Atielogy And Pathology Flashcards

(31 cards)

1
Q

What is the definition of anxiety

A

Fearful anticipation of something bad is going to happen
Out of proportion reaction to the stimulus

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2
Q

What is the classic sign of anxiety

A

The need to avoid situations i.e avoidance of stimulus
‘Feed the fear’

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3
Q

Describe eustress

A

Acute stress
Normal stress response in response to acute pressure

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4
Q

Describe distress

A

Chronic stress
Can be a response to a physical or psychological stimulus Fearful anticipation doesn’t subside when the threat subsided

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5
Q

When can distress be classed as a behavioural disorder

A

When it interferes with normal life

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6
Q

Describe GARD

A

Excessive and persistent anxiety
Often presents with physical symptoms

Can be a fear of future events, personal safety etc

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7
Q

Describe OCD

A

Obsessive respective thoughts that are often negative
Counteracted by compulsive behaviours/rituals that pride temporary relief

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8
Q

Describe panic disorder

A

Brief, acute yet intense panic attacks
Can have similar symptoms of heart attack

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9
Q

How can agoraphobia stem from panic disorders

A

Fear of certain places due to negative emotions can result in avoidance to prevent panic

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10
Q

Describe phobic disorders

A

Disproportionate and excessive fear to specific things

Generally predictable there can avoid threat

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11
Q

Describe PTSD

A

Follows a traumatic event
Symptoms delayed by weeks/months
Re experience of trauma (flashbacks)

Develop avoidance of any sensory cues

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12
Q

Why are some people more likely to develop anxiety disorders

A

Genetic and environmental influences
Can inherit polymorphisms = genetically predisposed
Early experience of neglect = lack of control

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13
Q

How can behavioural inhibition temperament increase the risk of developing anxiety disorders in children

A

Will withdraw in unfamiliar situations
Show emotional distress
= low threshold for amygdala arousal

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14
Q

What are the 3 main areas involved in anxiety disorders

A

CNS, HPA axis (endocrine) , Autonomic

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15
Q

What happens in the amygdala when the stimuli is sensed

A

Threat is integrated, appraised and a response in co-ordinated

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16
Q

Describe the pathway when external sensory info from the treat is received

A

Threat -> sensory stimulus -> thalamus -> amygdala -> neurones in baso lateral amygdala

17
Q

What is the importance of the amygdala in the fear response

A

involved in the response to innate threat and complex emotional processing

18
Q

How is a new stimulus appraised and stored in a normal stress response

A

Amygdala is associated w hippocampus, prefrontal medial cortex and auditory cortex
Allows the stimulus to be associated with an memorial response and stored in pre-frontal cortex

19
Q

How is a response coordinated in a normal stress response

A

CRF released by central nucleus of amygdala
Stimulates hypothalamus and locus coeruleus

20
Q

What is the behavioural response of the striatum and locus coeruleus

A

Striatum: psychomotor activity
Locus coeruleus: arousal/agitation

21
Q

What effect does CRF have on behaviour

A

CRF in LC = increased spontaneous activity
CRF in cerebral aqueduct = increased locomotor activity

22
Q

What happens if the level of CRF is too high

A

Inhibits spontaneous activity and locomotor activity
= freezing in response to fear after initial agitation

23
Q

What role does LC have in response to threat

A

CRF released from central nucleus of amygdala
= release of noradrenaline that affect vagal nucelei
= parasympathetic effects e.g hypertensions, tachycardia

24
Q

Describe the HPA axis in endocrine stress response

A

Amygdala releases CRF -> hypothalamus releases CRF
= pituitary releases ACTH
= adrenal gland release cortisol and adrenaline
= increase sympathetic system

25
Describe how the negative feedback loop works in anxiety disorders
Usually: negative feedback loop = cortisol -> gluco/mineralcorticoid receptors _> shut off HPA axis
26
How does cortisol and CRH levels differ in PTSD and panic disorders
PTSD: increased CRH but decreased cortisol levels PD: no increase in CRH but increase in cortisol levels
27
What is the PTSD (Yehuda) hypothesis?
More sensitive to glucocorticoids being released = shut off more quickly Increased density of glucocorticoid receptors = response to cortisol is more sensitive -> lower cortisol levels
28
Are noradrenaline levels elevated in people w anxiety disorders?
Yes - noradrenergic response to stress timeline is hypertensive in GAD, PD and PTSD
29
What noradrenergic receptor has been shown to be dysfunctional in anxiety disorders
A2-adrenoreceptor Inhibits presynaptic neurotransmitter release
30
What serotonin receptor is affected in anxiety disorders
5-Ht1a Inhibitory and located pre and post synaptically
31
How does 5-HT expression vary with glucocorticoid levels
Chronic stress = decrease 5-HT1a expression Removal of cortisol (adrenalectomy) = increase 5-HT1a