Psychobiology of Schizophrenia Flashcards

1
Q

What are positive symptoms in schizophrenia

A

hallucinations and delusions

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2
Q

What are negative symptoms in schizophrenia

A

lack of motivation, apathy

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3
Q

What are the cognitive dysfunctions that occur in schizophrenia?

A

Attention, memory, executive function

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4
Q

Which area of the brain is implicated in the cognitive dysfunction in schizophrenia?

A

frontal cortex known as “hypofrontality”

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5
Q

The positive symptoms of schizophrenia are hypothesized to be

A

due to malfunctioning mesolimbic circuits especially involving the nucleus accumbens

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6
Q

The nucleus accumbens is considered to be part of the brain’s

A

reward circuitry

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7
Q

What is considered to be a key node in the nexus of malfunctioning cerebral circuitry for negative, affective, cognitive, and aggressive/implusive symptoms?

A

prefrontal cortex

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8
Q

Auditory hallucinations have a direct correlation to

A

the size of the temporal lobe. The smaller temporal love predicts more hallucinations

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9
Q

How are oligodendrocytes affected in shcizophrenics?

A

A decrease of 27% in the Brodmann’s area

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10
Q

In schizophrenic patients it is nor neuronal loss but rather

A

tighter packing of neurons from reduced cell size, less branching, and decreased spine formation

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11
Q

What prenatal complication has a linear correlation with schizophrenia?

A

hypoxia associated obstetric complications

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12
Q

Children in utero during a famine

A

doubled their chances of developing schizophrenia in early adulthood

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13
Q

What protein has been identified as being reduced in schizophrenic patients?

A

reelin

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14
Q

What two components are likely to be found in those with schizophrenia?

A

genetic vulnerability and environmental insult

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15
Q

The long term use of antipscyhotics was found to have what in Nancy Andreasen’s experiement?

A

a decrease in all brain regions except the cerebellum. The higher lifetime dose the more gray matter loss

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16
Q

How to antipsychotics affect the cortical thickness?

A

greater cortical thinning on the PFC and temporal regions

17
Q

Why should we avoid unnecessary treatment and to use the lowest dose of antipsychotics?

A

Potential neurotoxicity