Schizophrenia Flashcards
What is schizophrenia
Severe mental illness affecting thinking, emotion, behaviour
Epidemiology of schizophrenia
1/100
M=F
15-35 years
Risk factors for schizophrenia
Genetic
Environmental
Similar to those of psychosis
Positive symptoms of schizophrenia
Hallucinations
Delusions
Disordered thinking, speech, behaviour
Negative symptoms of schizophrenia
Apathy
Lack of interest
Lack of emotions - negative affect
Classification of schizophrenia
1 first-rank symptom for >1 month
or
2 other symptoms
First rank symptoms of schizophrenia and pneumonic
TAPP
- Thought disorder - echo, insertion, withdrawal
- Auditory hallucinations
- Passivity phenomenon
- delusional Perceptions
‘Other’ symptoms of schizophrenia
Persistent hallucinations
Incoherence/irrelevant speech (due to disordered thoughts)
Catatonic behaviour
Negative symptoms
Management of schizophrenia
Antipsychotics
CBT
Family therapy
Complications of schizophrenia
Chronic patients show poorer cognition
Suicide
Substance misuse
Good prognostic factors of schizophrenia
Absence of family history
Good premorbid function – stable personality & relationships
Clear precipitants
Acute
Mood disturbance
Maintenance of initiative, motivations
Poor prognostic factors of schizophrenia
Slow, insidious onset
Prominent negative symptoms
Starting in childhood
