Shared Flashcard Set

Details

Schizo-Depression
From slides
31
Nursing
Undergraduate 1
03/04/2012

Additional Nursing Flashcards

 


 

Cards

Term
Bipolar I
Definition
Manic w/ at least one major depressive episode, equal M:W instances
Term
Bipolar II
Definition
Depressive w/ at least one manic episode, W more than M.
Term
POTAC, what does it stand for? What does it do?
Definition
Parietal Occipital Temporal ASSOCIATION cortex--comparisons of experience w/ current perceptions
Term
The Limbic System (Emotional Processing), what three structures?
Definition
- Amydala (Implicit memory/emotional connotation)
- Hippocampus (Explicit/Context), Spacial and Semantic Memory)
- Nucleus accumbens (filtering/integration)
- PreFrontal Cortex (Plan/Judge/Emotional/Experience)
- POTC (Sensory integration and perception)
Term
What part of the brain is associated with NEGATIVE symptoms of schizophrenia?
Definition
Prefrontal Cortex
Term
What are the four Dopamine Projections?
Definition
1. Nigrostriatal
2. Mesolimbic
3. Mesocortical
4. Tuberoinfundibular
Term
In Positive Symptoms, the _________ dopamine pathway is HYPERACTIVE
Definition
Mesolimbic
Term
In Negative Symptoms the _____ dopamine pathway is deficient.
Definition
Mesocortical
Term
Interactions btw Dopamine systems and what three other NT systems are a better explanation than the DA theory?
Definition
GABA, Serotonin, Glutamate.
Term
What is the primary excitatory NT in the brain?
Definition
Glutamate
Term
Glutamate allows Ca influx, _____ inhibits Glutamate receptors at NMDA
Definition
GABA
Term
T/F? Depression dx if flexible and patients can move along the contiuum throughout the course of their illness.
Definition
TRUE
Term
Depression is a distrubance of ______
Definition
Mood.
Term
What are the four domains which can be altered resulting in depression?
Definition
1. Emotion/Mood state
2. Cognitive processes
3. Behavioral actions
4. Somatic regulation
Term
What is dysphoria?
Definition
Sadness (an affective indicator)
Term
What is ahedonia?
Definition
loss of interest in pleasure.
Term
Disruption of circadian cycles, pituitary dysregulation, increase adrenal secretion and immunosupression are all examples of:
Definition
Phsyiological Indicators
Term
Tearfulness, social isolation, fatigue, appetite changes, craving sweets, difficulties sleeping are all examples of:
Definition
Behavioral indicators of depression
Term
Thoughts of death/dying, slowed thinking, worry, forgetfulness, difficulty concentrating are all examples of:
Definition
Cognitive indicators of depression
Term
Sadness, ahedonia, dysphoria, hope/helplessness, anxiety, worthlessness, irritability are all examples of:
Definition
Affective indicators of depression
Term
What pro-inflammatory immune mediators appear to contribute to depression?
Definition
1. INF-a
2. IL-6
3. TNF
4. Prostoglandins
5. Excitatory Amino Acids
Term
_____ Gene Promotor regulates serotonin. People born with one short allele are more prone to depression after experiencing adversity. What ethnic group is more likely to have the short allele?
Definition
5-HTT
Asians!
Term
Schizophrenia: what does thought disorder mean?
Definition
Can't put together logical sentences
Term
Schizophrenia: What are delusions?
Definition
Believing things that aren't true.
Term
Schizophrenia: what are Hallucinations?
Definition
Sensing things that aren't there.
Term
What are the NEGATIVE symptoms os Schizophrenia?
Definition
- Flat affect
- Poverty of speech
- Lack of initiative
- Social withdrawal
Term
What are the four neuropathic changes in schizophrenia?
Definition
- Brain volume decreases (temporal cortex)
- Ventricle volume increases
- Neuron size decreases (Hippocampus, and cortical neurons)
- Abnormal cytoarchitecture (pre-frontal cortex, cingulate gyrus and hippocampus)
- Decreased perfusion and metabolism (frontal and temporal regions)
Term
What area of the brain is associated with Negative symptoms?
Definition
Pre Frontal Cortex (brain volume/cellular decrease)
Term
What are the terms that best describe the Limbic Cortex?
Definition
Flexibility, security, adaptability.
Term
Depression: Theory HPA/Hippocampus
Definition
Cortisol levels increase during stress and may be toxic to hippocampal neurons. Hippocampus is supposed to regulate CRF secretion in hypothalamus. Amygdala induces CRF secretions from hypothalamus. VICIOUS CYCLE.
Term
Depression Theory: Inflammation.
Definition
Changes in immune and inflammatory response found in the STRESS RESPONSE are also found in DEPRESSED INDIVIDUALS.
- INF-alpha lead to IL-6 increase=Depression
- Central and peripheral inflammation noted
Supporting users have an ad free experience!