Correlations Flashcards
Depression most common comorbidity:
Anxiety
Most common mental illness for violence
substance use
Rapid cycling bipolar more common in men or women?
Women. Responds better to depakote than lithium.
What disorders correlate with substance use?
Conduct disorder, ASPD, Bipolar I, Schizophrenia
Men or women have more alcohol use disorders?
8.4% of men have any alcohol use disorder. 4.2% of women have any AUD.
Schizophrenia in men and women
Men: 15-25 yo onset
Women: 25-35 yo and smaller peak at 45-50.
Roughly equal but in some populations, males have it a little more.
Schizophrenia and twins
47% chance a twin will develop it if the other twin has it.
For antipsychotics, do women or men have worse side effects overall? Who responds more quickly?
Women have worse side effects but respond more quickly overall.
What percentage is the comorbid substance use in schizophrenics (non nicotine) ?
50% comorbidity for all substances outside nicotine. Between 50-88% have nicotine dependence.
What percentage of those with brief psychotic disorder will progress to another psychotic disorder?
Half
Schizophrenia vs schizoaffective prognosis
Schizoaffective has better prognosis but it is still worse than mood disorders such as depression or bipolar disorder.
Cluster c personality disorder has higher rates of which spectrum of disorders among their relatives?
anxiety
Highest comorbidity risk to BPD
Depression (70%)
OCD distribution between male vs female
evenly distributed
What percent of OCD patients have tourettes?
What percent of tourettes patients have OCD?
5-7% of OCD also have tourettes.
35-50% of tourettes also have OCD
Hoarding disorder men vs women
Men more likely to have it but females are more likely to seek treatment.
Siblings and autism
4.5% of siblings (not twins) of an autistic child have autism
What percentage of fragile x syndrome patients will have autism? What percent of Tuberous Sclerosis patients have autism?
30%, 25%,
Most common identifiable etiology of autism?
Fragile X
What percentage of autistic people develop a seizure disorder?
25%
What is the highest comorbid disorder with ADHD?
Anxiety disorders , next is mood disorders
What percentage of childhood adhd evolves to adulthood?
60% . There are fewer symptoms in adults, but greater consequences.
Which psychiatric disorder has the highest mortality rate?
Anorexia . Half from suicide, half from medical complications. 20% of deaths of anorexic people are due to suicide.
What is the F:M ratio is bulimia?
10:1
What 2 categories of mental illness are commonly associated with ARFID?
Anxiety and OCD
Conversion disorder more common in men or women?
women
ODD more common in boys or girls?
Prepuberty boys. Postpuberty is equal.
Men or women more likely to be kleptomaniacs?
1:3 M:F ratio, so females. Less than 5% of shoplifters have kleptomania.
Paraphillic disorders more common in males or females?
Males by far, 20:1 for masochism for example.
Which gender is more likely to dissociate more?
Equal opportunity. However, females more likely to seek care.
What percentage of toddlers self stimulate/masturbate?
1/3. Teach kids it’s private, assess for stress/boredom.
Most common method of suicide for the old-old?
firearm, including women.
What’s the breakdown of boy vs girl in terms of children neglected? What percentage are parents?
50/50, 80%. Male parents are more likely to abuse, however the majority of abusers are women because of so many single moms outnumber single dads.
What was the most common psychiatric disorder found in a study on San Diego foster children?
ADHD
Most common causes of new onset seizure in the elderly?
tumors and strokes
Epilepsy patients and suicide
13 x more likely to die by suicide.
Mechanism of gabapentin and pregabalin?
Calcium channel blockers. They actually don’t work on gaba.
Which antiepileptic med is good for Alzheimer’s and epilepsy?
Levetiracetam is more tolerated.
Which anxiety disorder more common in men than women?
Social Phobia
Risk factor for developing Dependent Personality Disorder?
Childhood separation anxiety disorder
What combo of meds will lead to spontaneous intracerebral hemorrhage?
SSRI’s plus Vitamin K antagonist (warfarin)
Females vs males in PTSD
Females more likely to get it. Females more likely to have PTSD symptoms longer than males .
Which benzo has the longest half life?
Flurazepam, 100 hours
False positives for amphetamine drug screen
ofloxacin, chlorpromazine, metformin, buproprion, dimethylamylamine, labetalol, promethazine, trazadone, and fenofibrate
Selective Mutism in childhood is most commonly associated with
Social Anxiety Disorder
Which group of people are most likely to get metabolic disorder?
Mexican Americans
What is the prevalence of schizophrenia in a non-twin sibling of a person with schizophrenia?
8%. 47% for monozygotic twins. 12% and children with one schizophrenic parent. 12% of dizygotic schizophrenic patients
Most common psychiatric disorder of those with cardiac dz (MI)?
Major Depressive Disorder
What percentage of kids with ADHD have OSA?
20-30%
Wilson’s disease: what is up or down?
- Serum ceruloplasmin
- serum copper
- urine copper?
Decreased serum ceruloplasmin, decreased serum copper, increased urine copper
In someone with brief psychotic disorder, what are the odds they will progress to another psychotic disorder?
50%
Lifetime prevalence of adolescents to have a mental disorder?
50%
Percent chance a patient will get a benign lamictal rash within the first 2 weeks?
10%
What percent of pts will have an additional depressive episode after their first within 5 years?
50%
How much more likely is one with severe mental illness to get HIV?
75x
Tabes Dorsalis vs B12 Deficiency
Vitamin B12 deficiency due to pernicious anemia may present with similar neurological manifestations, with additional signs and symptoms of anemia (fatigue, dyspnea, and dizziness) as well as gastrointestinal manifestations (loss of appetite, glossitis, bloating, and diarrhea) which are not seen here.
What condition is most commonly associated with autism? 2nd most common?
1) Fragile X
2) Tuberos Sclerosis
Kids with DMDD likely have parents that have what?
some previous depressive disorder
