week 9 Flashcards

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1
Q

schizophrenia

A
  • disorder that involves severely distorted beliefs, perceptions and thought process
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2
Q

schiz diagnoses

A
  • diagnosed when two or more symptoms are shown: at least one symptom must be delusions, hallucinations or disorganised speech
  • diagnosed either with or without catatonia
  • reduction in functioning
  • symptoms exist for 6 months, 1 month of positive symptoms
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3
Q

subtypes of schiz

A
  • paranoid subtype
  • disorganised subtype
  • catatonic subtype
  • undifferentiated subtype
  • residual subtype
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4
Q

positive symptoms

A
  • delusions, can lead to dangerous behaviours
  • hallucinations
  • disorganised thought process, speech or behaviour
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5
Q

delusions of schizophrenia

A
  • persecutory delusions - beliefs about being followed usually by agents of authority (FBI)
  • grandiose delusions - beliefs about being famous
  • delusions of reference - believing others are talking About them
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6
Q

hallucinations of schizophrenia

A
  • people may see, hear, tase, smell or feel something that others don’t
  • hallucinations may tell people to perform certain acts
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7
Q

disorganised behaviour in schizophrenic people

A
  • disorganised speech - lack of association between ideas and events
  • disordered behaviour - unusual, odd or repetitive behaviours and gestures
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8
Q

catatonia

A
  • catatonic stupor - absence of motor behaviours, totally motionless and rigid
  • catatonic excitement - agitate, fidgety, shouting, swearing or moving rapidly
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9
Q

Negative symptoms

A
  • deficits in behavioural or emotional functioning

- symptoms can occur in conbination

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10
Q

flat effect

A
  • lack of emotion
  • Passive with immobile facial expressions
  • vocal tone doesny change
  • doesn’t respond to events with emotion
  • speech lacks the inflection that communicates mood
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11
Q

prevalence

A
  • 20,000 new cases are diagnosed in US per year

- aprox. 1 million Americans are diagnosed annually

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12
Q

temporary or chronic?

A
  • onset typically occurs during young adulthood
  • 25% of those who experience schizophrenia recover completely
  • 25% experience recurrent episodes of schizophrenia
  • 50% schizophrenia becomes chronic
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13
Q

genetic factors

A
  • 50% risk for a person who’s twin has schizophrenia
  • if biological parent of an ADOPTED individual had schizophrenia there a greater risk to develop it.
  • the more closely related a person is to someone that has schizophrenia the more likely they are to develop schizophrenia
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14
Q

other factors of schizophrenia

A
  • paternal age - schizoids caused by mutations in the sperm and age increases the rate of mutation
  • 45 to 49 years: 2x more likely
  • 50+: 3x more likely
  • mothers age made no difference
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15
Q

biological factors

A
  • 50% of people with schizophrenia show abnormal brain structures - enlargement of the ventricles
  • loss of grey matter tissue and lower overall volume of the brain
  • issues with neurotransmitters
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16
Q

treatment of schizophrenia

A

-1954 discovery of chlorpromazine which reduces agitation, aggression, hallucinations, increases time between hospitalisations but does NOT change negative symptoms and cognitive deficits
side effects of this includes:
- weight gain
- movement disorder (involuntary movement of lower face and limbs)

17
Q

adv and disadv of atypical medication for schizophrenia

A

advantages:
- less likely to cause movement-related dopamine side effects
- more effective in treating the negative symptoms
disadvantages
- weight gain
- diabetes
- cardiac problems
- no greater improvements than with older antipsychotics

18
Q

psychosocial interventions

A
  • cognitive behavioural therapy
  • family intervention
  • early intervention