Schizophrenia Flashcards
(5 cards)
Demographic factors predicting poor outcome
Male
Single
Younger age atonset
Family history of schizophrenia
Comorbid substanceabuse
Clinical features predicting poor prognostic outcome
Poor premorbid adjustment
Insidiousonset
Long duration of untreated psychosis
Hebephrenic (disorganized) subtype
Negative symptoms
Cognitive impairment
Absence of affective symptoms
Poor insight
Other factors - poor prognosis
High expressed emotion infamily
Poor adherence with treatment
A - D criteria
(a) Thought echo, thought insertion or withdrawal,
and thought broadcasting
(b) Delusions of control, influence, or passivity,
clearly referred to body or limb movements or spe-
cific thoughts, actions, or sensations; delusional
perception
(c) Hallucinatory voices giving a running commen-
tary on the patient’s behaviour, or discussing
the patient among themselves, or other types
of hallucinatory voices coming from some part
of thebody
(d) Persistent delusions of other kinds that are cultur-
ally inappropriate and completely impossible
E to I criteria
(e) Persistent hallucinations in any modality, when
accompanied either by fleeting or half-formed
delusions without clear affective content, or by
persistent overvalued ideas, or when occurring
every day for weeks or monthsonend
(f) Breaks or interpolations in the train of thought,
resulting in incoherence or irrelevant speech, or
neologisms
(g) Catatonic behaviour, such as excitement, postur-
ing, or waxy flexibility, negativism, mutism, and
stupor
(h) ‘Negative’ symptoms such as marked apathy,
paucity of speech, and blunting or incongruity of
emotional responses, usually resulting in social
withdrawal and lowering of social performance;
it must be clear that these are not due to depres-
sion or to neuroleptic medication
(i) Asignificant and consistent change in the over-
all quality of some aspects of personal behav-
iour, manifested as loss of interest, aimlessness,
idleness, a self-absorbed attitude, and social
withdrawal
