depression?
Which cytokines are known to be increased due to psychosocial stress in individuals with depression?
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Which of the following is NOT a factor for using ECT?
Which of the following is NOT a factor for using ECT?
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What brain region has been reported to have reduced volume in individuals with depression?
What brain region has been reported to have reduced volume in individuals with depression?
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In terms of neurogenesis, what has been identified in animal models of stress-induced depression?
In terms of neurogenesis, what has been identified in animal models of stress-induced depression?
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What type of treatment is considered first-line for alleviating symptoms of GAD?
What type of treatment is considered first-line for alleviating symptoms of GAD?
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Which of the following abnormalities is associated with generalized anxiety disorder?
Which of the following abnormalities is associated with generalized anxiety disorder?
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What percentage of individuals with major depressive disorder may show alterations in the hypothalamic-pituitary-thyroid system?
What percentage of individuals with major depressive disorder may show alterations in the hypothalamic-pituitary-thyroid system?
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What neurobiological changes may occur after ECT treatment?
What neurobiological changes may occur after ECT treatment?
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Bipolar I disorder is characterized by which of the following features?
Bipolar I disorder is characterized by which of the following features?
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Which area of the brain showed elevated activity associated with anticipatory anxiety in GAD?
Which area of the brain showed elevated activity associated with anticipatory anxiety in GAD?
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Which hormone's levels are blunted in response to TRH challenge in some individuals with MDD?
Which hormone's levels are blunted in response to TRH challenge in some individuals with MDD?
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What effect does chronic depression have on cortisol levels?
What effect does chronic depression have on cortisol levels?
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Flashcards
Symptoms of a manic episode
Symptoms of a manic episode
Characteristics such as elevated mood, irritability, and decreased sleep.
Monoamine hypothesis of depression
Monoamine hypothesis of depression
Suggests depression is linked to reduced brain monoamines like norepinephrine and serotonin.
Cortisol in depression
Cortisol in depression
Persistent high cortisol can lead to immunosuppression and trigger depression.
Altered brain structures in depression
Altered brain structures in depression
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Cytokines and depression
Cytokines and depression
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Side effects of MAOIs
Side effects of MAOIs
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Bipolar vs. Depression
Bipolar vs. Depression
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Risk factors for MDD
Risk factors for MDD
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Schizophrenia
Schizophrenia
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Heritable disorder
Heritable disorder
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Glutamate receptors
Glutamate receptors
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Dopaminergic neurotransmission
Dopaminergic neurotransmission
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Lateral and third ventricles
Lateral and third ventricles
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Thalamus reduction
Thalamus reduction
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Maternal infections
Maternal infections
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Temporal lobe alterations
Temporal lobe alterations
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MAOIs
MAOIs
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ECT
ECT
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ECT effectiveness
ECT effectiveness
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Hippocampal volume
Hippocampal volume
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Generalized Anxiety Disorder (GAD)
Generalized Anxiety Disorder (GAD)
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Neurotransmitter deficiencies in GAD
Neurotransmitter deficiencies in GAD
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Cingulate cortex activity
Cingulate cortex activity
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Treatment for GAD
Treatment for GAD
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Cortical gray matter loss
Cortical gray matter loss
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Dorsolateral prefrontal cortex
Dorsolateral prefrontal cortex
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Reelin protein
Reelin protein
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Positive symptoms of schizophrenia
Positive symptoms of schizophrenia
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Negative symptoms of schizophrenia
Negative symptoms of schizophrenia
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Mood disorders
Mood disorders
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Unipolar depression
Unipolar depression
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Bipolar disorder
Bipolar disorder
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Major Depression
Major Depression
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Symptoms of Depression
Symptoms of Depression
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Genetic Predisposition
Genetic Predisposition
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Neurochemical Dysregulation
Neurochemical Dysregulation
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Monoamine Hypothesis
Monoamine Hypothesis
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Neuroanatomic Abnormalities
Neuroanatomic Abnormalities
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Serotonin 5-HT1A Receptor
Serotonin 5-HT1A Receptor
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Psychomotor Agitation
Psychomotor Agitation
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Frontal Lobe Volume in Depression
Frontal Lobe Volume in Depression
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Temporal Lobe Volume Changes
Temporal Lobe Volume Changes
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HPA System Activation
HPA System Activation
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Proinflammatory Cytokines
Proinflammatory Cytokines
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Neurogenesis in the Hippocampus
Neurogenesis in the Hippocampus
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BDNF in Depression
BDNF in Depression
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Hypothalamic-Pituitary-Thyroid (HPT) System
Hypothalamic-Pituitary-Thyroid (HPT) System
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Study Notes
Schizophrenia
- Schizophrenia is a disorder characterized by a break in reality with a splitting of the cognitive and emotional sides of personality.
- It affects 1% of the world's population.
- It is likely caused by multiple genes on different chromosomes, and is not a single-gene disorder.
- The disorder is related to genetic predisposition and prenatal/perinatal factors.
- Brain abnormalities in schizophrenia are thought to originate during prenatal cell proliferation and migration.
Neurochemical and Neuroanatomical Alterations
- Reduced glutamate receptor activity may contribute to schizophrenia.
- Reduced GABA biosynthesis enzyme (glutamic acid decarboxylase) activity may be related to impaired cognitive/emotional functions.
- Reduced dopaminergic neurotransmission in the mesocortical dopamine pathway may result in negative symptoms and cognitive changes.
- Excitatory neurotransmitter glutamate and its actions on NMDA receptors may be a factor
- Enlargement of the lateral and third ventricles, and widening of the frontocortical fissures and sulci are often observed in individuals with schizophrenia.
- Temporal lobe areas, such as the amygdala, hippocampus, and parahippocampal gyrus, show reduction in size.
Temporal Lobe Alterations
- Temporal lobe reductions may contribute to positive symptoms.
- Brain studies in adolescents with early onset schizophrenia show progressive loss of cortical gray matter in the temporal lobes, somatosensory, and motor cortices and dorsolateral cortex.
- The progressive loss in frontal lobe volume correlates with increased negative symptoms and reduced cognitive functioning.
- Functional alterations in the dorsolateral prefrontal cortex (reduced blood flow and metabolism) may impair goal-directed cognitive problem-solving.
- Reduced levels of reelin, an extracellular matrix protein involved in neuronal migration and synaptic function, are observed.
Mood Disorders
- Mood disorders are conditions characterized by emotional states, such as sadness or mania, that become chronic and uncontrollable.
- Alterations in the hypothalamic-pituitary-adrenal (HPA) system, serotonin, norepinephrine, and dopamine are related to symptoms of depression.
- Unipolar depression, also known as major depression, and bipolar disorder are two major classifications of mood disorders.
- Genetic, environmental, neurochemical, and neuroendocrine factors contribute to the pathogenesis and/or etiology of depression.
- Major depressive disorder is a mood disorder featuring a dysphoric mood and frequent insomnia, loss of appetite and body weight, reduced interest in pleasurable activities, and interpersonal relationship difficulties.
Depression and HPA System
- Chronic activation of the hypothalamic-pituitary-adrenal (HPA) system and elevated glucocorticoid secretion are observed in major depression.
- Antidepressant drugs that help normalize HPA hormone secretion often yield a good clinical response.
- Stress-related activation of the immune system increases the secretion of proinflammatory cytokines, which influences HPA hormone and monoamine metabolism and promotes chronic cortisol elevations.
- Reduced neurogenesis and decreased BDNF levels in the hippocampus have been implicated in stress-induced depression.
Bipolar Disorder
- Bipolar I disorder includes manic episodes and at least one major depressive episode.
- Bipolar II disorder features recurrent major depressive episodes with one or more hypomanic episodes.
- Elevated mood, irritable mood, inflated self-esteem are symptoms of manic episodes.
Generalized Anxiety Disorder (GAD)
- GAD is characterized by excessive and persistent worrying, lasting at least 6 months, along with at least three of six major symptoms.
- Underlying defects in norepinephrine and serotonin systems may play a role in GAD.
- Reduction in a2-adrenergic receptor binding and serotonin levels in the cerebrospinal fluid (CSF) are observed.
- Reduced platelet benzodiazepine binding in the left temporal hemisphere is also observed.
Panic Disorder
- Panic disorder is characterized by intense autonomic arousal and multiple disabling panic attacks, often involving symptoms like rapid heart rate, shortness of breath, and chest discomfort.
- The disorder features concerns about future panic attacks, and symptoms can last from minutes to an hour.
- Heightened sensitivity in the amygdala and neural circuit activation in the temporal lobe and brainstem are implicated in panic symptoms.
- Decreased GABA-benzodiazepine receptor binding in brain regions like the hippocampus, insula and prefrontal cortex may contribute to panic disorder.
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Description
This quiz explores the characteristics of schizophrenia, including its prevalence and genetic factors. Additionally, it examines neurochemical and neuroanatomical changes associated with the disorder, highlighting neurotransmitter activities and related brain abnormalities.