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Neuro
Depression and Schiz
39
Other
Professional
01/27/2009

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Cards

Term
Lifetime prevalence of major depression
Definition
15%
Term
Major depression likelihood based on sex
Definition
2x more common for women
Term
Does family history play a role in major depression?
Definition
It can but it is not that common
Term
Mean age for major depression
Definition
40 but can occur at any age
Term
Societal spread of major depression
Definition
occurs in all socioeconomic classes and races
Term
Untreated major depression can last for
Definition
6-12 months
Term
treated major depression can be resolved
Definition
within 2 months
Term
Risk of recurrence for major depression
Definition
Rule of thirds
1/3 will not have it again, 1/3 will have sporadic episodes, 1/3 will have repetitive recurrent episodes
Term
Major depression symptoms
Definition
change in sleep pattern, change in appetite, decreased energy, suicidal, decreased concentration and memory, depressed mood, helplessness, irritability, excessive guilt, psychosis
Term
Major depression diagnosis is
Definition
5 or more symptoms for 2 wks duration
Term
Differential diagnosis for major depression
Definition
major depression, bipolar depression, dysthymia, grief, adjustment disorder, hypothyroidism, substance induced, stimulant w/d, chf, hypoxia, parkinsons, HIV, adrenal disorders
Term
dysthymia
Definition
chronic low grade depression
Term
Production of serotonin
Definition
Tryptophan->tryptophan hydroxylase->5-hydroxytryptophan->aa decarboxylase->serotonin
Term
Missing tryptophan from diet
Definition
serotonin goes down
Term
What enzymes breakdown serotonin
Definition
Monoamine Oxidase and Aldehyde Dehydrogenase
Term
If you block MAO what happens to serotonin in cells
Definition
increases
Term
SSRI
Definition
selective serotonin reuptake inhibitor blocks serotonin reuptake into cell so get increased serotonin levels in synapse
Term
Lifetime Suicide risk for major depression
Definition
10-15%
Term
During single episode of MDD,... consider suicide
Definition
60%
Term
Antidepressant treatments
Definition
1. SSRI-60-70% efficacy
2. SNRI-serotonin NE reuptake inhibitor
3. Tricyclics-ambotriptiline
4. MAOI-monoamine oxidase inhibitors
Term
Schizophrenia lifetime prevalence
Definition
1-2%
Term
Sex difference between schizophrenia
Definition
none
Term
Age of schiz onset
Definition
Males-late teens
Females-early 20's
Term
Schiz racial prevalance difference
Definition
no
Term
Schiz socioeconomic class correlation
Definition
their appears to be some evidence
Term
Schizophrenia positive symptoms
Definition
1.delusions
2.paranoia
3.hallucinations-auditory or visual
4.Disorganized thought process
Term
Schiz - symptoms
Definition
1.blunted affect
2. alogia
3. Social isolation
4. lack of motivation
5. Anhedonia-inability to enjoy
6. poor hygeine
Term
Schizo subtypes
Definition
Paranoid, disorganized, catatonic, undifferentiated
Term
Schizo disease course
Definition
lifelong illness with psychotic exacerbations that tend to come and go and the negative symptoms tend to be chronic and longstanding
Term
Schiz differential diagnosis
Definition
psychosis, schizoidal PD- -symptoms,
schizotypal PD- + symptoms, Delirium, schizoaffective disorder
Term
MDD etiology
Definition
Genetic,catecholamines/serotonin, psychoanalytic-ie needs to talk
Term
Schiz etiology
Definition
dopamine theory, genetic, psychosocial theories
Term
Dopamine theory for schiz two parts
Definition
1.mesolimbic
2.mesocortical
Term
Mesolimbic dopamine theory
Definition
too much dopamenergic activity in the mesolimbic areas of the brain explains + symptoms
Term
Mesocortical dopamine theory
Definition
too little dopamenergic activity in the mesocortical regions of the brain explains - symptoms
Term
Schiz lifetime suicide risk
Definition
10%
Term
Schiz treatment
Definition
1.typical antipsychotics
2.atypical
Term
Typical antipsychotics
Definition
D2 blockers (dopamine receptor 2 blockers) help + symptoms but not negative ones
Term
Atypical antipsychotics
Definition
5HT2 blockers prevent + and seem to decrease - symptoms because blocks serotonin receptor in mesocortical region which enhances dopamine effect
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