3 - Schizophrenia Flashcards
schizophrenia incidence and mean age of onset
1%
age 15-25
Components of the MSE that are affected in schizophrenia
Thought process/form
Thought content
schizophrenia is a disorder of __________
impaired thought
schizophrenia involves both ___ and ___ symptoms
Positive (hallucinations, delusions, disorganization)
Negative (restricted or imappropriate affect, avolition, alogia)
Alogia =
Content or volume of speech is reduced
schizophrenia also involves impairment of ______
cognition
-attention, info processing, verbal memory
Delusions cause patients to think that….
people are reading their thoughts or plotting against them
A common problem in schizophrenia is the lack of ____ into the condition
insight
Not a willful denial but a part of the disease process
Single diagnostic feature of schizophrenia
There isn’t one
Also no confirmatory lab test
Clinical diagnosis of schizophrenia is based on ___ and ____
- Presence of a pattern of Sx
- Longitudinal picture
Criteria for schizophrenia (A-E)
A. Two or more of the following : Delusions, Hallucinations, Disorganized speech, Disorganized or catatonic behavior, Negative Symptoms)
B. Interpersonal or psychosocial dysfunction
C. 6 continuous months with 1 month of “A” symptoms
D. Not due to other mental illness
E. Not due to other substances or medical condition
___, ___, and ___ are abnormal in schizophrenia
Attitude (suspicious, resistive, negative, guarded, hostile)
Appearance
Behavior
Mood and affect (subjective and objective)
Subjective = depressed and poorly described
Objective = FLAT, irritable, angry, hostile
Disordered thought process in schizophrenia includes… (7)
- Loose associations
- Tangential thoughts
- DECREASED spontaneity
- Poverty of thought
- Alogia
- Neologisms
- Clang associations
What are clang associations
characterized by association of words based upon sound rather than concepts.
Disordered thought content in schizophrenia includes… (7)
- Distortion of reality
- Psychotic
- Grandiose
- Thought insertion
- Delusions of thought broadcasting
- Paranoid delusions
- Auditory hallucinations
Mental status abnormalities in schizophrenia
Insight (no understanding that they have disease)
Judgement
Intellect (reduced memory, future recall, complex reasoning)
There is evidence for accelerated loss of ___ in early onset Schizophrenia
Grey matter
4 stages of illness
Premorbid
Prodromal
Onset/deterioration
Residual/Stable
schizophrenia is associated with how much reduction in life expectancy?
up to 20%
(about 15 years for each men and women)
Top five comorbid conditions
Emphysema
Chronic bronchitis
Asthma
Liver problems
Kidney dysfunction
two thirds of excess mortality in schizophrenia is attributable to ______
natural causes
75% of diagnosed schizophrenia patients are…
cigarette smokers
___% of schizophrenia patients are unemployed
73%
