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Questions and Answers
What is the primary cause of premature death among individuals with schizophrenia?
What is the primary cause of premature death among individuals with schizophrenia?
- Suicide (correct)
- Heart disease
- Substance abuse
- Accidental injuries
Which of the following symptoms is considered a positive symptom of schizophrenia?
Which of the following symptoms is considered a positive symptom of schizophrenia?
- Cognitive impairment
- Hallucinations (correct)
- Temporal disorientation
- Poverty of affect
What is the estimated concordance rate for schizophrenia in monozygotic twins?
What is the estimated concordance rate for schizophrenia in monozygotic twins?
- 25%
- 48% (correct)
- 75%
- 10%
Which drug treatment approach underlies the dopamine hypothesis associated with schizophrenia?
Which drug treatment approach underlies the dopamine hypothesis associated with schizophrenia?
What can complicate the treatment of schizophrenia?
What can complicate the treatment of schizophrenia?
Which of the following factors has been indicated as a possible precipitant of schizophrenia?
Which of the following factors has been indicated as a possible precipitant of schizophrenia?
What aspect of schizophrenia does the 'poverty of affect' refer to?
What aspect of schizophrenia does the 'poverty of affect' refer to?
Genetic studies of schizophrenia suggest that the genetic basis is:
Genetic studies of schizophrenia suggest that the genetic basis is:
What is suggested about the causes of schizophrenia?
What is suggested about the causes of schizophrenia?
Which brain region is associated with positive symptoms of schizophrenia?
Which brain region is associated with positive symptoms of schizophrenia?
Which hemisphere of the brain is typically specialized for verbal functions in normal individuals?
Which hemisphere of the brain is typically specialized for verbal functions in normal individuals?
What is considered a major site of dysfunction in schizophrenia?
What is considered a major site of dysfunction in schizophrenia?
Which neurotransmitters are indicated as being higher in the basal ganglia in relation to schizophrenia?
Which neurotransmitters are indicated as being higher in the basal ganglia in relation to schizophrenia?
What analogical description is used for schizophrenia in terms of brain function?
What analogical description is used for schizophrenia in terms of brain function?
Which symptom type of schizophrenia is primarily implicated with the prefrontal cortex?
Which symptom type of schizophrenia is primarily implicated with the prefrontal cortex?
Which drug is mentioned as an antipsychotic and supports the dopamine hypothesis?
Which drug is mentioned as an antipsychotic and supports the dopamine hypothesis?
What role does the DISC 1 gene play in the context of schizophrenia?
What role does the DISC 1 gene play in the context of schizophrenia?
How can psychosocial factors contribute to the onset of schizophrenia in adolescents?
How can psychosocial factors contribute to the onset of schizophrenia in adolescents?
What structural brain damage finding has been noted in some schizophrenia studies?
What structural brain damage finding has been noted in some schizophrenia studies?
What is a significant hypothesis regarding viral infection related to schizophrenia risk?
What is a significant hypothesis regarding viral infection related to schizophrenia risk?
What is the impact of the COMT gene on dopamine in schizophrenia?
What is the impact of the COMT gene on dopamine in schizophrenia?
What is indicated by the term 'cytoarchitectural abnormalities' in relation to the developing brain?
What is indicated by the term 'cytoarchitectural abnormalities' in relation to the developing brain?
How does a blunted cortisol response relate to schizophrenia?
How does a blunted cortisol response relate to schizophrenia?
Which factor is associated with a higher rate of relapse in schizophrenia patients?
Which factor is associated with a higher rate of relapse in schizophrenia patients?
What is one of the potential triggers of psychotic episodes as mentioned?
What is one of the potential triggers of psychotic episodes as mentioned?
What class of drugs is chlorpromazine categorized under?
What class of drugs is chlorpromazine categorized under?
What suggests that chlorpromazine acts as a dopamine receptor antagonist?
What suggests that chlorpromazine acts as a dopamine receptor antagonist?
What is a major limitation of typical antipsychotics?
What is a major limitation of typical antipsychotics?
What is a common side effect of typical antipsychotics?
What is a common side effect of typical antipsychotics?
What is Tardive Dyskinesia characterized by?
What is Tardive Dyskinesia characterized by?
According to the dopamine hypothesis, what is related to the symptoms of schizophrenia?
According to the dopamine hypothesis, what is related to the symptoms of schizophrenia?
What does the literature indicate regarding dopamine release in schizophrenia?
What does the literature indicate regarding dopamine release in schizophrenia?
Which atypical antipsychotic is known for having fewer extra-pyramidal side effects?
Which atypical antipsychotic is known for having fewer extra-pyramidal side effects?
What is the role of catechol-O-methyl-transferase (COMT) in relation to schizophrenia?
What is the role of catechol-O-methyl-transferase (COMT) in relation to schizophrenia?
Which genetic factor has been implicated in familial cases of schizophrenia?
Which genetic factor has been implicated in familial cases of schizophrenia?
Atypical antipsychotics are reportedly more effective against which type of symptoms?
Atypical antipsychotics are reportedly more effective against which type of symptoms?
What does the valine 108 allele of COMT indicate in relation to schizophrenia?
What does the valine 108 allele of COMT indicate in relation to schizophrenia?
What advancement is noted regarding D2 receptor hypersensitivity in the treatment of schizophrenia?
What advancement is noted regarding D2 receptor hypersensitivity in the treatment of schizophrenia?
Which of the following is NOT listed as an atypical antipsychotic?
Which of the following is NOT listed as an atypical antipsychotic?
What is a common side effect found with the use of typical antipsychotics?
What is a common side effect found with the use of typical antipsychotics?
What role does neuregulin play in relation to schizophrenia?
What role does neuregulin play in relation to schizophrenia?
Which of the following is true regarding the role of DISC1 in schizophrenia?
Which of the following is true regarding the role of DISC1 in schizophrenia?
What is the current hypothesis about neuregulin's effect on the NMDA receptor?
What is the current hypothesis about neuregulin's effect on the NMDA receptor?
What is implicity suggested by the evidence of PFC involvement in schizophrenia symptoms?
What is implicity suggested by the evidence of PFC involvement in schizophrenia symptoms?
How do antipsychotics function in treating schizophrenia?
How do antipsychotics function in treating schizophrenia?
What is observed in post-mortem analyses of the brains of schizophrenia patients regarding neuregulin?
What is observed in post-mortem analyses of the brains of schizophrenia patients regarding neuregulin?
Which region on chromosome 8 is associated with schizophrenia risk?
Which region on chromosome 8 is associated with schizophrenia risk?
What is the consequence of PFC hypofunctionality in the context of schizophrenia?
What is the consequence of PFC hypofunctionality in the context of schizophrenia?
Flashcards
Schizophrenia
Schizophrenia
A mental disorder characterized by a fragmentation of cognitive processes and personality, resulting in a complex array of symptoms.
Positive Symptoms
Positive Symptoms
Symptoms that are present in individuals with schizophrenia, representing an excess or distortion of normal functions.
Negative Symptoms
Negative Symptoms
Symptoms that are present in individuals with schizophrenia, representing a decrease or loss of normal functions.
Hallucinations
Hallucinations
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Thought Disorders
Thought Disorders
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Stereotyped Behaviors
Stereotyped Behaviors
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Genetic Basis of Schizophrenia
Genetic Basis of Schizophrenia
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Influence of Environment
Influence of Environment
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DISC1 (Disrupted in Schizophrenia-1 Gene)
DISC1 (Disrupted in Schizophrenia-1 Gene)
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COMT (Catechol-O-Methyl Transferase Gene)
COMT (Catechol-O-Methyl Transferase Gene)
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Neuregulin
Neuregulin
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Adolescent Onset of Schizophrenia
Adolescent Onset of Schizophrenia
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Stress and Schizophrenia
Stress and Schizophrenia
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Blunted Cortisol Response
Blunted Cortisol Response
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Ventricular Enlargement
Ventricular Enlargement
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Decreased Temporal Lobe Volume
Decreased Temporal Lobe Volume
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Temporal Lobe
Temporal Lobe
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Dorsal-Lateral Prefrontal Cortex
Dorsal-Lateral Prefrontal Cortex
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Basal Ganglia
Basal Ganglia
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Neurochemical Imbalance Theory
Neurochemical Imbalance Theory
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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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Synergy Between Genetics and Environment
Synergy Between Genetics and Environment
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Antipsychotics and Dopamine
Antipsychotics and Dopamine
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Amphetamine-induced psychosis
Amphetamine-induced psychosis
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L-DOPA and psychosis
L-DOPA and psychosis
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Chlorpromazine's effect on dopamine
Chlorpromazine's effect on dopamine
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Dopamine Hypothesis of Schizophrenia
Dopamine Hypothesis of Schizophrenia
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No evidence for increased dopamine release
No evidence for increased dopamine release
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Increased D2 receptors in schizophrenia
Increased D2 receptors in schizophrenia
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No consistent D2 receptor increase in drug-naive patients
No consistent D2 receptor increase in drug-naive patients
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Debates surrounding dopamine hypothesis
Debates surrounding dopamine hypothesis
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DISC1
DISC1
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What does DISC1 disruption lead to?
What does DISC1 disruption lead to?
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Neuregulin Hypothesis
Neuregulin Hypothesis
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Clozapine
Clozapine
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Prefrontal Cortex (PFC) in Schizophrenia
Prefrontal Cortex (PFC) in Schizophrenia
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Subcortical Systems in Schizophrenia
Subcortical Systems in Schizophrenia
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How do Antipsychotics work?
How do Antipsychotics work?
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What are atypical antipsychotics?
What are atypical antipsychotics?
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What is the significance of clozapine's receptor profile?
What is the significance of clozapine's receptor profile?
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What is DISC1 and its role in schizophrenia?
What is DISC1 and its role in schizophrenia?
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What is COMT and its significance in schizophrenia?
What is COMT and its significance in schizophrenia?
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What is Neuregulin and its role in schizophrenia?
What is Neuregulin and its role in schizophrenia?
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How do chromosomal microdeletion syndrome and familial schizophrenia contribute to our understanding of schizophrenia?
How do chromosomal microdeletion syndrome and familial schizophrenia contribute to our understanding of schizophrenia?
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What is the dopamine hypothesis and its significance in schizophrenia?
What is the dopamine hypothesis and its significance in schizophrenia?
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What is the role of genetics in schizophrenia?
What is the role of genetics in schizophrenia?
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Study Notes
Schizophrenia Overview
- Suicide is the leading cause of premature death among individuals with schizophrenia.
- Estimates suggest 10% to 13% of deaths in this population are attributed to suicide.
Topics for Study
- Symptoms and Causes
- Antipsychotics and the Dopamine Hypothesis
- Genetics and Beyond the Dopamine Hypothesis
Learning Outcomes
- Critically assess neurobiological hypotheses for schizophrenia.
- Discuss the difficulties in treating schizophrenia.
- Describe the main drugs used to treat schizophrenia and their mechanisms of action.
- Discuss the limitations of schizophrenia treatments.
- Outline experimental approaches used to study the neurobiological basis of schizophrenia.
- Comment on potential avenues for improving the understanding and treatment of schizophrenia in the future.
Schizophrenia Part 1: Symptoms and Causes
- Swiss psychiatrist Eugen Bleuler (1908) described schizophrenia as a fragmentation of cognitive processes and personality.
- Schizophrenia typically begins in adolescence.
- The illness presents with a complex array of symptoms, often accompanied by stress.
- The illness is typically episodic in nature.
Symptoms
- Positive Symptoms: Hallucinations (primarily auditory, "inner speech"), thought disorders, and stereotyped behaviours.
- Negative Symptoms: Poverty of affect, cognitive impairment, and temporal disorientation.
Time Course of Schizophrenia
- The onset of schizophrenia is often variable and includes symptoms such as mood swings, anxiety or substance use.
- Symptom severity, disability, and the course of the illness over time can vary greatly.
Incidence of Schizophrenia
- Schizophrenia is thought to have a genetic component.
- Studies show increased rates of schizophrenia among relatives of patients are consistent with a genetic component.
Causes of Schizophrenia
- Genetic: High concordance rate for monozygotic twins (48%).
- Genetic: Numerous susceptibility genes involved. Specific genes like DISC1, neuregulin, and COMT are associated with risk.
- Environmental: The role of home environment as a potential factor in schizophrenia onset, especially stressful ones.
- Environmental: Experiences such as exposure to viruses during pregnancy may be a contributing factor.
Structural Brain Damage
- Some studies suggest ventricular enlargement and decreased volume of the temporal lobe, including hippocampus, in individuals with schizophrenia.
- Neurodegenerative processes are not a primary factor.
Cytoarchitectural Abnormalities
- Decreased numbers of small neurons in superficial layers, and increased numbers of large neurons in deeper layers, are observed in brain tissue with schizophrenia.
- These abnormalities may indicate developmental problems.
Viral Infections
- Higher incidence in those born during late winter or spring.
- A hypothesis posits that maternal infection during pregnancy may increase schizophrenia risk in the child.
Summary of Causes
- Schizophrenia is likely caused by a complex interplay of genetics and environmental factors.
Site of Brain Dysfunction
- Limbic Structures: Temporal lobe reduced size and activity increases during auditory hallucinations in those with schizophrenia
- Dominant Cerebral Hemisphere: Disruptions in the lateralisation of brain activity in verbal tasks is observed in people with schizophrenia.
- Prefrontal Cortex: Hypo-functioning and lack of a "conductor" of the subcortical systems in people with schizophrenia.
- Basal Ganglia: Site of action for antipsychotic medications.
Current Understanding
- Genetic susceptibility plays a role, but environmental factors influence expression.
- Positive symptoms are linked to temporal lobe dysfunction, while negative symptoms are associated with prefrontal cortex dysfunction.
Schizophrenia Part II: Neurochemical Imbalances
- Dopamine and glutamate show higher activity in basal ganglia.
- Reduced levels of dopamine, glutamate, and GABA are observed in frontal cortex.
Schizophrenia Part II: Antipsychotics and the Dopamine Hypothesis
- Reserpine, a drug that decreases dopamine, has antipsychotic effects
- Amphetamines induce toxic psychosis in vulnerable individuals
- A drug like L-DOPA can provoke psychotic episodes
Dopamine Hypothesis
- Indirect evidence supports the hypothesis that excess dopamine neurotransmission in the mesolimbic and mesocortical regions of the brain contributes to schizophrenia.
Antipsychotics (Neuroleptics)
- Typical or first-generation antipsychotics include phenothiazines, thioxanthenes, and butyrophenones.
- Effective against positive symptoms, but have limitations.
Side Effects of Typical Antipsychotics
- Weight gain, sedation, postural hypotension, atropine-like side effects, hyperprolactinaemia, neuroleptic malignant syndrome, movement disorders (acute, chronic), and tardive dyskinesia.
Recent Advances in Antipsychotics
- Atypical or second-generation antipsychotics, such as clozapine, quetiapine, olanzapine, risperidone, aripiprazole, asenafine, and paliperidone, exhibit less sedation and a lower incidence of movement disorders.
Clozapine
- Clozapine is a relatively recent addition to the atypical antipsychotic class with reduced side effects compared to typical antipsychotics like haloperidol
Conclusions
- Increased understanding of schizophrenia's genetic basis is crucial for understanding the underlying mechanisms.
- Research should lead to better diagnostic tools and improved therapies for schizophrenia.
- Addressing the interplay of environmental and genetic influences is essential.
- Early and accurate diagnosis, and therapies are needed to lessen the impact on patients.
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Description
Test your knowledge about schizophrenia, including its symptoms, causes, and treatment approaches. This quiz covers various aspects such as genetic factors, brain regions affected, and treatment challenges. Perfect for students and professionals in psychology and mental health fields.