Lecture 6- Schizophrenia Flashcards

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1
Q

Schizophrenia Clinical Description

A

Deterioration from normal functioning level
Loss of contact with reality
Impacts multiple areas of cognition, emotion, and behavior

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2
Q

Schizophrenia Lifetime Prevalence

A

1% of population
M = F

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3
Q

Gender Differences in Schizophrenia

A

Males have earlier onset (15-25) and worse prognosis with more negative symptoms
Females have later onset (25-35) and better prognosis

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4
Q

Kraepelin’s View of Schizophrenia

A

Dementia Praecox
Cognitive deterioration with early onset and chronic course

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5
Q

Bleuler’s View of Schizophrenia

A

Coined term
3 components:
Fragmentation of thought
Split between thoughts and emotions
Withdrawal from reality
Distinguished types of symptoms
Fundamental assumptions (Negative)
Accessory symptoms (Positive)

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6
Q

Positive Schizophrenia Symptoms

A

Additions
Delusions
Hallucination
Formal Thought Disorder
Heightened Perceptions
Inappropriate Affect

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7
Q

Delusions

A

False beliefs despite contrary evidence
Grandeur
Ideas of Reference
Persecution
Control

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8
Q

Hallucinations

A

Perceptions without external stimuli

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9
Q

Formal thought Disorder

A

Disturbance in production and organization of speech
Loose associations
Neologisms
Perseveration
Rhyme

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10
Q

Heightened perceptions

A

Intensified sensory perception that leads to attention and perceptual issues

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11
Q

Negative Schizophrenia Symptoms

A

Deficits
Poverty of Speech
Blunted and Flat Affect
Avolition
Social Withdrawal

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12
Q

Psychomotor Schizophrenia Symptoms

A

Not always present
Awkward movements, odd gestures, repeated grimaces
Catatonia

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13
Q

Catatonia

A

Loss of spontaneous muscle movement

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14
Q

Schizophrenia Diagnostic Criteria

A

2+ Symptoms in 1 month
Social or occupational dysfunctions
Symptoms lasting over 6 months
Not better explained by another disorder

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15
Q

Schizophrenia Subtypes

A

Catatonic
Disorganized
Paranoid
Undifferentiated
Residual

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16
Q

Schizophrenia Phases

A

Prodromal- Early functional impairment with some symptoms
Acute- Positive and negative symptoms
Chronic- Mostly negative symptoms, most impairment

17
Q

Schizophrenia Prognosis Rates

A

20-30% lead normal lives
20-30% experience moderate symptoms
40-60% experience significant impairment

18
Q

Process Schizophrenia

A

Poor premorbid function, introverted, early onset, not married
Leads to poor prognosis

19
Q

Reactive Schizophrenia

A

Late onset, married, mostly positive symptoms, good support system
Leads to better prognosis

20
Q

Schizophreniform Disorder

A

Identical symptoms that last under 6 months

21
Q

Brief psychotic disorder

A

Positive symptoms that last up to 1 month
No negative symptoms

22
Q

Schizoaffective Disorder

A

Schizophrenia diagnosis in addition to meeting mood disorder criteria

23
Q

Delusional Disorder

A

Delusions without other schizophrenia symptoms

24
Q

Shared Psychotic Disorder

A

Psychotic person influences normal person who begins showing symptoms

25
Q

Schizophrenia Treatment Methods

A

Antipsychotics
Family psychoeducation
Assertive community treatment
Educational or vocational help

26
Q

Biological theories of schizophrenia

A

Birth complications
Viral exposure in utero
Genetic heritability
Dopamine hypothesis

27
Q

Anatomical factors of schizophrenia

A

Enlarged ventricles and brain atrophy

28
Q

Environmental factors of schizophrenia

A

Migration, urban upbringing, traumatic events, drug use, stressors, emotional triggers

29
Q

Leff (1976) Study

A

Found that High Expressed Emotion in households is linked with relapse

30
Q

Expressed emotion

A

Critical
Over-involvement
Over-attentive
Hostile

31
Q

Hogarty (1991) Study

A

Found that family education and social skills training, in conjunction with medication, can reduce relapse rates

32
Q

Day et. al. (1987) Study

A

Found that stressful life events can trigger and precede relapse