Flashcards in 2.9, 2.10 Psychosis, schizophrenia and management Deck (13):
What elements of the mental state examination may be disturbed in schizophrenia?
2. Behaviour **
4. Mood **
5. Affect **
6. Thoughts ** (CONTENT, FORM, FLOW)
7. Perceptions **
What are the positive symptoms of schizophrenia?
What are the negative symptoms of schizophrenia?
Lack of volition
How long must symptoms persist for a diagnosis of schizophrenia in the ICD-10?
At least 1 month
What are Schneider's first rank symptoms?
1. Auditory hallucinations
-Thoughts spoken out loud
-Third person voices
2. Delusional perception
-a delusional belief arising from normal perception
3. Delusions of control
4. Delusions of thought interference:
Any one of these symptoms lasting for 1 month or more indicates schizophrenia.
What is the population lifetime risk of schizophrenia?
What is the peak incidence of schizophrenia in men and women?
What is the rate of suicide in schizophrenia?
What factors are good prognostic indicators for schizophrenia?
-older age at onset
-markred mood disturbance esp. elation
-FH of mood disorder
What factors are bad prognostic indicators for schizophrenia?
-longer duration of untreated psychosis
-poor pre-morbid adjustment
What are 4 main groups of psychotic experiences?
Formal thought disorder
What is schizoaffective disorder?
Presence of both symptoms of schizophrenia and affective disorder
Episodes may be schizo-manic or schizo-depressed