Schizophrenia Spectrum and Other Psychotic Disorders

Question 1

What % of the population has been diagnosed w/schizophrenia?

Answer 1

1%

Question 2

What is the age of onset for schizophrenia?

Answer 2

early adulthood 15-30 years old

Question 3

Men tend to develop schizo earlier than women?

Answer 3

True

Question 4

What is the average age of schizo onset for men?

Answer 4

men = 18 years old

Question 5

What is the average age of schizo onset for women?

Answer 5

women = 25

Question 6

Env factors are the major contributing factors for the onset of disease?

Answer 6

FALSE = genetics

Question 7

Schizo affective and depressive/bipolar disorder w/psychotic features have to be ruled out in order to meet the schizophrenic criteria?

Answer 7

TRUE

Question 8

Which sx must be present for a significant portion of time during a 1-month period?

Answer 8

hallucinations
delusions
disorganized speech (incoherence)

Question 9

What is the time criteria for Delusional D/O?

Answer 9

1 month or longer

Question 10

What is the time criteria for Brief Psychotic D/o?

Answer 10

1 day to 1 month

Question 11

What is the time criteria for schizophreniform?

Answer 11

1 month to 6 months

Question 12

What is the time criteria for schizophrenia?

Answer 12

6 months or longer

Question 13

What are positive symptoms? Examples?

Answer 13

presence of abnormal experiences of behaviors

hallucinations
delusions
disorganized speech
catatonia

Question 14

What are negative symptoms?

Answer 14

absence of normal behavior

flattened affect
loss of initiative 
lack of speech 
lack of movement 
impaired attention

Question 15

What are the 5 common symptoms of schizophrenia spectrum disorders?

Answer 15

1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized or catatonic behavior
5. negative symptoms

Question 16

What are the phases of schizophrenia?

Answer 16

prodromal (peculiar)
active (psychotic)
residual (flat affect)

Question 17

What is Delusional Disorder?

Answer 17

A. 1 or more delusions for 1 month or longer

B. criteria for schizophrenia never met

C. apart from delusions, functioning is not impaired

D. if manic or depressive episodes are present, they are brief compared to duration of delusional periods

Question 18

What are subtypes of delusional disorder?

Answer 18

erotomanic (thinks ppl are in love w/them)
grandiose (great talent/insight)
jealous  (spouse unfaithful)
persecutory  (being conspired against)
somatic  (bodily sensations)
mixed  (more than 1 delusional theme)
unspecified  (theme not determined)

Question 19

What is Brief Psychotic D/O?

Answer 19

A. 1 or more Sx, one is (1), (2), or (3) for 1 day to 1 month (with return to premorbid functioning)

1. delusions
2. hallucinations
3. disorg speech
4. grossly disorg / catatonic behavior

Question 20

What is the difference between Schizophreniform and Schizophrenia?

Answer 20

Time criteria:
Schizophreniform = 1-6 months

Schizophrenia = 6 months or more

Question 21

What is Schizophreniform?

Answer 21

A. 2 (or more) Sx for a period of 1 month w/ at least one Sx being (1), (2), or (3)

1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized / catatonic behavior
5. Negative Symptoms

B. Sx last 1 month - 6 months
(“provisional” if diagnosed made w/o waiting for recovery)

C. Schizoaffective, depressive and bipolar disorder w/psychotic features have been ruled out

Question 22

What is Schizophrenia?

Answer 22

A. 2 (or more) Sx for a period of 1 month w/ at least one Sx being (1), (2), or (3)

1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized / catatonic behavior
5. Negative Symptoms

B. impaired functioning in 1 or more areas due to onset of Sx

C. Sx last for 6 months or more w/at least 1 months of Sx and may include periods or prodromal or residual symptoms

D. Schizoaffective, depressive and bipolar disorder w/psychotic features have been ruled out

Question 23

What are hallucinations?

Answer 23

Hallucinations: bizarre, unreal perceptions of the env.

o	Auditory (“kill him”)
o	Visual (seeing things)
o	Olfactory (dead pppl) 
o	Tactile (feeling/touch, bugs on skin)

Question 24

What are delusions?

Answer 24

Delusions: Bizarre, false beliefs

o Delusions of reference (belief that matters concern them)
o Delusions of thought withdrawal or insertion

Question 25

Schizoaffective Disorder ?

Answer 25

A. presence of mood episode (Manic or Major Depressive Episode) with criteria A of Schizophrenia:

2 (or more) Sx for a period of 1 month w/ at least one Sx being (1), (2), or (3)

1. delusions
2. hallucinations
3. disorganized speech
4. grossly disorganized / catatonic behavior
5. Negative Symptoms

B. Delusions or hallucinations present for 2 weeks (or more) without major mood episode (ME or MDE)

C. Mood episodes (ME or MDE) present for majority of active and residual phases

• specify:
• bipolar type
• depressive type

Question 26

What disorder is very difficult to diagnose and involves psychosis + mood problems ?

Answer 26

Schizoaffective disorder

Question 27

What is the difference between Schizoaffective d/o and Major Depressive Disorder w/Psychotic Features?

Answer 27

Schizoaffective: 2 weeks of psychotic Sx w/no mood Sx

MDD w/psychotic: predominant mood Sx w/psychotic features only present during mood episodes

Question 28

What is Substance/medication induced psychotic Disorder?

Answer 28

A. presence of delusions or hallucinations

B. Sx due to substance or medicine

Question 29

What is Psychotic d/o due to another medical condition?

Answer 29

A. presence of delusions or hallucinations

B. Sx due to another medical condition

Question 30

What are the catatonia specifiers?

Answer 30

1. Stupor (no psychomotor activity)
2. Cataplexy (passive induction of a posture held against gravity
3. Mutism (little or no verbal response)
4. Negativism (no response to instruction or stimuli)
5. Mannerism (odd caricature of normal actions)
6. Sterotypy (repetitive non-goal-directed movements)
7. Agitation (not influenced by stimuli)
8. Grimacing
9. Echolalia (mimicking speech)
10. Echopreaxia (mimicking movement)
11. Posturing (voluntary assumption/maintenance of inappropriate or bizarre postures)
12. Waxy flexibility (maintenance of limbs and body in positions imposed by others)

Question 31

Treatment for schizo spectrum?

Answer 31

antipsychotic drugs
(can have severe side effects)
(issues w/patient non compliance)