Schizophrenia Flashcards
(143 cards)
diagnosis of schizophrenia
What are the positive symptoms of schizophrenia
Hallucinations
Delusions
diagnosis of schizophrenia
What are the negative symptoms of schizophrenia
Speech poverty
Avolition
diagnosis of schizophrenia
What are the two manuals used to diagnose schizophrenia and where are they used
DSM-5: America, Britain
ICD-10: Australia, Europe
diagnosis of schizophrenia
What does the DSM set as the criteria to diagnose someone with schizophrenia
2 out of 5 symptoms
At least 1 positive symptom
diagnosis of schizophrenia
What does the ICD set as the criteria to diagnose someone with schizophrenia
Any two symptoms
diagnosis of schizophrenia
What are the 5 symptoms of schizophrenia in the DSM and ICD
Delusions
Hallucinations
Disorganised speech
Grossly disorganised or catonic behaviour
Decreased motivation/ diminished expressiveness
issues in diagnosis of schizophrenia
Is the reliability of the classification of schizophrenia hood or bad
Good
issues in diagnosis of schizophrenia
What is test retest reliability
When the same clinician reaches the same diagnosis for the same patient on multiple occasions
issues in diagnosis of schizophrenia
What was osorio’s experiment on test retest realisability of the classification of schizophrenia
Tested 180 patients in an assessment for schizophrenia
Found test retest reliability of +0.92 for the DSM
issues in diagnosis of schizophrenia
What is inter-rater reliability
When different clinicians come to the same diagnosis on the same patient
issues in diagnosis of schizophrenia
What was osorio’s experiment on inter-rater realiability of the classification of schizophrenia
Assessed 180 individuals
Found inter-rater reliability of 0.97 using DSM
issues in diagnosis of schizophrenia
Is the validity for the classification of schizophrenia hood or bad
Bad
issues in diagnosis of schizophrenia
What type of validity are we concerned with with the classification of schizophrenia and what is it
Criterion validity- how accurately the ‘test’ used to measure schizophrenia actually measures schizophrenia
issues in diagnosis of schizophrenia
What Cheniaux find about the validity of the classification of schizophrenia
100 patients assessed by one doctor using DSM and another using ICD
DSM- 39 diagnosed
ICD- 68 diagnosed
issues in diagnosis of schizophrenia
What was rosenhan’s study on validity of classification of schizophrenia
Three woman and five men Including himself were ‘pseudopatients’
They said that they heard a ‘thud’ repeatedly to try and gain admission into 12 psychiatric facilities in 5 states
All were admitted and diagnosed with psychiatric disorders
All were forced to admit to having a mental illness and take antipsychotic drugs as a condition of their release after saying they felt fine
The average amount of time spent in institutions was 19 days
issues in diagnosis of schizophrenia
What is co-morbidity and why is this a limitation
When two conditions often occur together
Questions weather two illnesses should be diagnosed separately instead of together and if schizophrenia is a distinct condition, or if it’s symptoms are just part of other conditions
issues in diagnosis of schizophrenia
What did Buckley find about co-morbidity
50% of schizophrenia sufferers suffer from depression
47% of schizophrenia sufferers suffer from substance abuse
23% of schizophrenia sufferers suffer from OCD
issues in diagnosis of schizophrenia
Why is symptom overlap a limitation of the classification of schizophrenia
Bipolar includes symptoms such as hallucinations delusions and avolition
biological explanations- genetic
What did gottesman find about biological explanations of schizophrenia
biological explanations- genetic
What was Ripke’s experiment
Compared the genetic makeup of 37,000 schizophrenia patients with 113,000 controls through combining research on genome-wide studies
biological explanations- genetic
What did Ripke find about genetic explanations for Sz
There are 108 candidate genes associated with a slightly increased risk of schizophrenia
biological explanations- genetic
What are the strengths of biological explanations for schizophrenia
Supporting evidence- Tienari found that orphans who’s biological parents had Sz were more likely to develop it than a control group even if adoptee parents didn’t have it
Supporting evidence- Hilke found 33% concordance rate in MZ twins and 7% in DZ twins
Real world application- genetic counselling can be used for parents likely to have a child with Sz
biological explanations- genetic
What are the limitations of biological explanations for Sz
Birth complications cause heightened chance of Sz development (Morgan)
Smoking cannabis in teenage years heightens risk (Di Forti)
Morkved found that 67% of people with Sz reported at least one childhood trauma compared to 38% in a control group
biological explanations- neural correlates
What is Seeman’s dopamine hypothesis
Unusually high levels of dopamine are associated with with schizophrenia as neurons that transmit dopamine fire too easily or too often or there is an abnormal amount of D2 receptors.
It has been found that an excess of dopamine in subcortical brain areas such as Broca’s area may explain positive symptoms