CH.11 - SCHIZOPHRENIA Flashcards

1
Q

What 3 conditions is schizophrenia comorbid with?

A

Substance abuse (37%), depression (40%) anxiety

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2
Q

What is the most prevalent comorbid condition associated with schizophrenia?

A

Social anxiety disorder

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3
Q

When does schizophrenia appear in people?

A

Early adulthood/late adolescence

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4
Q

What are the mortality rates for people with schizophrenia?

A

20-25 years shorter than those without schizophrenia, 10% commit suicide

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5
Q

What % of patients in psychiatric hospitals are patients with schizophrenia?

A

31%

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6
Q

What are the remission rates in schizophrenic patients?

A

1 in 3 have symptom remissions

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7
Q

What are remission symptoms in schizophrenia patients associated with?

A

Milder initial symptoms, better premorbid functioning, earlier treatment response, shorter duration of untreated psychosis

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8
Q

Who first introduced the term “schizophrenia”?

A

Blueler

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9
Q

What 3 subtypes of schizophrenia were included in the DSM-IV-TR?

A

Disorganized, catatonic, paranoid

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10
Q

Who proposed the 3 schizophrenia subtypes?

A

Kraepelin

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11
Q

Brain structures in schizophrenia patients:

A

Enlarged ventricles, structural problems in hippocampus, reduction in cortical grey matter

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12
Q

What are high expressed emotion (EE) family environments caused by?

A

Criticism, emotional over-involvement, hostility, low warmth

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13
Q

Who is at high-risk for schizophrenia?

A

Children whose mothers have chronic schizophrenia

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14
Q

What are 5 other risk factors for people with schizophrenia?

A

Attentional dysfunction, low IQ, poor concentration, poor verbal ability, poor motor coordination

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15
Q

Are conventional antipsychotic drugs affective at treating schizophrenia?

A

No, except clozapine and risperidone

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16
Q

What are extrapyramidal side affects caused by?

A

Drug action that antagonizes dopamine 2

17
Q

What is tardive dyskenisa?

A

Mouth muscles involuntary make sucking, lip-smacking and chin-wagging motions

18
Q

What is neuroleptic malignant syndrome?

A

Severe muscle rigidity, fever, heart races, blood pressure increases, and client may fall into coma

19
Q

Pros and cons of antipsychotic drugs:

A

PROS: keep positive symptoms from returning
CONS: have little effect on negative symptoms (ie. flat affect)

20
Q

What are the 2 antipsychotic drugs that are affective? What do they do?

A

Olanzapine - fewer motor side effects
Risperidone - fewer motor side effects, shorter hospitalization stay

21
Q

What 3 elements does social skills training focus on?

A

Receiving skills, processing skills, behavioural responses in social interaction

22
Q

What does family therapy do?

A

Improves communication and problem-solving skills, typically lowers relapse over 1-2 years (paired with medication)

23
Q

Why is cognitive behavioural therapy affective?

A

Facilitates motivation and engagement in social and vocational activities