biological explanations for schizophrenia

Cards (15)

  • Genes
    Consist of DNA strands
  • DNA
    • Produces instructions for general physical features of an organism (such as eye colour, height)
    • Produces instructions for specific physical features (such as neurotransmitter levels and size of brain structures)
    • May impact on psychological features (such as intelligence and mental disorder)
  • Inheritance
    Genes are transmitted from parents to offspring
  • Neural correlates
    Patterns of structure or activity in the brain that occur in conjunction with an experience and may be implicated in the origins of that experience
  • Dopamine
    • A neurotransmitter that generally has an excitatory effect and is linked to the sensation of pleasure
    • Unusually high levels are associated with schizophrenia
    • Unusually low levels are associated with Parkinson's disease
  • The genetic basis of schizophrenia - family studies
    • Gottesman - large scale family study
    • the risk of schizophrenia increases in line with genetic similarity
    • BUT family members tend to share aspects of their environment as well as many of their genes
    A) 48%
    B) 2%
  • the genetic basis of schizophrenia - candidate genes
    • schizophrenia is polygenic
    • Ripke - combined all previous data from genome-wide studies of schizophrenia
    • genetic make-up of 37,000 people with a diagnosis of schizophrenia was compared to 113,000 controls - 108 separate genetic variations were associated with risk of schizophrenia
    • different studies have identified different candidate genes - schizophrenia is aetiologically heterogeneous
  • aetiologically heterogeneous
    different combinations of factors including genetic variation can lead to condition
  • the genetic basis of schizophrenia - the role of mutation
    • mutation in parental DNA which can be caused by radiation, poison or viral infection
    • evidence for mutation comes from positive correlations between paternal age and risk of schizophrenia
    • fathers under 25 - 0.7%
    • fathers over 50 - over 2%
  • AO3- genetic basis of schizophrenia - limitation
    P: clear evidence to show that environmental factors also increase the risk of developing schizophrenia
    E: These environmental factors include birth complications and smoking cannabis in teenage years
    psychological risk factors include childhood trauma which leaves people more vulnerable to adult mental health problems
    E: Morkved - 67% of people with schizophrenia and related psychotic disorders reported at least one childhood trauma
    L: genetic factors alone cannot provide a complete explanation for schizophrenia
  • AO3 - genetic basis of schizophrenia - strength
    P: supporting evidence from twin studies
    E: Joseph - calculated that pooled data for all schizophrenia twin studies showed concordance rate for MZ twins of 40.4% and 7.4% for DZ twins
    E: strong evidence - MZ twins share 100% rather than 50% DNA as environments are the same.
    L: strongly suggests genes can account for the increased concordance rate in schizophrenia
  • neural correlates of schizophrenia - the original dopamine hypothesis
    • drugs used to treat schizophrenia caused symptoms similar to those in people with Parkinson's disease a condition associated with low dopamine levels
    • schizophrenia results from high levels of dopamine in subcortical areas of the brain
    • excess of dopamine receptors in pathways from the subcortex to Broca's area may explain specific symptoms- poverty of speech
  • neural correlates of schizophrenia - new dopamine hypothesis
    • Davis - abnormally low dopamine in the brain's cortex - could explain symptoms of schizophrenia
    • low dopamine in prefrontal cortex could explain cognitive problems
    • abnormally low levels of dopamine in cortex lead to high levels of dopamine in subcortex
    • genetic variations and early experiences of stress make people more sensitive to low dopamine levels in cortex
  • AO3 - neural correlates of schizophrenia - strength
    P: support for the idea that dopamine is involved in schizophrenia
    E: amphetamines increase dopamine and worsen symptoms in people with schizophrenia
    antipsychotic drugs reduce dopamine activity and reduce intensity of symptoms
    some candidate genes act on the production of dopamine
    L: suggests that dopamine is involved in the symptoms of schizophrenia
  • AO3 - neural correlates of schizophrenia - limitation
    P: evidence for a central role of glutamate
    E: post-mortem and live scanning studies have consistently found raised levels of the neurotransmitter glutamate in several brain regions of people with schizophrenia - candidate genes for schizophrenia are believed to be involved in glutamate production
    L: an equally strong case can be made for a role for other neurotransmitters