Biological explanation for schizophrenia Flashcards

1
Q

What are the 3 aspects of the biological explanation for schizophrenia?

A

Genetic basis
Dopamine hypothesis
Neural correlates

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2
Q

Name 4 studies that support a genetic basis for schizophrenia.

A

Gottesman - twin studies and family studies
Ripke - molecular study
Tienari - adoption studies

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3
Q

What did Gottesman find in his twin studies?

A

Concordance rate for schizophrenia:

  • MZ = 48%
  • DZ = 17%
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4
Q

How many twins did Gottesman study?

A

40

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5
Q

What did Tienari find in his adoption studies?

A

Studied 155 adopted children who’s biological mothers had schizophrenia.
Concordance rate of 10% compared to 1% in adopted children without schizophrenic parents.

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6
Q

What did Gottesman find in his family study?

A

If both your parents suffer from schizophrenia, then you have a 46% chance of developing it yourself.

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7
Q

Schizophrenia is polygenic. What does this mean?

A

It is determined by more than one gene.

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8
Q

Why is schizophrenia aetiologically heterogenous?

A

Because studies have identified different candidate genes.

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9
Q

What did Ripke find out in his study of genetic vulnerability?

A
  • Carried out a study combining all previous data from genome-wide studies of schizophrenia.
  • The genetic make up of 37,000 schizophrenics was compared to that of 113,000 controls.
  • 108 separate genetic variations were associated with increased risk of schizophrenia.
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10
Q

What is dopamine?

A

A neurotransmitter that generally has an excitatory effect and is associated with the sensation of pleasure.

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11
Q

What levels is hyperdopaminergia associated with?

A

High levels of dopamine in the sub cortex.

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12
Q

Give an example of hyperdopaminergia’s role in schizophrenia.

A

An excess of dopamine receptors in Broca’s area may be associated with speech poverty/the experience of auditory hallucinations.

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13
Q

What levels is hypodopaminergia associated with?

A

Low/abnormal levels of dopamine in the cortex.

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14
Q

Give an example of hypodopaminergia’s role in schizophrenia.

A

Goldmann-Rakic identified a role for low levels of dopamine in the prefrontal cortex (responsible for thinking and decision making) in the negative symptoms of schizophrenia.

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15
Q

What are neural correlates?

A

Measurements of the function of the brain that correlate with an experience.

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16
Q

Give an example of a negative symptom that provides evidence for neural correlates as an explanation.

A
  • Avolition involves the loss of motivation.
  • Motivation involves the anticipation of a reward, and the ventral striatum is believed to be involved in this anticipation.
17
Q

Who conducted a study into the ventral striatum’s role in schizophrenia?

A

Juckel

18
Q

What did Juckel find?

A

Measured activity levels in the ventral striatum in schizophrenia and found lower levels of activity than those observed in controls.

19
Q

Who conducted a study into neural correlates effect on positive symptoms in the development of schizophrenia?

A

Allen et al.

20
Q

What was Allen’s study?

A
  • Scanned the brains of patients experiencing auditory hallucinations and compared them to a control group whilst they identified pre-recorded speech as theirs or others.
  • Lower activation levels in the superior temporal gyrus and anterior cingulate gyrus were found in the hallucination group.
21
Q

State a positive of the biological explanation for schizophrenia.

A

Multiple sources of evidence for genetic susceptibility:

  • Gottesman x2
  • Ripke
  • Tienari
22
Q

State 3 negatives of the biological explanation for schizophrenia.

A
Mixed evidence for the dopamine hypothesis:
- L-Dopa
- Antipsychotic drugs
- Ripke: other neurotransmitters
The correlation-causation problem.
Environmental influence is unclear.