Flashcards in Schizophrenia Deck (20):
A: active phase signs and symptoms
B: social occupational dysfunction
C: time duration
D: another diagnostic explaination
Incoherence or word salad
1. affective flattening
Schizophrenia A criteria
need 2 of the 5
(1 must be positive symptom)
3. disorganized thinking
4. disorganized behavior
5. negative symptoms
Downward drift hypothesis of Schizophrenia?
socio-occupational dysfunction of schizophrenia results in people who start out with resources and then gradually lose them
HOw long to meet C?
1 month where criteria a is met
greater than 1 month less than 6 months
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
What symptoms overlap in bipolar with psychosis and schizophrenia?
flight of ideas (disorganized speech)
What symptoms overlap in major depressive disorder and schizophrenia?
What medications may look like schizophrenia?
What is the ratio of male to female with schizophrenia? What is the peak age of onset?
males more severe
What is the strongest predictor of a good outcome in schizophrenia?
initial good response to medications
Does schizophrenia cause cognitive impairment?
Anosognosia-lack of awareness of illness
How high is the attempted suicide risk for schizophrenia?
50X normal population
higher risk: period after psychotic episode or hospital discharge
What is the genetic risk of schizophrenia?
no family history 1%
sibling or 1 parent 10%
both parents 40%
identical twin 50%
Are people with schizophrenia often victims?
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