Schizophrenia Flashcards
Positive symptoms
hallucinations, delusions
Negative symptoms
speech poverty, avolition
Reliability of diagnosis
level of agreement of diagnosis by diff psychiatrists across time + culture, stability of diagnosis over time given no change in symptoms.
Types of reliability
Test-retest Reliability = diagnosis same on separate visits
Inter-rater reliability = 2 diff clinicians make same diagnosis
Reliability of diagnosis Evidence
Jakobsen - tested reliability of ICD 10 classif system in diagnosis. 100 Danish patients w history of psychosis assessed, concordance rate of 98% obtained, high reliability of clinical diagnosis of schiz using updated classif.
Cheniaux - 2 psych independently diagnosed 100 people w DSM + ICD criteria, poor inter-reliability
Validity of diagnosis (types)
Predictive - correctly predict likely prognosis of illness
Criterion - do diff assessment systems arrive at same diagnosis for same person e.g manuals
Aetiological - for diagnosis to be valid, all patients diagnosed as schiz should have same cause for their diagnosis
Co-morbidity + e.g
occurrence of 2+ conditions occurring together.
Buckley - 50% depression, 47% substance abuse , 29% PTSD, 23% OCD
Symptom overlap
Cultural Bias
tendency to overdiagnosed members of ethnic groups
Cultural Bias Evidence
rack - cultural belief (pos symptoms may be more acceptable in certain cultures)
African Americans+ English people of afro Caribbean origin r several times more likely than white people to be diagnosed
for whi Gender Bias
tendency to ignore/exaggerate in men + women. women respond better to meds cause typically to have