Abnormal Psychology (Schizophrenia spectrum and Psychotic disorders)

Question 1

Diagnosis of Delusional disorder requires the presence of one or more delusions that last for at least _______

Answer 1

one month

Question 2

A person with the _____ subtype of delusional disorder is convinced that a particular person is romantically in love with them, with no evidence to support this.

Answer 2

erotomanic

Question 3

A diagnosis of Schizophrenia requires the presence of at least two active phase symptoms for at least ______ with continuous signs of the disorder for at least ______

Answer 3

one month, six months

Question 4

In terms of age, the onset of schizophrenia is most often between ______

Answer 4

late teens to early 30s

Question 5

A better prognosis of schizophrenia is associated with an acute and _____ onset and _____ gender

Answer 5

late, female

Question 6

the genetic concordance rate for schizophrenia for biological siblings is ______% and for monozygotic twins is _____%

Answer 6

10%, 48%

Question 7

dopamine hypothesis

Answer 7

• the first biochemical theory of schizophrenia

- attributes schizophrenia to elevated dopamine levels or oversensitive dopamine receptors

Question 8

Of the structural brain abnormalities linked to schizophrenia, _______ have been found in the largest proportion of patients

Answer 8

enlarged ventricles

Question 9

Traditional antipsychotics

Answer 9

• include haloperidol and fluphenazine
• most effective for eliminating the positive symptoms of schizophrenia
• more likely to cause severe side effects like tardive dyskinesia

Question 10

atypical (second generation) antipsychotics

Answer 10

• include clozapine and risperidone
• may be effective for both positive and negative symptoms of schizophrenia
• less likely to cause side effects like tardive dyskinesia

Question 11

Family interventions for Schizophrenia are beneficial, especially when they target high levels of _____

Answer 11

expressed emotion (EE)

Question 12

Expressed emotion may include

Answer 12

open criticism, hostility toward the patient or overprotectiveness and emotional overinvolvement

Question 13

expressed emotion has been linked with _____ and _____

Answer 13

relapse; rehospitalization

Question 14

Schizophreniform disorder: duration and differences from schizophrenia

Answer 14

one to six months; often involves impaired social of occupational functioning -but this is not required

Question 15

Brief psychotic disorder: duration

Answer 15

one day to less than a month

Question 16

Schizoaffective disorder

Answer 16

psychotic and mood symptoms occur concurrently with a period of at least two weeks without prominent mood symptoms

Question 17

delusions

Answer 17

false beliefs that are firmly held despite what almost everyone else believes

Question 18

persecutory delusions

Answer 18

the person thinks they are being followed, tricked, or spied on

Question 19

referential delusions

Answer 19

the person believes that passages from books and newspapers or other messages are specifically directed at him/her

Question 20

bizarre delusions

Answer 20

the person’s delusions are outside the range of ordinary life experience

Question 21

hallucinations

Answer 21

perception-like experiences that occur without an external stimulus –may affect any sensory modality

Question 22

disorganized thinking

Answer 22

loosening of associations that is manifested in incoherence, answers or comments that are unresponsive to questions, and “slipping off track” from one topic to another

Question 23

grossly disorganized or abnormal motor behaviour

Answer 23

unpredictable agitation, markedly disheveled appearance, clearly inappropriate sexual behaviour, or catatonia

Question 24

catatonia

Answer 24

decreased motor activity and reduced reactivity to environmental stimuli

Question 25

what are the 7 subtypes of delusional disorder?

Answer 25

1. erotomanic
2. grandiose
3. jealous
4. persecutory
5. somatic
6. mixed
7. unspecified

Question 26

what is the concordance rate of a child with two parents with schizophrenia?

Answer 26

46%

Question 27

anosognosia

Answer 27

schizophrenic individuals have poor insight into their disorder –contributes to treatment non-comliance

Question 28

A 28-year old male client presents with hallucinations and bizarre delusions. His parents report that his symptoms were not preceded by an unusual or stressful event and that he has had these symptoms for about six weeks. Your tentative diagnosis is:

Answer 28

Schizophreniform Disorder

Question 29

A 34-year-old woman is convinced that her boss is in love with her despite that fact that there is irrefutable evidence that her belief is false. The woman’s belief is an example of?

Answer 29

erotomanic delusion

Question 30

For a diagnosis of Schizophrenia, the DSM-5 requires the presence of two or more active phase symptoms for at least one month with at least one symptom being:

Answer 30

hallucinations, delusions, or disorganized speech

Question 31

For individuals with Schizophrenia, the poorest prognosis is associated with:

Answer 31

male gender, older age at onset, and predominant positive symptoms