schizophrenia spectrum

Question 1

4 A’s of schizo

Answer 1

autism, ambivalence/apathy, loose associations, flat affect

Question 2

definition of schizo: abnormalities in 1+ of what 5 domains

Answer 2

1. delusions
2. hallucinations
3. disorganized thinking/speech
4. grossly disorganized behavior
5. negative sx

Question 3

fixed beliefs that are not amenable to change in light of conflicting evidence

Answer 3

delusions

Question 4

gestures, comments, environmental cues are directed at oneself

Answer 4

referential delusions

Question 5

individual believes falsely that another person is in love with them

Answer 5

erotomanic delusions

Question 6

involve a conviction that a major catastrophe will occur

Answer 6

nihilistic delusions

Question 7

preoccupation regarding health and organ fxn

Answer 7

somatic delusions

Question 8

perception like experiences that occur without an external stimuli

Answer 8

hallucinations

Question 9

childlike silliness to unpredictable agitation

Answer 9

grossly disorganized or abnormal motor behavior

Question 10

purposeless and excessive motor activity without obvious cause

Answer 10

catatonic excitement

Question 11

decr in motivated self initiated purposeful activities

Answer 11

avolution

Question 12

diminished speech output

Answer 12

alogia

Question 13

decr ability to experience pleasure

Answer 13

anhedonia

Question 14

lack of interest in social interactions

Answer 14

asociality

Question 15

pervasive pattern of social and interpersonal deficits marked by discomfort or inability to have close relationships, eccentricites

Answer 15

schizotypal disorders

Question 16

what % schizotypal have 1+ MDD?

Answer 16

50%

Question 17

prevalence of schizotypal disorders in US

Answer 17

4.6%

Question 18

schizotypal disorders more common in males or females

Answer 18

males

Question 19

criteria for delusional disorders: presence of ____delusions for ___

Answer 19

1+ delusions for 1+ months

Question 20

most frequent subtype of delusional disorder

Answer 20

persecutory

Question 21

which type of delusion disorder is more common in males than females

Answer 21

jealous

Question 22

delusions, hallucinations, disorganized speech, catatonic behavior for >1 day but less than 1 month, with return to premorbid fxn

Answer 22

brief psychotic disorder

Question 23

prevalence of brief psychotic disorder

Answer 23

9% of first onset psychosis

Question 24

brief psychotic disorder more common in males or females

Answer 24

females

Question 25

when delusions, hallucinations, disorganized speech, catatonic behavior (2+) are present for a significant time during a 1 month period

Answer 25

schizophreniform disorder

Question 26

time course of schizophreniform disorder

Answer 26

episodes last at least 1 month, but less than 6 months

Question 27

is schizophrenia or schizophreniform disorder more common

Answer 27

schizophrenia if 5x more common

Question 28

likelihood of ppl with schizophreniform disorder going on to develop schizophrenia

Answer 28

2/3

Question 29

schizophrenia definition: continous signs of disturbance persist for at least ____with ____mon of active sx

Answer 29

persist for at least 6 months with 1 month of active sx

Question 30

prevalence of schizophrenia

Answer 30

0.3-0.7%

Question 31

negative sx and long duration of schizophrenia is higher in males or females

Answer 31

males

Question 32

what % of schizophrenics c/o depressive sx

Answer 32

50%

Question 33

what happens to psychotic sx in schizophrenia over time?

Answer 33

diminish over a life

Question 34

schizophrenia is higher prevalence where?

Answer 34

in urban areas

Question 35

schizophrenia has high comorbidity with what diseases

Answer 35

anxiety, OCD, panic

Question 36

rates of comorbidity with substance related disorders in schizophrenics

Answer 36

>50% use tobacco

Question 37

delusions of hallucinations for 2+ weeks in the absence of a major mood episode during a lifetime duration of illness

Answer 37

schizoaffective disorder

Question 38

7-25% ppl with 1st episode psychosis are reported with thi disorder

Answer 38

substance/medication induced psychotic disorder

Question 39

what % of inpatients with schizophrenia are catatonic

Answer 39

35%

Question 40

whe the clinician chooses not to specif why the criteria are not met bu has S/S of schizo-like presentation

Answer 40

unspecfifed schizophrenia spectrum

Question 41

where is volume decr in brain of schizo (5)

Answer 41

1. hippocampus 2. thalamus 3. temporal 4. prefrontal cortex 5. total gray matter volume

Question 42

what part of the brain is enlarged in schizo?

Answer 42

lateral and 3rd ventricle

Question 43

what fMRI imaging may correlate with negative sx

Answer 43

hypofrontality at rest

Question 44

federal govt substance abuse mental health agency that provides evidence based practice on how to take care of ppl

Answer 44

SAMHSA

Question 45

what is the only risk factor for violence within schizophrenic populations

Answer 45

auditory command hallucinatons

Question 46

suicide risk with schizophrenics

Answer 46

20% within the 1st 5 years of illness