Classification of schizophrenia Flashcards

1
Q

What is schizophrenia?

A

A severe mental illness where contact with reality and insight are impaired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are positive symptoms?

A

When something is added to normal behaviour e.g. hallucinations, delusions, laughing when you should not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are negative symptoms?

A

When something is removed from normal behaviour e.g. not speaking in full sentences, withdrawal from family and friends, inability to show emotions, rejecting looking after hygiene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are delusions of persecution?

A

When someone believes that someone is mistreating, conspiring against, or planning to harm them or a loved one

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are delusions of grandeur?

A

When someone believes that they have more power, wealth, smarts, or other grand traits than is true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the definition for classification?

A

The action or process of classifying something - a category something is put into

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the definition of diagnosis?

A

The identification of the nature of an illness or other problems by examination of symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are symptoms?

A

Physical/mental features which are regarded as indicating a condition or disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are hallucinations?

A

Sensory experiences of stimuli that have no basis in reality or are distorted perceptions of things that are there

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are delusions?

A

They involve irrational beliefs that have no basis in reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the 2 types of delusions?

A

• Delusions of grandeur
• Delusions of persecution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is avolition?

A

It involves the loss of motivation to carry out tasks, difficulty to begin or keep up with a goal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 3 signs of avolition?

A

• Poor hygiene
• Lack of persistence at work or education
• Lack of energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is speech poverty?

A

It involves reduced frequency and quality of speech, delayed in responding verbally during a conversation - known as alogia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the 2 classifications of schizophrenia?

A
  • ICD 10
  • DSM 5
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is schizophrenia diagnosed using ICD 10?

A
  • No positive symptoms
  • Two or more negative symptoms
  • Recognises subtypes of schizophrenia (paranoid, hebephrenic, catatonic)
17
Q

How is schizophrenia diagnosed using DSM 5?

A
  • One positive symptom must be present
  • Does not recognise subtypes
18
Q

What does reliability relate to?

A

If a study can be repeated/replicated

19
Q

What does validity relate to?

A

If a study is measuring what is intended

20
Q

What is inter-rater reliability?

A

Concerns whether different clinicians make identical, independent diagnoses of the same patient

21
Q

What is test-retest reliability?

A

Concerns whether a clinician makes the same diagnosis on separate occasions from the same information

22
Q

What was Cheniaux (2009) study on the diagnosis differences of schizophrenia?

A
  • 2 psychiatrists diagnose 100 patients using IDC and DSM criteria
  • Poor inter-rater reliability and criterion validity
  • 1 diagnosed 26 with DSM, 44 IDC, other 13 with DSM, 24 with IDC
23
Q

What is criterion validity?

A

Assesses validity of the diagnosis - do both systems have same diagnosis for same patient?

24
Q

What is co-morbidity?

A

The occurrence of 2 or more medical conditions together

25
Q

What did Buckley et al (2009) study show?

A

Most patients who had schizophrenia also had another condition e.g. depression, substance abuse

26
Q

What is symptom overlap?

A

Occurs when 2 or more conditions share symptoms - questions the validity of classifying the 2 disorders separately

27
Q

What was Ophoff et al (2011) study?

A
  • Assessed genetic material of 50000 patients
  • 7 gene locations associated with schizophrenia, 3 of which also associated with bipolar disorder
  • Suggests genetic overlap
28
Q

What is gender bias?

A

The tendency for diagnostic criteria to be applied differently to males and females

29
Q

What was Longenecker et al (2010) study?

A
  • Since 1980s more men diagnosed with schizophrenia than women
  • Shows males more genetically vulnerable and females function better than men
30
Q

What is culture bias?

A

The tendency to over diagnose members of other cultures suffering with schizophrenia - same symptoms but different diagnosis because of ethnic background