SCHZ 4 Flashcards

(26 cards)

1
Q

What are the two main categories of biological drug therapies for schizophrenia?

A

Typical and Atypical antipsychotics

Typical antipsychotics are first-generation medications, while atypical antipsychotics are second-generation.

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2
Q

What is the mechanism of action for typical antipsychotics?

A

Act as dopamine antagonists

They take the place of dopamine in the receptors on the postsynaptic neuron.

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3
Q

What are the positive symptoms of schizophrenia that antipsychotics primarily target?

A
  • Hallucinations
  • Delusions
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4
Q

List some common side effects of typical antipsychotics.

A
  • Dry mouth
  • Constipation
  • Low energy
  • Tardive dyskinesia
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5
Q

What is an example of a typical antipsychotic?

A

Chlorpromazine

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6
Q

When were atypical antipsychotics developed?

A

In the 1970s

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7
Q

What is an example of an atypical antipsychotic?

A

Clozapine

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8
Q

What symptoms do atypical antipsychotics reduce?

A
  • Positive symptoms
  • Negative symptoms
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9
Q

What are some side effects associated with atypical antipsychotics?

A
  • Weight gain
  • Cardiovascular problems
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10
Q

What did Leucht et al.’s meta-analysis find about antipsychotics?

A

Antipsychotics were significantly more effective than placebos in treating schizophrenia.

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11
Q

What did Bagnall et al.’s meta-analysis conclude about atypical antipsychotics?

A

Atypical drugs were more effective in reducing symptoms and had fewer movement disorder side effects.

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12
Q

True or False: Atypical drugs have improved the lives of individuals with schizophrenia.

A

True

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13
Q

What is the interactionist approach in the context of schizophrenia treatment?

A

Combining drug therapy and CBT is more effective than drug therapy alone.

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14
Q

What are some economic benefits of effective antipsychotic treatments?

A
  • Allow patients to return to work
  • Cheaper than ongoing therapy with a trained therapist
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15
Q

What is a criticism of drug therapies for schizophrenia?

A

They may only suppress symptoms without addressing the underlying causes.

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16
Q

What ethical concerns are associated with drug therapies?

A
  • Forced medication
  • Severe side effects leading to discontinuation
17
Q

What is the primary assumption of Cognitive Behavioral Therapy (CBT) for schizophrenia?

A

Schizophrenia arises from dysfunctional thought processes.

18
Q

What is the purpose of Ellis’s ABCDE Framework in CBT?

A

To identify, challenge, and restructure faulty cognitions.

19
Q

What does the ‘A’ in Ellis’s ABCDE Framework stand for?

A

Activating Event

20
Q

What did Sensky’s study suggest about the effectiveness of CBT?

A

CBT can be effective when drugs are not and may have long-term effects.

21
Q

What is the goal of family therapy for individuals with schizophrenia?

A

To improve relationships within the family and prevent relapse.

22
Q

What did Left’s study find about the relapse rates of patients receiving family therapy?

A

8% relapsed after family therapy compared to 50% with standard outpatient care.

23
Q

What are the principles behind Token Economy treatment?

A

Uses behaviorist principles and operant conditioning.

24
Q

What is the purpose of tokens in a Token Economy?

A

Tokens are given as immediate rewards for positive behaviors.

25
What limitation does Token Economy have regarding patient symptoms?
Only effective for patients with mild symptoms.
26
What is the diathesis-stress model in the context of schizophrenia?
It combines biological and psychological approaches to explain and treat schizophrenia.