affective psychosis

Question 1

depressive disorder diagnostic criteria:

Answer 1

five or more symptoms have been present during same 2 week period and represent a change from pervious functioning. symptoms cause clinically significant distress

Question 2

hypomanic episode criteria:

Answer 2

abnormally persistent elevated expansive or irritable mood with increased activity or energy lasting at least 4 consecutive days present most of the day, nearly everyday. not severe enough to cause social or occupational

Question 3

manic episode criteria:

Answer 3

same as hypomanic but lasting at least 1 week present most of the day nearly everyday or any duration if hospitalization is necessary. sever enough to cause impairment in social and occupational

Question 4

mdd diagnostic criteria:

Answer 4

presence of one or more major depressive episode

Question 5

bp 1 diagnostic criteria:

Answer 5

presence of one or more manic episode, additional depressive and hypomanic episodes may be present but not required

Question 6

bp 2 diagnostic criteria:

Answer 6

presence of one or more depressive episode and hypomanic. no history of manic

Question 7

relation between affective and non affective disorders:

Answer 7

bipolar was meant to be recognized as a bridge between scichophrenia and depression in terms of symptomology, family history and genetics

Question 8

who had the view of unitary psychosis?

Answer 8

German psychiatrist Zeller

Question 9

what did zeller (unitary psychosis) declare?

Answer 9

different varieties of mental illness were differing stages in comorbid process and in the course of one case, all main forms of mental disorder can occur

Question 10

what did Zeller assert?

Answer 10

both organic and psychological causes combined to produce mental illess

Question 11

who distinguished between exogenous and endogenous psychosis?

Answer 11

Mobius

Question 12

exogenous psychosis:

Answer 12

referred to the causation of mental disease through events around them and their lives

Question 13

endogenous psychosis:

Answer 13

an underlying yet unobservable somatic cause

Question 14

kraepeliinan dichomtoty was by:

Answer 14

emil krapelin

Question 15

kraepleinian dichotomy 2 different forms of psychosis:

Answer 15

1. dementia praecox (now known as schizo)
2. manic-depressive disorder (now known as bipolar)

Question 16

how did keaeplin demonstrate the data of the diagnoses of the two disorders?

Answer 16

by accurately predicting disease course and outcome

Question 17

schizoaffective disorder was introduced by:

Answer 17

Kasanin

Question 18

it is now recognized that scizophrenia and bp 1 are:

Answer 18

not distinct disease

Question 19

why are schizophrenia and bp 1 not distinct diseases?

Answer 19

because of genetics, cognitive functioning and brain imaging studies

Question 20

many patients with treatment resistant schizophrenia have been found to have:

Answer 20

a comorbid mood disorder that requires treatment before improvement in psychosis

Question 21

why we need schizoaffective disorder:

Answer 21

a substantial proportion of people meeting the criteria for schizophrenia also experience mood episodes

Question 22

criterion A for schizophrenia:

Answer 22

two or more of the following presentations, each present for a significant amount of time during a 1 month period and at least 1 must be from the first 3 below
1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized or catatonic behavior
5. negative symptoms

Question 23

schizoaffective diagnostic criteria:

Answer 23

.when there is a major mood episode in addition to criterion A for schizophrenia
. hallucinations and delusions for 2 or more weeks in the absence of major mood episode during the entire duration of illness,
.mood episode symptoms present for majority of total duration of both active and residual portions of illness

Question 24

besides schizoaffective, they could receive a diagnosis of:

Answer 24

1. schizophrenia spectrum disorder with additional diagnosis of unspecified bipolar disorder
2. bipolar with psychotic features

Question 25

diagnostic criteria of bipolar with psychotic features

Answer 25

if psychotic symptoms are not present for at least 2 weeks in the absence of manic symptoms, then a diagnosis of bipolar with psychotic features

Question 26

diagnostic criteria of schizophrenia spectrum with unspecified bipolar

Answer 26

if psychotic symptoms are present for at least 2 weeks in absence of manic symptoms and manic symptoms are brief in comparison to total duration of symptoms then schizophrenia spectrum disorder wit

Question 27

schizoaffective disorder is one of the most:

Answer 27

misdiagnosed psychiatric disorder in clinical practice because of criterion C which is that major mood episode present for the majority of total duration of illness