Chapter 6: Schizophrenia Flashcards

1
Q

Translation of Schizophrenia

A

“Split personality”

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2
Q

What disorder is schizophrenia confused with?

A

Dissociative identity disorder (split personality)

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3
Q

Who coined the term schizophrenia?

A

Paul Eugen Bleuler

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4
Q

Dementia praecox

A

Early form of dementia

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5
Q

What is the distinction made between psychotic disorders and mood disorders?

A

Kraepelinian Dichotomy

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6
Q

Who was responsible for Kraepelinian Dichotomy?

A

Emile Kraepelin

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7
Q

Frequency - brief psychotic disorder

A

1 day - 1 month

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8
Q

Frequency - delusional disorder

A

No less then one month

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9
Q

Frequency - schizoaffective disorder

A

Presence of HALLUCINATIONS for at least 2 weeks

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10
Q

Frequency - schizophreniform disorder

A

1 - 6 months

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11
Q

Frequency - schizophrenia

A

Continuous symptoms for 6 months or more

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12
Q

Catatonia

A

Not showing emotions in voice or on face

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13
Q

Waxy flexibility

A

Can be moved around like a puppet

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14
Q

Avolition

A

Reduced or absent motivation to perform activities

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15
Q

Alogia

A

Reduction or absence of speech production

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16
Q

Anhedonia

A

Loss of pleasure in things once seen as pleasurable

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17
Q

Which disorder occurs most frequently? Prevalence?

A

Brief psychotic disorders : 9%

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18
Q

Percent of homeless individuals with schizophrenia?

A

4 to 16%

19
Q

Primary cause of death for patients with schizophrenia;

A

Suicide, cancer, cardiovascular disease

20
Q

Percent of people with schizophrenia who commit suicide

A

20% attempt and 6% complete

21
Q

Is late onset schizophrenia (after 40) more common in men or women?

A

Women

22
Q

Positive symptoms of schizophrenia: 7

A
Delusions
Hallucinations 
Disorganized thinking & speech
Communication exaggeration & distortion
Disorganized behavior
Catatonic symptoms
Agitation
23
Q

Negative symptoms of schizophrenia: 8

A
Affective blunting
Social & emotional withdrawal
Passivity
Problems with abstract thinking
Alogia
Avolition
Anhedonia
Impaired attention
24
Q

DSM 5 - Schizophrenia

A
Delusions
Hallucinations 
Disorganized speech
Catatonic behavior
Negative symptoms (i.e diminished emotional expression or avolition)

w/o major depressive or manic episodes
cannot be attributed to a substance
no history of autism spectrum disorder (only with prominent delusions or hallucinations)

25
Q

Prevalence of schizophrenia ; gender ratio

A

1% ; 1:1

26
Q

Average onset of schizophrenia

A

Females 28 Males 23 (typical between age 10-23)

27
Q

Seven subtypes of delusional disorder:

A

Jealous, erotomanic, grandiose, persecutory, somatic, mixed, and unspecified

28
Q

Delusional subtype: delusion centered around another person being in love with oneself

A

Erotomanic

29
Q

Delusional subtype: delusions involving oneself as being especially important or talented ie. the belief you’re the president or inventor of toothpaste

A

Grandiose

30
Q

Delusional subtype: delusions centered around one’s partner being unfaithful

A

Jealous

31
Q

Delusional subtype: delusions related to someone cheating, conspiring against, or persecuting oneself ie. the cia is after me, my phones are tapped

A

Persecutory

32
Q

Delusional subtype: delusions involving a physiological function or sensation ie. the pain in my stomach must be cancer

A

Somatic

33
Q

Schizoaffective disorder -

A

Schizophrenia plus a mood disorder

34
Q

Dopamine hypothesis -

A

Suggesting the disorder is due to excessive dopamine in specific brain regions

35
Q

Antipsychotics two categories:

A

Typical and atypical

36
Q

Schizophrenia 3 stages of onset;

A

Prodromal phase, active phase, residual phase

37
Q

Phase? - first indications; decreased functioning, social isolation, poor self care

A

Prodromal phase

38
Q

Hallucinations -

A

Sensory perception without external stimuli

39
Q

Most common type of hallucinations?

A

Auditory

40
Q

What else can cause hallucinations?

A

Brain tumors
Deafness
Convulsions
Hyper & hypothyroidism

41
Q

The rule of 4 -

A

1/4 can function well with medication
1/4 require living in a facility
1/4 do poorly
1/4 one episode and are never sick again

42
Q

Who thought Jodie Foster was in love with him and tried to kill president Reagen?

A

John Hinckley

43
Q

Types of medication:

A

Antidepressants
Benzodiazepines
Mood stabilizers
Antipsychotics