Me and my blue genes
What's in a name?
There's nothing you can know that isn't known
It was Colonel Mustard in the Study
100

Down's and up - These patients have increased risk of Alzheimer Disease due to encoding of this protein on chromosome 21

what is amyloid precursor protein (APP)?

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100

Seen here, this South African psychiatrist is one of the fathers of behaviorism, perhaps most famous for reciprocal inhibition and systematic desensitization

Who is Joseph Wolpe?

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reciprocal inhibition: inhibition of fear/anxiety by a feeling or response that is incompatible with fear/anxiety (i.e. assertiveness training)

systematic desensitization: exposing client to progressively stronger anxiety-producing stimuli until anxiety resolves

100

Named after a Greek mythology sculptor who fell in love with his own sculpture, this occurs when higher expectations lead to increased performance

What is the Pygmalion effect (aka observer-expectancy bias)

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100

The MAOI used in level 4 of the STAR*D study along with mirtazapine venlafaxine er combination

What is tranylcypromine?

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Interventions

Participants progressed through four different levels of treatment.

  • Step 1: All participants received flexible-dose citalopram. If in remission, enter 12-month naturalistic follow up. If no remission, proceed to step 2.
  • Step 2: 3 augmentation strategies (citalopram + bupropion; citalopram + buspirone; citalopram + CBT) and 4 switch strategies (buproprion, sertraline, venlafaxine, CBT). If in remission, enter 12-month naturalistic follow up. If no remission, proceed to step 3.
  • Step 3: 2 augmentation strategies (lithium or triiodothyronine [T3]) and 2 switch strategies (nortriptyline, mirtazapine). If in remission, enter 12-month naturalistic follow up. If no remission, proceed to step 4.
  • Step 4: randomized to treatment with either tranylcypromine or combination venlafaxine XR and mirtazapine.

Outcomes

Comparisons are level 1 vs. level 2 vs. level 3 vs. level 4.

Primary Outcome

Depression remission by QIDS-SR16 score
Step 1: 36.8% (higher remission rate than those in step 2; P<0.001)
Step 2: 30.6% (higher remission rate than those in step 3; P<0.001)
Step 3: 13.7%
Step 4: 13%

200

When methylated, these musical-sounding proteinaceous structures are transcriptionally inactive 

What are histones? 


200

The 1950-60s cognitive psychology revolution was ignited by this New Yorker, who developed what is considered the first form of CBT, sorry Beck

Who is Albert Ellis?

--------------------------

Developed rational emotive behavior therapy (REBT) - irrational core beliefs cause disturbance in emotion which leads to actions by the client; these core beliefs are challenged and changed

200

Glycine may be a nonessential amino acid, but it acts as this at the NMDA receptor  

What is an obligate coagonist?

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obligate = necessary to bind
co-agonist = binds with d-serine and glutamate for NMDA receptor activation

200

Incorrectly rejecting the null when it's actually true, or derived from the Phoenician symbol for 'leader'

What is a type I error (alpha)?

300

You may mistake this genetic syndrome as descended from Yahweh, rather than from epigenetic imprinting

What is Angelman Syndrome? 

-----------------------------------

imprinting = gene expression is dependent on which parent passed down the mutant gene

Angelman = paternal imprinting (father's gene is normally silent); lof on maternal chromosome 15)

Prader-Willi = maternal impritning (mom's gene is normally silent); del on dad's chromosome 15 

300

This Swiss mister came up with concepts like the collective unconscious & archetypes

Who is Carl Jung?


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Concepts:
-founder of analytical psychology
-individuation: the process of differentiation of the self out of each individual's conscious and unconscious elements (the main task of human development)
-synchronicity: events are meaningful coincidences if they occur with no causal relationship yet seem to be meaningfully related
-archetypes: universal symbols/images from the collective unconscious; psychological instinct (innate unspecific knowledge)
-collective unconscious: structures of the unconscious mind which are shared among beings of the same species
-introversion and extraversion

300

The Nathan's hot dog eating contest was won with ease this year after a craniopharyngioma disrupted this section of the winner's hypothalamus

What is ventromedial?

300

This is not a new dancing style but a named study that found adding antidepressants to mood stabilizers didn't improve bipolar depressive symptoms better

What is the STEP-BD?

400

When Michael Scott described his vasectomies to Jan, he wasn't referring to these differences in a nucleotide that occur normally throughout a person's genome

What are SNPs (single nucleotide polymorphisms)? 

--------------------------------------

Genome Wide Association Studies: look for common SNPs and variants to identify genes influencing complex disorders

400

A former theologian, this American pioneered humanistic psychologist with his client-centered therapy

Who is Carl Rogers?

-----------

Key concepts: client-centered therapy, unconditional positive regard, self-actualization, "the fully functioning person"

400

Don Draper knows this nicotinic acetylcholine receptor, the target of varenicline, lights up his NA and VTA with each pack of his Lucky Strikes

What is ɑ4β2 ?

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400

A RCT involving antipsychotics showed that 8% of patients in the metformin group developed T2DM while 18% in the treatment as usual group developed T2DM. You'd say the number needed to treat for metformin is this


500

You wouldn't look forward to this genetic phenomenon seen in many trinucleotide repeating disorders, such as Huntington's disease

What is anticipation?

-----------------------

anticipation = increased severity or earlier onset of disease with subsequent generations

Huntington's = CAG
Myotonic dystrophy = CTG
Fragile X syndrome – CGG

500

Attachment styles were defined in strange research by this psychologist

Who is Mary Ainsworth?

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500

Named after an early 20th century dynamic duo, this states that there is an optimal level of physiologic arousal or anxiety for task performance

What is the Yerkes–Dodson law?

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500

Originally described in research from a Western Electric plant in Illinois, this is when individuals modify an aspect of their behavior in response to awareness of being observed

What is the Hawthorne effect?

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