Schizophrenia Flashcards

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1
Q

Name 2 positive symptoms

A
  • Hallucinations

- Dellusions

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2
Q

What are 3 negative symptoms?

A
  • Flattened affect
  • Memory and attentional problems
  • Social withdrawal
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3
Q

Who were the first to identify the disorder?

A
  • Kraeplin first used term dementia preacox

- Bleuler coined schizophrenia

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4
Q

What did both Kraeplin and Bleuler focus on?

A

negative symptoms

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5
Q

What symptoms did Kurt Schneider describe?

A
  • Acoustic hallucinations
  • Influence of will
  • Delusions
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6
Q

What is frontal lobe dysfunction?

A
  • Deficits in organising/connecting thoughts

- Can result in disorganised speech

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7
Q

What is stereotypy?

A

Repeatedly showing the same motor behaviour

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8
Q

What is catatonia?

A

Withdrawal and inactivity from social world

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9
Q

Name 4 negative symptoms

A
  1. Affective flattening - limited emotional range
  2. Anhedonia
  3. Avolition - inability to carry out basic tasks
  4. Asociality
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10
Q

What are the 3 different periods of onset?

A
  1. Acute - early stage shorter than 3 months, delusions/hallucinations appear within days
  2. Sub-acute - early stage 1month-1year
  3. Slow/chronic - long early stage of negative symptoms (65% of patients)
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11
Q

How have twin studies shown an interaction between social and genetic factors?

A
  • High rate of concordance in monozygotic twins

- However high-risk children raised in adverse conditions more likely to develop the condition

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12
Q

What is the dopamine hypothesis of schizophrenia?

A
  • amphetamine is a dopamine agonist which can induce psychotic symptoms
  • post mortem of schizophrenics shows high levels of dopamine and more dopamine receptors in the limbic system
  • antipsychotica drugs reduce positive symptoms
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13
Q

What is the psychodynamic theory of schizophrenia?

A
  • Early childhood trauma from schizophrenic mother

- Cold, distant, rejecting and dominant

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14
Q

What did Brown find with regards to schizophrenic relapse rate?

A

Dependent on social group after discharge with regards to critique, hostility and overinvolvement

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15
Q

What did Faris and Dunham find?

A

Higher incidence of schizophrenia in lower income backgrounds (socio-economic factors)

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16
Q

What is Milieu therapy?

A

Wards now formed a therapeutic community with the aim to create feeling of Self-respect and responsibility, based on mutual respect between staff and patients

17
Q

What are two long term effects of neuroleptics antipsychotica?

A
  • negative symptoms

- tarditive dyskinesia

18
Q

What 3 therapies can help patient after hospital discharge?

A
  • Social training
  • Family interventions
  • Personal therapy