3-12 Flashcards

(89 cards)

1
Q

Is there a cure for schizophrenia

A

no

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2
Q

A psychosis defined by loss of contact with reality, hallucinations, delusions

A

schizophrenia

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3
Q

Term that includes number of schizophrenia-like disorders listed in DSM-5, describes a spectrum of diagnosis based on severity of symptoms and length of time

A

schizophrenia spectrum disorder

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4
Q

DSM-5 diagnosis of Schizophrenia

A

6+ months of symptoms, deterioration in social relations and ability to care for themselves (poor hygiene, not paying bills), abnormal motor behavior like catatonia,

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5
Q

DSM-5 diagnosis of symptoms

A

pick two of delusions, hallucinations, disorganized speech, abnormal motor behavior like catatonia, negative symptoms; at least one must be delusions, hallucinations, disorganized speech, functions poorly in life spheres than prior to symptoms, symptoms continue for 6 months

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6
Q

Schizophrenia symptom that can linger on even after being on medication

A

poor hygiene

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7
Q

Term for false sensory perceptions

A

hallucinations

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8
Q

Term for false beliefs

A

delusions

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9
Q

Most common hallucination for schizophrenia

A

auditory hallucinations (hearing voices)

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10
Q

Describe demographics of schizophrenia disorder

A

1/100 people, worldwide, more in poor, equal men and women, more in divorced, next single, fewest married

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11
Q

Three groups of schizophrenia symptoms

A

positive, negative, psychomotor

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12
Q

Schizophrenia symptoms that describe over an beyond above normal symptoms

A

positive symptoms

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13
Q

Term for bizarre additions to a persons behavior

A

pathological excesses

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14
Q

Schizophrenia symptoms that describe below normal symptoms

A

negative symptoms

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15
Q

Schizophrenia symptoms that refer to unusual movements and gestures

A

psychomotor symptoms

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16
Q

Examples of positive symptoms of schizophrenia

A

delusions, hallucinations, disordered thinking and speech

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17
Q

Term for faulty interpretations of reality

A

delusions

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18
Q

Four common delusions of schizophrenia

A

persecution, reference, grandeur, control

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19
Q

Term for schizophrenia delusion that is most common, plotted against, slandered, spied on, threatened, attacked, victimized

A

persecution

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20
Q

Term for schizophrenia delusion that describes attachment of personal meaning to the action of others or various objects or events

A

reference

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21
Q

Term for schizophrenia delusion that describes person believing that they are a great figure in history comeback to save the world eg Jesus

A

grandeur

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22
Q

Term for schizophrenia delusion that describes person believing thoughts, actions are being controlled by someone else

A

control

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23
Q

Schizophrenia symptom that describe common symptom of incoherent statements, jumping from one topic to another

A

loose associations

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24
Q

Schizophrenia symptom that describe using made-up words

A

neologisms

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25
Schizophrenia symptom that describes repetition of words and statements over and over
perseveration
26
Schizophrenia symptom that describes use of rhyming words to think and express themselves
clang
27
Extremely rare schizophrenia delusion of being an animal
lycanthropy
28
Most common schizophrenia hallucination
auditory hallucinations
29
Describe brain scans and auditory hallucinations in schizophrenia
auditory lit up, frontal lobe dark; person hears sounds, but brains cannot recognize sounds are coming from within
30
Schizophrenia symptom cluster described as poverty of speech, blunted and flat speech, loss of volition, social withdrawal, memory problems
negative symptoms
31
Schizophrenia negative symptom described by blank facial expression, monotone voice, lack of emotion
flat affect
32
Schizophrenia negative symptom described by not engaging in speech
poverty of speech
33
Schizophrenia negative symptom described as being apathetic, drained of energy, fatigued, no interest in goals, ambivalence
loss of volition
34
Schizophrenia negative symptom described as pulling away from people, isolation
social withdrawal
35
Symptom cluster of schizophrenia that includes awkward movements, repeated grimaces, odd gestures, catatonia
psychomotor symptoms
36
Two psychomotor symptoms that may have a purpose but only known to the schizophrenic person
odd gestures and awkward movements
37
Extreme psychomotor symptom of schizophrenia that include stupor, rigidity, and excitement
catatonia
38
Schizophrenia catatonia symptom in which person stops responding to environment, remains motionless and silent for long periods of time
catatonic stupor
39
Schizophrenia catatonia symptom in which person keeps same posture or body position locked in, and will resist moving
catatonic rigidity
40
Schizophrenia catatonia symptom described as decreased response to stimuli and a tendency to remain in an immobile posture
waxy flexibility
41
Schizophrenia catatonia symptom in which person moves a lot, excited movements, waving arms
catatonic excitement
42
Schizophrenia usually first appears when for males and females
23 males, 27 females
43
Three phases of schizophrenia
prodromal, active, residual
44
First phase of schizophrenia, beginning of deterioration, milder symptoms
prodromal
45
Second phase of schizophrenia, readily apparent symptoms like hallucinations and delusions
active phase
46
Third phase of schizophrenia, return to milder symptoms, usually from being on medication
residual phase
47
Percent of people who do not recover from schizophrenia
75%
48
Of those who do recover, what was the cause of their schizophrenia
substance use disorder
49
Theoretical approach for explaining schizophrenia with the most research support
biological
50
Biological idea that people are born with predisposition to schizophrenia and it is triggered by environmental factors
diathesis-stress relationship
51
Research supporting genetic predisposition to schizophrenia shows what three things
relatives +, twins +, adoption following biological parents, genetic and molecular biology links
52
Genetic link of schizophrenia shows that alleles of gene mutations
are in the same place on the chromosome
53
Another genetic link is the tendency of alleles to be inherited
together during mitosis
54
Biological hypothesis that certain neurons that use dopamine fire too often, causing schizophrenia
dopamine hypothesis
55
Biological hypothesis that enlarged ventricles and abnormalities in other brain structures cause schizophrenia
abnormal brain structure
56
Biological explanation for schizophrenia that exposure to ______ before birth causes schizo, activated by hormones during puberty or another _____
viral infection
57
Evidence such as animal models, winter birth rate, infection rates of mothers, and presence of antibodies support the
viral infection biological hypothesis
58
Discredited theoretical approach to schizophrenia
psychodynamic
59
Type of cell in nervous system related to viral hypothesis
glial cells
60
Theoretical explanation of schizophrenia that includes “rational path to madness” and agreement that biological factors cause hallucinations and further features of schizophrenia emerge when people try to understand these delusions
cognitive approach
61
Theory that includes (1) hear voices, (2) go to relatives and friends, (3) they deny voices exist, (4) you decide they are hiding the truth, (5) you reject family and friends, (6) delusions and deep symptoms of schizophrenia develop
rational path to madness
62
Theoretical approach that includes multicultural factors, social labeling, and family dysfunction
sociocultural view
63
Sociocultural force contributing to schizophrenia related to the diathesis-stress model
family dysfunction
64
More conflict, poor communication, more critical, and over-involved are all part of what social force
family dysfunction
65
For much of human history, people with schizophrenia were considered
beyond help
66
Recently, what discovery has help treat schizophrenia by enabling people to think clearly enough to participate in therapy
antipsychotic drugs
67
In the past, people with schizophrenia were institutionalized and focus was on
restrain them and meeting their basic needs
68
Humanistic therapy that created social climate emphasizing productivity and responsibility
milieu therapy
69
Behavioral therapy for schizophrenia in which behaving a certain way gained you rewards “tokens”
token economies
70
Milieu therapy and token economies helped improve what two area of patient care
personal care and self-image
71
Psychosurgical treatment no longer performed, popular in 1940s and 1950s
lobotomy
72
Antihistamine used to calm surgery patients found to be helpful in treating schizophrenia
PHENOTHIAZINE
73
First generation antipsychotic drug for treating schizophrenia with bad side effects
thorazine
74
Second generation antipsychotics with lower side effects
atypical antipsychotics
75
What treatment approach is more effective than any other treatment approach alone for schizophrenia
drug therapy
76
Parkinsonian symptoms and tardive dyskinesia are two _______ effects of antipsychotic drugs
extrapyramidal symptoms
77
Extrapyramidal symptom caused by neuroleptic (antipsychotics) that may be permanent, involuntary and unusual movements like smacking
tardive dyskinesia
78
New class of antipsychotics that work on both dopamine and serotonin receptors for schizophrenia
atypical antipsychotics
79
Therapy approach involving educating patient on schizophrenia, on passing nature of hallucinations, tracking triggers of hallucinations, changing thinking on power of hallucinations
cognitive-behavioral therapy
80
Therapy approach that helps clients accept streams of problematic thoughts, become “detached and comfortable observers”
new-wave cognitive-behavioral therapy
81
Therapy that works with family member to lower expectations, lower expression of emotion, and offer support groups
family therapy
82
Therapy that helps patients with daily living tasks like problem solving, financial assistance, reduces rehospitalizations
social therapy
83
Syndrome of readmittance of patients because of lack of follow up
revolving door syndrome
84
Treatment response to revolving door syndrome, combination of coordinated services eg medication management
assertive community treatment
85
Day hospitalization aspect of assertive community treatment to reduce inpatient readmissions
partial hospitalization
86
Community treatment has failed because most people with schizophrenia do not receive treatment due to
poor coordination of services and shortage of services
87
Percent of homeless people with schizophrenia
one-third
88
Major feature of treatment for people recovering from severe mental disorders in countries around the world
community care
89
Organization that lobbies for people with mental illnesses
National Alliance on Mental Health NAMI