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Stress-Diathesis Essay
JHSPH09
27
Other
Graduate
12/21/2009

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Term
Overview of Stress-Diathesis
Definition
Stress-diathesis models are based on the premise that all people have some level of predisposing factors (diatheses) for any given mental disorder. However, individuals have their own point at which they will develop a given disorder, a point that depends on the interaction between the degree to which these risk factors exist and the degree of stress experienced by the individual.
Term
Classic Threshold Model Proposed By?
Definition
Classic example proposed by Zubin and Spring (1977), where every person has a degree of vulnerability that represents a threshold for the development of schizophrenia. The diathetic threshold is the point at which the people who fall below the threshold will not develop the disorder, whereas those above this level cross the threshold into disorder. Thus, the threshold for triggering schizophrenia may vary from one person to the next depending on the degree of vulnerability and the level of stress experienced.
Term
Provide an example of the ipsative model
Definition
Example = short alleles associated with more depressive symptoms, diagnoses of depression, and suicidality following stressful life events than those l/l (Caspi, 2003).
Term
!!TWO!! examples of the Risk-resilience continuum model?
Definition
Example = PTSD is an example for this model, given the differing levels of stress seen needed for individuals to develop the disorder. Alvarez and colleagues (2005) examined firefighters risk for PTSD, finding a range of threshold levels based on the firefighter’s years of experience on the force.

Betancourt and Khan (2008) - explored the potential for children from armed conflicted countries to develop mental resiliency as a consequence of dealing with a constant level of trauma
Term
Monoamine Oxidase A Function?
Definition
Metabolizes DA, NE and HTT
Term
Two!!! Monoamine Oxidase A Study?
Definition
(Caspi and colleagues, 2002) - a significant interaction between MAOA and childhood maltreatment in predicting aggression.

Additionally, levels of MAOA have been linked to MDD (Meyer, 2006)
Term
Schizophrenia Twin Study of Importance
Definition
Famous schizophrenia study, using the Danish Twin Registry and Psychiatric Registries, (Gottesman & Bertelsen 1989)
Term
Adoption Schizophrenia Study of Importance
Definition
Adoption Studies - Famous schizophrenia study, (Tienari and colleagues, 1985) - children removed from schizophrenic mothers, followed control mothers as well, found STRONG link with 6 of 7 cases of schizophrenia in children, from schizophrenic mothers.
Term
Family Schizophrenia Study of Importance
Definition
Family Studies - Famous schizophrenia study, used Roscommon County Case Register (n=285), (Kendler and colleagues 1993)
Term
Famous Family Study of Autism
Definition
Bolton and colleagues (1994) - London Hospital Records
Term
Famous Autism Twin Study
Definition
Bailey and colleagues (1995) - British Twin Study
Term
Famous Adoption Studies for Autism
Definition
Rutter and colleagues (2007) - Romanian orphans moved to UK
Term
Physical changes from stress
Definition
Nester and colleagues 2002 - Constant activation of the HPA axis results in hippocampal damage including reduced dendritic branching (arborization) and neurogenesis
Term
Who proposed the risk-resiliency model?
Definition
Ingram & Price, 2001
Term
Who proposed the ipsative model?
Definition
Monroe & Hadiyannakis, 2002
Term
Allostasis proposed by? And is?
Definition
McEwen, 1998

A complex, dynamic, highly interactive set of multiple physiological systems of equilibrium
Term
Allostatic load proposed by?
Definition
Evan, 2003
1) Repeated hits
2) Prolonged response
3) Inadequate response
4) No adaptive capacity
Term
Example of the kindling theory
Definition
Kendler and colleagues 2000 - Individuals with previous major depressive episodes were more likely to have additionally episodes.
Term
Example of dichotomous stress-diathesis model?
Definition
Huntington's Disease
Term
What does the HTTLPR stand for in 5-HTTLPR?
Definition
Serotonin-transporter-linked promoter region. It is a degenerate repeat polymorphism
Term
What is DAT1?
Definition
A dopamine active transporter. Note that underactive dopamine has been indicated, but gender differences still exist (girls worse than boys)
Term
What does COMT stand for?
Definition
Catechol-O-methyl transferase
Term
What does MAOA stand for?
Definition
Monoamine oxidase A - it's on the X chromosome, lower levels are associated with more problems
Term
COMT two amino acids?
Definition
Valine = Fast inactivation of DA (problematic)
Methionine = Slowly inactivation of DA
Term
Cortisol level: PTSD
HIGH OR LOW?
Definition
LOW
Term
Cortisol level: Aggression
HIGH OR LOW?
Definition
HIGH
Term
Cortisol level: ASPD
HIGH OR LOW?
Definition
LOW
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