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Flashcards in Schizophrenia Deck (20):
1

Criteria A
Criteria B
Criteria C
Criteria D

A: active phase signs and symptoms
B: social occupational dysfunction
C: time duration
D: another diagnostic explaination

2

Disorganized thinking

positive symptom
Derailment
Loose association
Tangential speech
Incoherence or word salad

3

Negative Symptoms

1. affective flattening
2. alogia
3. avolition
4. anhedonia

4

Schizophrenia A criteria

need 2 of the 5
(1 must be positive symptom)
Positive Symptoms:
1. hallucinations
2. delusions
3. disorganized thinking
------
4. disorganized behavior
5. negative symptoms

5

Downward drift hypothesis of Schizophrenia?

socio-occupational dysfunction of schizophrenia results in people who start out with resources and then gradually lose them
33% homeless

6

HOw long to meet C?

6 months
1 month where criteria a is met

7

Psychotic disorder

symptoms

8

Schizophreniform

greater than 1 month less than 6 months

9

Schizoaffective disorder

major mood episode is concurrent with criterion A of schizophrenia. major mood symptoms present for majority of the total duration of illness; at least 2 week period of hallucinations or delusions without mood symptoms present

10

What symptoms overlap in bipolar with psychosis and schizophrenia?

grandiosity (delusions?)
flight of ideas (disorganized speech)

11

What symptoms overlap in major depressive disorder and schizophrenia?

negative symtpoms

12

What medications may look like schizophrenia?

steriods

13

What is the ratio of male to female with schizophrenia? What is the peak age of onset?

male=female
male: 15/18-25
female: 25-35/45
males more severe

14

What is the strongest predictor of a good outcome in schizophrenia?

initial good response to medications

15

Does schizophrenia cause cognitive impairment?

SMART
S-speed
M-memory
A-attention
R-reasoning
T-tact

Anosognosia-lack of awareness of illness

16

How high is the attempted suicide risk for schizophrenia?

50X normal population
higher risk: period after psychotic episode or hospital discharge

17

What is the genetic risk of schizophrenia?

no family history 1%
sibling or 1 parent 10%
both parents 40%
identical twin 50%

18

Are people with schizophrenia often victims?

yes

19

What are risk factors for violence from schizophrenia patients?

1. concurrent alcohol or substance abuse
2. noncompliant with meds
3. past history of assaultive behavior

20

Are schizophrenia patients have higher rates of obesity, dyslipidemia, hypertension, diabetes and cigarette smoking?

yes
more die from cardiovascular disease