Schizophrenia Flashcards

1
Q

what are the 1st rank symptoms of schizophrenia?

A
  • auditory hallucinations
  • thought disorders
  • passivity phenomena
  • delusional perceptions
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2
Q

what are the features of auditory hallucinations in schizophrenia?

A
  • two or more voices discussing the person in the 3rd person
  • thought echo
  • voices commenting on the patient’s behaviour
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3
Q

name the thought disorders seen in schizophrenia

A
  • thought insertion
  • thought withdrawal
  • thought broadcasting
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4
Q

what is the passivity phenomena?

A
  • bodily sensations being controlled by external influence
  • actions/impulses/feelings - experiences which are imposed on the individual or influenced by others
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5
Q

what are delusional perceptions?

A
  1. normal object is perceived
  2. sudden intense delusional insight into the objects meaning for the patient

e.g. traffic light is green therefore I am the king

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6
Q

name the features of schizophrenia

A
  • auditory hallucinations
  • thought disorders
  • passivity phenomena
  • delusional perceptions
  • impaired insight
  • incongruity/blunting of affect
  • decreased speech
  • neologisms
  • catatonia
  • negative symptoms
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7
Q

what are the negative symptoms seen in schizophrenia?

A
  • incongruity/blunting of affect = inappropriate emotion for circumstances
  • anhedonia
  • alogia
  • avolition
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8
Q

what is anhedonia?

A

inability to derive pleasure

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9
Q

what is alogia?

A

poverty of speech

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10
Q

what is avolition?

A

poor motivation

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11
Q

what factors are associated with poor prognosis in schizophrenia?

A
  • strong family history
  • gradual onset
  • low IQ
  • prodromal phase of social withdrawal
  • lack of obvious precipitant
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