Schizophrenia Flashcards
(48 cards)
A Criteria Symptoms of Schizophrenia
Negative Sx: Alogia, Affective Flattening, Avolution, Anhedonia
Positive Symptoms of Schizophrenia
Delusions, Disorganized Thinking, Hallucinations
Which gender is more likely to have A Criteria Sx of Schizophrenia?
Males >Females
A Criteria Sx = Negative Sx
A Criteria Sx for Schizophrenia for 1 to 6 months
Dx?
Schizophreniform Disorder
What must be done before diagnosing Schizphrenia?
Rule out other diagnosis: other psychotic disorders, childhood developmental disorders, medical/neurological disease, substance abuse, medication induced, personality disorder, mood disorders
Cognitive Symptoms of Schizophrenia
SMART: Speed Memory Attention Reasoning Tact (Social Cognition)
What A Criteria Negative Sx of Schizphrenia is also a sx of major depression
Anhedonia
Criteria to meet DSM-5’s A Criteria of Schizophrenia
Of 2 sx, 1 needs to be :
Delusion, Hallucination, Disorganized thinking/speech
What is catatoni
Stupor, waxy flexibility, mutism, negativsm, echolalia
Seen in schizophrenia and other disorders
What is hyponopompic hallucinations?
Auditory hallucinations heard when patient is waking up from sleeping
Which symptoms of schizophrenia present early in the illness?
Negative/Cognitive Sx
Do negative symptoms worsen or improve during hte active periods of schizophrenia?
Worsen
Do antipsychotic medications work well for negative symptoms of schizophrenia?
No
What % of schizophrenics get married and why?
Only 30-40% due to limited social contacts
What % of schizphrenic patients experience only a single active episode?
10%
30% intermittent course, 60% chronic course
What sign is seen in 85% of patients prior to first psychotic episode? How long does it last?
Prodrome: Lasts several months to years
This is a negative prognostic sign
Why do females and males have the same peak age of onset (mode) but different average age of onset?
2nd smaller peak age of onset peak seen in females after age 40
Why do schizophrenics have a life expectancy that is 25 years less than the general population?
Cardiovascular Disease
When does the functional decline begin in a patient with schizophrenia
Prodrome
Which gender is the average course of schizophrenia more severe in? Why?
Males >Females
Males generally develop illness earlier
What is the main goal of continuous antipsychotic treatment in patients with schizophrenia
Prevent relapse into active phase
What happens when decreasing antipsychotic medication dose to use lowest effective dose?
Increased risk of relapse
Most common reason patients with schizophrenia are hospitalized
Psychosis/Active Phase
Most antipsychotic medications are unlikely to work by 4 weeks if what? What medication is the exception
If a patient does not show a response wtihin 2 weeks
EXCEPTION: Clozapine (Clozaril)
