What evidence supports the genetic basis of schizophrenia?
Family studies show higher prevalence in first-degree relatives. Twin studies reveal a 48%concordance rate in monozygotic twins versus 17% in dizygotic twins. Candidate genes like COMT, DISC1, and G72 are linked to increased risk.
What is the original dopamine hypothesis of schizophrenia?
Suggests schizophrenia results from excess dopamine activity in certain brain areas, leading to symptoms like hallucinations and delusions. Based on the efficacy of antipsychotic drugs that block dopamine receptors.
What updates have been made to the dopamine hypothesis?
focuses on abnormal dopamine systems in specific brain regions, like increased dopamine receptors in the striatum and decreased in the prefrontal cortex. It explains a wider range of symptoms and treatment responses.
What structural abnormalities are associated with schizophrenia?
Enlarged ventricles, reduced gray matter volume, especially in the prefrontal cortex, temporal lobes, and hippocampus. These abnormalities are often more pronounced in chronic cases.
What are the functional abnormalities found in the brains of individuals with schizophrenia?
Hypofrontality (reduced activity in the prefrontal cortex), disrupted connectivity between brain regions, and abnormal brain activation patterns during cognitive tasks.
How do prenatal factors influence the risk of developing schizophrenia?
Prenatal exposure to viral infections (e.g., influenza), maternal malnutrition, and stress increase the risk. These factors can disrupt fetal brain development, leading to later vulnerability.
Which genetic mutations are associated with schizophrenia?
Mutations in the COMT gene and others affecting neurotransmitter systems.
What is a criticism of biological explanations for schizophrenia?