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PSY 470 Exam 2 > 8: Schizophrenia Spectrum and Other Psychotic Disorders > Flashcards

8: Schizophrenia Spectrum and Other Psychotic Disorders Flashcards

1
Q

Prevalence of Schizophrenia

A

1% of the population

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2
Q

Phases of Schizophrenia

A

Prodromal (Declining functioning, no hallucinations)
Active (Greater than 1 month of active symptoms)
Residual (Stabilized state of residual disorder after recovery)

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3
Q

Schizophrenia occurs more often among…

A

…the impoverished

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4
Q

Prognostic factors for schizophrenia (3)

A
  1. Premorbid functioning
  2. Age (younger emergence = greater severity)
  3. Rapidity of onset
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5
Q

Overt expression of unusual perceptions, thoughts, and beliefs

A

Positive symptoms

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6
Q

The inability to distinguish between the real and the unreal

A

Psychosis

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7
Q

Positive symptoms of schizophrenia (4)

A
  • Heightened perceptions
  • Hallucinations
  • Delusions
  • Disordered thinking and speech
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8
Q

Negative symptoms of schizophrenia (4)

A
  • Loss of volition
  • Social withdrawal
  • Poverty of speech
  • Blunted and flat affect
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9
Q

False belief that oneself or one’s loved ones are being persecuted, watched, or conspired against

A

Persecutory delusions

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10
Q

Belief that everyday events, objects, or other people have unusual personal significance

A

Delusion of reference

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11
Q

Belief that one’s thoughts are being controlled by outside forces

A

Delusions of thought insertion

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12
Q

False belief that one has great power, knowledge, or talent

A

Grandiose delusion

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13
Q

Psychomotor symptoms of schizophrenia

A

Awkward movements, repeated grimaces, or odd gestures

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14
Q

Extreme onset of psychomotor symptoms in schizophrenia constitutes…

A

Catatonia

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15
Q

The disorganized thinking of those afflicted by schizophrenia is called…

A

Formal thought disorder

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16
Q

Criteria for Schizophrenia

A
  1. One positive symptom and one other symptoms for at least 1 month
  2. Social/occupational dysfunction
  3. Lasts at least 6 months
17
Q

A possible cause for schizophrenia may be a ____ at work

A

Diathesis-stress relationship

18
Q

Considerations for medications (4)

A
  • Impact on quality of life
  • Subjectivity tolerability
  • Cost
  • Convenience
19
Q

Types of antipsychotic medications

A
  • Conventional (alleviates positive symptoms more than negative symptoms; can cause extrapyramidal symptoms)
  • Atypical (may or may not be better; no pyramidal symptoms; risks for weight gain, abnormal lipid levels, and sexual dysfunction)
20
Q

Mood disorder in conjunction with schizophrenia

A

Schizoaffective disorder

21
Q

Schizophrenia which lasts for 1 to 6 months

A

Schizophreniform disorder

22
Q

Schizophrenia which lasts only 1 day to 1 month

A

Brief psychotic disorder

23
Q

Disorder characterized by emergence of delusions with no other symptoms

A

Delusional disorder

24
Q

Disorder characterized by social deficits and cognitive or perceptual distortions

A

Schizotypal personality disorder

25
Q

Psychosis that occurs among 2 close people

A

Shared psychotic disorder

26
Q

Drugs that treat schizophrenia by blocking reuptake of dopamine

A
  • Phenothiazines

- Neuroleptics

27
Q

In schizophrenia, excess dopamine may be present in the…

A

Mesolimbic pathway

28
Q

Social drift and schizophrenia

A

Schizophrenia disrupts education and functioning, leading to drift downwards in social class

29
Q

Hostility and/or over-involvement by family members/friends of a mentally ill person

A

Expressed emotion

30
Q

Neurological side effect of medication that involves involuntary movements of the tongue, face, mouth, or jaw

A

Tardive dyskinesia

31
Q

Factors that helped bring out depopulation of state mental hospitals (3)

A
  • Antipsychotic drugs
  • Legal rights for the mentally ill
  • Deinstitutionalization movement
32
Q

Trends in mental treatment (5)

A
  • Conflict over rights vs needs
  • Fragmentation of MH system
  • Criminal justice system problems and overhaul
  • Grass roots advocacy and recovery
  • Evidence-based treatments
33
Q

Evidence-based Treatments (6)

A
  • Integrated Dual Disorder Treatment
  • Illness/Wellness Management and Recovery (Understand illness and develop approach for treatment)
  • Supported Employment (Job with assistance and support)
  • Assertive Community Treatment (ACT)
  • Cognitive-Behavioral Treatment
  • Psychoeducational Family Intervention
34
Q

ACT (4)

A
  • Services targeted at SMI
  • ACT team provides all services
  • Shared team responsibility
  • Community-based interventions
35
Q

Psychoeducational Family Intervention (4)

A
  • Education about mental illness
  • Focus on family support and crisis intervention
  • Problem solving
  • Reducing expressed emotion
36
Q

Effective factors for SMI treatment (5)

A
  • Positive view of people with SMI
  • Self-determination focus
  • Oriented towards recovery
  • Learning and skill training
  • Use of nonprofessional resources

PSY 470 Exam 2 (4 decks)

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