Schizophrenia

Question 1

psychosis

Answer 1

state defined by loss of contact with reality

Question 2

DSM criteria

Answer 2

two or more or following and must have one of first 3
- delusions
- hallucinations
- disorganized speech
- grossly disorganized or catatonic behavior
- negative symptoms

present for at least 6 months

Question 3

schizophrenia

Answer 3

psychotic symptoms for 6 months or more

Question 4

brief psychotic disorder

Answer 4

if symptoms last less than 1 month

Question 5

schizophreniform disorder

Answer 5

if symptoms last 1-6 months

Question 6

schizoaffective disorder

Answer 6

marked symptoms of both schizophrenia and mood disorder

Question 7

population aspects

Answer 7

• affects about 1% of populations across cultures
• equal in men and women - onset age is 23 for men, 28 for women
• 3% of divorced people suffer from schizophrenia at some point in their lives (marital problems might be a cause or a result)

Question 8

positive symptoms

Answer 8

pathological excesses or bizarre additions to a person’s behavior
- excesses of thought emotion, or behavior
- delusions, hallucinations, disordered thinking/speech, heightened perceptions/feelings of senses being flooded, inappropriate affect

Question 9

negative symptoms

Answer 9

pathological deficits of thought, emotion or behavior
- poverty of speech, restricted affect, loss of volition, social withdrawal, deficits of attention and perception

Question 10

psychomotor symptoms

Answer 10

symptoms related to physical movements
- awkward movements, repeated grimaces, odd gestures, catatonia

Question 11

type 1 schizophrenia

Answer 11

dominated by positive symptoms

Question 12

type 2 schizophrenia

Answer 12

dominated by negative symptoms

Question 13

outcomes

Answer 13

25% of patients recover; 75% have chronic, persistent problems

Question 14

best chance to recover

Answer 14

the people with good premorbid functioning are most likely to recover

Question 15

biological causes

Answer 15

• genetics, can be passed down

Question 16

environmental influences

Answer 16

people with emotionally expressed family member are 4x more likely to relapse

Question 17

treatment

Answer 17

used to be institutionalized and sometimes lobotomized

Question 18

antipsychotic medications

Answer 18

usually first line of treatment and more effective than any other treatment used alone
- treats positive symptoms better than the negative symptoms

Question 19

psychotherapy

Answer 19

family therapy is important aspect of this

Question 20

failures of community approach

Answer 20

40-60% of those with severe mental illness receive no treatment