Chapter 6: Schizophrenia Flashcards

(43 cards)

1
Q

Translation of Schizophrenia

A

“Split personality”

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2
Q

What disorder is schizophrenia confused with?

A

Dissociative identity disorder (split personality)

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3
Q

Who coined the term schizophrenia?

A

Paul Eugen Bleuler

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4
Q

Dementia praecox

A

Early form of dementia

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5
Q

What is the distinction made between psychotic disorders and mood disorders?

A

Kraepelinian Dichotomy

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6
Q

Who was responsible for Kraepelinian Dichotomy?

A

Emile Kraepelin

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7
Q

Frequency - brief psychotic disorder

A

1 day - 1 month

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8
Q

Frequency - delusional disorder

A

No less then one month

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9
Q

Frequency - schizoaffective disorder

A

Presence of HALLUCINATIONS for at least 2 weeks

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10
Q

Frequency - schizophreniform disorder

A

1 - 6 months

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11
Q

Frequency - schizophrenia

A

Continuous symptoms for 6 months or more

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12
Q

Catatonia

A

Not showing emotions in voice or on face

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13
Q

Waxy flexibility

A

Can be moved around like a puppet

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14
Q

Avolition

A

Reduced or absent motivation to perform activities

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15
Q

Alogia

A

Reduction or absence of speech production

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16
Q

Anhedonia

A

Loss of pleasure in things once seen as pleasurable

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17
Q

Which disorder occurs most frequently? Prevalence?

A

Brief psychotic disorders : 9%

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18
Q

Percent of homeless individuals with schizophrenia?

19
Q

Primary cause of death for patients with schizophrenia;

A

Suicide, cancer, cardiovascular disease

20
Q

Percent of people with schizophrenia who commit suicide

A

20% attempt and 6% complete

21
Q

Is late onset schizophrenia (after 40) more common in men or women?

22
Q

Positive symptoms of schizophrenia: 7

A
Delusions
Hallucinations 
Disorganized thinking & speech
Communication exaggeration & distortion
Disorganized behavior
Catatonic symptoms
Agitation
23
Q

Negative symptoms of schizophrenia: 8

A
Affective blunting
Social & emotional withdrawal
Passivity
Problems with abstract thinking
Alogia
Avolition
Anhedonia
Impaired attention
24
Q

DSM 5 - Schizophrenia

A
Delusions
Hallucinations 
Disorganized speech
Catatonic behavior
Negative symptoms (i.e diminished emotional expression or avolition)

w/o major depressive or manic episodes
cannot be attributed to a substance
no history of autism spectrum disorder (only with prominent delusions or hallucinations)

25
Prevalence of schizophrenia ; gender ratio
1% ; 1:1
26
Average onset of schizophrenia
Females 28 Males 23 (typical between age 10-23)
27
Seven subtypes of delusional disorder:
Jealous, erotomanic, grandiose, persecutory, somatic, mixed, and unspecified
28
Delusional subtype: delusion centered around another person being in love with oneself
Erotomanic
29
Delusional subtype: delusions involving oneself as being especially important or talented ie. the belief you’re the president or inventor of toothpaste
Grandiose
30
Delusional subtype: delusions centered around one’s partner being unfaithful
Jealous
31
Delusional subtype: delusions related to someone cheating, conspiring against, or persecuting oneself ie. the cia is after me, my phones are tapped
Persecutory
32
Delusional subtype: delusions involving a physiological function or sensation ie. the pain in my stomach must be cancer
Somatic
33
Schizoaffective disorder -
Schizophrenia plus a mood disorder
34
Dopamine hypothesis -
Suggesting the disorder is due to excessive dopamine in specific brain regions
35
Antipsychotics two categories:
Typical and atypical
36
Schizophrenia 3 stages of onset;
Prodromal phase, active phase, residual phase
37
Phase? - first indications; decreased functioning, social isolation, poor self care
Prodromal phase
38
Hallucinations -
Sensory perception without external stimuli
39
Most common type of hallucinations?
Auditory
40
What else can cause hallucinations?
Brain tumors Deafness Convulsions Hyper & hypothyroidism
41
The rule of 4 -
1/4 can function well with medication 1/4 require living in a facility 1/4 do poorly 1/4 one episode and are never sick again
42
Who thought Jodie Foster was in love with him and tried to kill president Reagen?
John Hinckley
43
Types of medication:
Antidepressants Benzodiazepines Mood stabilizers Antipsychotics