common comorbities Flashcards
clinical heterogenity
many variations in clinical presentation of patients with schizophrenia
a diagnosis of schizophrenia often comes with variations in other:
psychiatric symptom domains
psychiatric symptoms domains include: (3)
affective symptoms
anxiety symptoms
substance abuse
the most common psychiatric comorbidites: (3)
affective disorders
anxiety disorders
substance use disorders
symptoms often feeding off of one another examples:
changes in severity of negative symptoms might contribute to symptoms of depressed mood, changes in severity of paranoid delusions might contribute to variation in symptoms of anxiety
the several possibilities that might account for high rates of comorbidity:
- to have another by chance
- to have manifested secondary to the core disorder
- to have manifested bc schizo is more common in this core disorder
- to be a consequence of some underlying shared liability to both sets of disorders
more than ____ of patients with schizophrenia disorder endorse ____ symptoms
half; affective
is identifying the prevalence of affective disorders possible?
no bc its due to treatment of co occurring affective symptoms by dsm
patients with both schzo and ocd may represent a:
schizo-obessive subtype
roughly ___ of patients with schizo meet criteria for substance use disorder
half, more males than females
patient with substance use disorder have an:
earlier age of onset of scizo
presence of comorbid psychiatric diagnosis are associated with:
- worse long term outcomes
- increased liklihood of psychotic relapse
- increase risk for suicide
- more difficulty with meds due to more meds and non-compliance
schizophrenia has been describes as a
“life shortening disease” with 60 percent of premature deaths not related to suicide
patients with schizo have a range of common medical comorbidities such as and relating to:
1, cardiovascular disease
2. diabetes
3. overweight
4. sexual dysfunction
relationg to effects of antipsychotic drugs
