Post on 01-Mar-2016
DR. Dr. Nurmiati Amir, SpKJ(K)Department of Psychiatry University of Indonesia
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Biopsychosocial model: George Engel (1997)BIOLOGYPSYCHOLOGY
SOCIAL
*Factors influencing the degree or severity of illness / mental disorder of a personSeverity of stressorSevereMildResilience / perceptionPersonalitystrongweakHealthyUnhealthy / sick
*Environmental riskGenetic predispositionB
*PSYCHOSOCIAL STRESSORPSYCHOENDOCRINE SYSTEMCHPA-AXISC-SMA AXISFEAR / ANXIETY
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*Disturbance in temporal lobe is related to:HalusinationDelutionNot recognize an object or face
*Frontal lobe hypoactivity:decreased cognitive functionDisturbance in behavioral planningBlunted affectSocial isolationApathyect
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*ACETYLCHOLINAGONISANTAGONISDEPRESSIONMANIAPsychmotor retardationLethargySleep disturbanceLearned helplessnessMotor hyperactivityEnergeticNo need to sleepSelf esteem
*DOPAMINE SYSTEMTUBERO INFUNDIBULARSUBSTANSIA NIGRAMESOLIMBICMESOCORTEXCONTROLLED PROLACTINEMOTOR ACTIVITYEMOTION EXPRLEARNINGREINFORCEMENTHEDONIAMOTIVATIONCONCENTRATIONEXCECUTIVE FCPROLACTINE SUBSTANSIA NIGRA MESOLIMBIC MESOCORTEX MANIA/DEPRESSION
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*The same symptom might be shown in schizophrenia and bipolar, because the limbic system involves in both disorder
*CONCLUSIONS
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*******SISTEM LIMBIK 1DISFUNGSI SISTEM LIMBIKPADA SKIZOFRENIAPADA GANGGUAN BIPOLARSIMPTOM POSITIFGANGGUAN EMOSI DAN PERILAKUWAHAMHALUSINASI GEJALA YANG SAMA DAPAT DITEMUKAN PADA SKIZOFRENIA DAN BIPOLARSIMTEM LIMBIK TERLIBAT PADA KEDUANYA*