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16: Schizophrenia
16: Schizophrenia
16
Physiology
Undergraduate 4
12/06/2011

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Cards

Term
What percentage of the population is affected by schizophrenia?
Definition
1%
Term
Positive symptoms (3)
Definition
-Disorganized, irrational thoughts
-Delusions
-Hallucinations
Term
Negative symptoms (3)
Definition
-Flat affect
-Alogia (no speech)
-Anhedonia (inability to feel pleasure)
Term
What is the rule of thirds when it comes to treatment?
Definition
-1/3 have only one psychotic episode, then return to normal
-1/3 are treated with drugs and can function
-1/3 no effective treatment
Term
What are some of the possible causes of schizophrenia?
Definition
-Genetics
-Environment
-season of birth
-prenatal virus
-prenatal malnutrition
-prenatal stress
Term
Seasonality effect
Definition
People born in late winter/early spring have increased risk
Term
What two structural brain abnormalities are related to schizophrenia?
Definition
-Enlarged ventricles
-Reduction in cortex tissue (frontal/temporal lobes)
Term
Hypofrontality
Definition
Low activity of neurons in the PFC
-responsible for negative symptoms
Term
Dopamine hypothesis
Definition
There is an overactive or hypersensitive DA system in many forms of schizophrenia
-drugs that decrease DA treat it
-drugs that increase DA increase positive symptoms
Term
Which parts of the brain show altered numbers of DA receptors in schizophrenics?
Definition
PFC and nucleus accumbens
Term
Need to know
Definition
5:1,2
6:1
Term
What effect do classical/typical antipsychotics have on schizophrenics?
Definition
Large effect on positive symptoms
Term
Extrapyramidal symptoms (EPS)
Definition
Motor/movement side effects of antipsychotic drugs
-rigidity, tremors, restlessness, immobility
Term
Neuroendocrine effects
Definition
Hormonal side effects of antipsychotics
-abnormal lactation/menstruation, impotence, weight gain
Term
Acetylcholine antagonism
Definition
Head/digestive antipsychotic side effects
-blurred vision, congestion, dry mouth,constipation, trouble peeing
Term
Atypical antipsychotic drugs (4)
Definition
More effective in treating negative symptoms
-reduce symptoms in 30% of those who did not respond previously
-minimal EPS effects
-can cause a decrease in white blood cells
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