Schizophrenia Spectrum Disorder Flashcards
List some comorbid disorders with schizo.
- substance use disorders
- Anxiety
3 Depression - Suicide
- Physical Illnesses
- Polydipsia
List some RFs of schizo.
- genetics
- dopamine theory
- Brain structure abnormalities
- Psychological and Envtl factors
- Prenatal stressors
What is the chance of fraternal twins developing schizo?
15%
What is the chance of identical twins developing schizo?
50%
What is the dopamine theory?
too much dopamine which may play a role in psychosis
List the phases of schizophrenia
- Prodromal
- Acute
- Stabilization
- Maintenance or Residual
Describe the prodromal phase
mild changes in thinking, reality testing, and mood, insufficient to meet diagnostic criteria. Speech and thought may be odd. Anxiety, obsessive thoughts, and compulsive behaviors. Person may not feel right
Describe the Acute phase
Sx include hallucination, delusions, apathy, social withdrawal, diminished affect, anhedonia, disorganized behavior, impaired judgment, and cognitive regression
Describe the stabilization phase
Sx are stabilizing and diminishing and there is movement toward a previous level of fxning
Describe the maintenance or residual phase
(+) Sx are usually absent or significantly diminished, but (-) Sx and cognitive Sx continue to be a concern
List the (+) Sx
- Hallucinations
- Delusions
- Paranoia
- Disorganized speech or behavior
List (-) Sx
- Algoia
- Anhedonia
- Anergia
- Avolition
- Asociality
- Affective blunting
- Apathy
List and describe the types of delusions
- Persecutory- believing that one is being singled out for harm
- Referential- a belief that events that have no connection are related
- Grandiose- believing one is quite powerful
- Erotomaniac- believing everyone is in love with you
- Nihlistic- conviction a major catastrophe will occur
- Somatic- believing the body is changing in unusual ways
- Control- believing someone is controlling them
What are some alterations in speech?
- word salad
- clang association
- associative looseness
- Echolalia
- Neologisms
What are the 2 most common types of hallucinations?
- auditory
2. visual