Week Five: Schizophrenia Flashcards

1
Q

What is schizophrenia?

A

A syndrome or disease process of the brain that causes distorted and bizarre thoughts, perceptions, emotions, movements, and behaviours
most disruptive and disabling of the mental disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the peak incidence of onset for men and women who have schizophrenia?

A

men: 15-25 years
women: 25-35 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the two classifications of symptoms for schizophrenia?

A
  1. positive or hard
  2. Negative or soft
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the classification positive or hard of schizophrenia consist of?

A

hallucinations, flight of ideas, delusions, ideas of reference(false impressions), preservation, bizarre behaviour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the classification negative or soft of schizophrenia consist of?

A

alogia (limited speech), apathy (suppression of emotions), sociality, blunt or flat effect, catatonia, avolition (lack of motivation, inattention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When does the DSM-5 diagnosis occur with pt with schizophrenia?

A

when the pt has two+ symptoms for 1 months. These symptoms include:
- delusions, hallucinations, disorganized speech, grossly disorganized or catatonia behaviour, and/ or negative symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a schizoaffective disorder?

A

mixture of psychotic and mood disorder
- signs and symptoms of both schizophrenia and a mood disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the immediate course of action after a pt is diagnosed with schizoaffective?

A

clinical pattern one
- ongoing psychosis
- never a full recovery despite shift in symptom severity

clinical pattern two
- episodes of psychotic symptoms alternating with episodes of complete recovery from psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do you treat someone with schizoaffective?

A

NO CURE
- antipsychotics play a huge rule in the disease process and individual outcomes
- longer periods of uncontrolled psychosis leads to poorer long term outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is schizophreniform disorder?

A

symptoms of schizophrenia are experienced for less than 6 months required for a diagnosis of schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is catatonia?

A

marked psychomotor disturbance, excessive or virtually immobile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a delusion disorder?

A

one or more non bizarre delusions (focus on the delusion is believable) psychosocial functioning not darkly impaired and behaviour is not bizarre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is brief psychotic disorder?

A

one psychotic episode with symptoms lasting 1 day to 1 month; may or may not have identifiable stressor (ie childbirth)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is shared psychotic disorder?

A

similar delusion shared by two people, one of whom has psychotic delusions most commonly siblings or parent and child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is schizotypical personality?

A

odd eccentric behaviours, transient psychotic behaviour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the etiology of schizoaffective disorder?

A
  • interpersonal relationships are definitional early in life
  • genetic factors
  • neuroanatomic and neurochemical factors (detected with MRI. Ventricles are much larger with pt with schizophrenia)
  • immunovirology (exposure to a virus changes brain physiology)
  • Pregnant women (children who are born with mothers with the flu, virus, or other infections have an increased risk)
17
Q

What are the two neurotransmitters that are related to schizoaffective disorder?

A

dopamine and serotonin

18
Q

What are some treatments used to treat schizophrenia?

A
  • neuroleptics
  • antipsychotics LAIs
  • psychosocial treatment
19
Q

What are the two types of neuroleptics medications used for schizophrenia?

A

does not cure but decrease or manage symptoms
two types:
1. conventional antipsychotics
2. atypical antipsychotics

20
Q

What are the side effects of antipsychotic medication in schizophrenia?

A
  • minor discomfort to permanent movement disorders
  • dystonic reactions (akathisia, pseudo Parkinsonism)
  • neurological (tardive dyskinesia, seizures)
  • non-neurological (agranulocytosis, weight gain)
21
Q

What is psychosocial treatment for schizophrenia? What are the two most important aspects?

A

includes individual and group therapy, focus groups, social skill training, cognitive adaption training(cues), cognitive enhancement therapy
two most important: family therapy and family education

22
Q

What parts of the brain does schizophrenia affect?

A

Affects all functions of the brain

23
Q

What are the 7 types of delusions?

A
  1. persecutory/ paranoid
  2. grandiose (belief that you are famous or capable of great things)
  3. religious
  4. somatic: vague/unrealistic belief of their health
  5. referential: beliefs that the news etc have a special meaning to them
  6. nihilistic: belief that their organs aren’t functioning and rotting or disfigured
  7. sexual
24
Q

What is a hallucination?

A

false sensory perceptions or perceptual experience that do not exist in reality
- visual, auditory, sensual

25
Q

What is part of the assessment for schizophrenia?

A

history, general appearance, motor behaviour, mood and affect, speech, delusions, hallucinations, deterioration of self concept, are their roles and relationships affected, physiologic and self care considerations

26
Q

What are some elder considerations for someone with schizophrenia?

A

usually associated with depression or dementia
- remainder are mostly unchanged

27
Q

What are some community based care for a pt with schizophrenia?

A
  • housing with family, independently, or residential program
  • ACT treatment
  • behavioural home health care
  • community support programs
  • case management
28
Q

What are atypical antipsychotics?

A

2nd generation medication
- dopamine and serotonin antagonists
- diminish positive symptoms and lessen the negative signs
examples: clozaril, risperdal, Seroquel, zyprexia

29
Q

What are conventional antipsychotics?

A

1st generation medication
- dopamine antagonist
- target positive signs
- no affect on negative signs
examples: haldol, prolixin, Thorazine

30
Q

What is LAI’s antipsychotic medication used to treat schizophrenia?

A

they are injection forms of antipsychotics that are used for maintenance therapy.
examples: haldol

31
Q

What are the 8 speech patterns to look out for with patients with schizophrenia?

A

clanging associations: ideas related by sound or rhyme
neologism: new invented words
verbigeration: repetition of words or phrases with no meaning behind it
echolalia: repetition of what someone else says
stiles language: flowery or pompous
word salad: jumbled, disconnected or incoherent words
preservation
latency of response: hesitation before responding

32
Q

What is a delusion?

A

false, fixed beliefs with no basis in reality