Scizophrenia Flashcards

1
Q

Schizo-phrenia means

A

Split mind

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2
Q

Someone with schizophrenia has mental processes that are separated from _____

A

reality

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3
Q

Schizophrenia Diagnostic Criteria A
Two or more of the following symptoms each present for a significant portion of time during a period of __ months:

A

1
* delusions
* hallucinations
* disorganized speech
* grossly disorganized or catatonic behavior
* negative symptoms
(at least one of the first three!)

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4
Q

Schizophrenia Diagnostic Criteria C
Individual continues to display some degree of impaired functioning for at least _ additional months

A

5

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5
Q

Schizophrenia Diagnostic Criteria B
Individual _______ much more poorly in daily life than normal

A

functions

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6
Q

Define delusion

A

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

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7
Q

What are the eight types of delusions seen in schizophrenia?

A

Persecutory
Referential
Grandiose
Erotomanic
Nihilistic
Thought withdrawal
Thought insertion
Delusions of control

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8
Q

What is a persecutory delusion?

A

Belief that one is going to be harmed, harassed, and so forth by an individual, organization, or other group

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9
Q

What is a referential delusion?

A

Belief that certain gestures, comments, environmental cues, and so forth are directed at oneself

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10
Q

What is a grandiose delusion?

A

Person believes that he/she has exceptional abilities, wealth, or fame

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11
Q

Watching the news believing that the reporter is talking specifically to you, perhaps in code, is what type of delusion?

A

Referential

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12
Q

What is a erotomanic delusion?

A

Beliefs falsely that another person is in love with him/her

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13
Q

What is a nihilistic delusion?

A

Belif that a major catastrophe will occur

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14
Q

What is thought withdrawal?

A

Thoughts have been “removed” by some outside force

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15
Q

What is thought insertion?

A

Someone is putting thoughts in one minde

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16
Q

What is delusions of control?

A

One’s body or actions are being controlled by an outside force

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17
Q

Define hallucination

A

Perception-like experienced that occur without an external stimulus

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18
Q

What is the most common type of hallucination in schizophrenia?

A

Auditory

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19
Q

Four types of hallucinations

A

auditory
visual
olfactory
tactile

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20
Q

What are some signs of disorganized speech/thinking?

A

Loose associations/derailment
Tangenital answers
Word salad
Neologisms
Perservation or clanging

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21
Q

What are neologisms?

A

made-up words that have meaing only to the person using them

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22
Q

What are tangenital answers?

A

Answer does not answer the question, but is loosely related

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23
Q

Clanging is saying

A

rhyming words

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24
Q

Perservation is saying

A

the same word over and over

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25
Disorganized/abnormal motor behavior can manifest in many ways, such as...
Childlike stillness unpredictable agitation stereotyped movements, staring, grimacing inability to complete complex tasks in an organized manner Catatonic behavior
26
Maintaining a rigid, inappropriate posture or bizarre posture is ______ ______
catatonic stupor
27
Purposeful and excessive motor activity without obvious cause is ________ ______
catatonic excitement
28
What are the four positive symtoms of schizophrenia?
Delusions Disorganized thinking and speech Hallucinations Inappropriate affect
29
What are the five negative symptoms of schizophrenia?
Alogia Flat affect Anhedonia Avolition Social withdrawal
30
Anhedonia
lack of pleasured experience
31
Alogia
Poverty of speech
32
Avolition
apathy, lack of interest or persistence
33
The psychomotor symptoms of schizophrenia
Disorganized behavior or abnormal motor behavior (catatonia, childlike stillness, agitation, etc)
34
Schizophrenia is more common in low/high SES
low
35
How many types of schizophrenia are there?
2
36
Type 1 Schizophrenia has only the positive/negative symptoms
positive
37
Type 2 Schizophrenia has only the positive/negative symptoms
Stoopid question. It has BOTH symptoms.
38
Which type of schizophrenia has a better prognosis?
Type 1...probably because you have fewer systems.
39
Schizophrenia prevalence
1%-ish
40
Although men and women are diagnosed with schizophrenia, ___ have a harder time with it
men
41
Why do men have a harder time with schizophrenia?
Maybe they are more likely to develop type 2 schizophrenia?
42
Is schizophrenia acute or chronic?
Chronic
43
What are some other psychotic disorders?
Brief psychotic disorder, schizophreniform disorder, delusional disorder, schizoaffective disorder
44
True or false: People get diagnosed with schizophrenia right away
False
45
psychotic symptoms for 1 day to 1 month
Brief psychotic disorder
46
1 to 6 months; same symptoms as schizophrenia but doesn’t require impaired social or occupational functioning
Schizophreniform Disorder
47
one month or more of delusions but no other psychotic symptoms (has never met criteria for schizophrenia). Delusions are not bizarre (e.g., persecutory or jealous)
Delusional Disorder
48
mood disorder (MDD or bipolar disorder) + psychotic symptoms that last at least 2 weeks when the person isn’t experiencing symptoms of a mood disorder. MDD/Bipolar disorder with psychotic features – psychotic symptoms ONLY occur during mood episode.
Schizoaffective Disorder
49
Bipolar disorder with ______ features
psychotic
50
Schizophrenia may be caused by an overactivity of the neurotransmitter ________
dopamine
51
Higher EE is positively correlated with higher chance of _____
relapse
52
family members frequently express criticism, disapproval, and hostility toward each other and intrude on one another’s privacy
Expressed emotion
53
The positive/negative symptoms are easier to treat in schizophrenia
positive
54
What are some brain features of those with schizophrenia?
Enlarged ventricles and reduced tissue volume Smaller temporal and frontal lobes Structural abnormalities of the hippocampus, amygdala, thalamus
55
Schizophrenia reflects ______ neurobiological _________
diffuse; dysregulation
56
First line of treatment for schizophrenia is _______
antipsychotic medications
57
Common side effects of antipyschotic medications
Parkinson-like symptoms Tardive dyskinesia
58
What are some examples of psychosocial approaches to treatment for schizophrenia?
Behavioral (i.e., token economies) Inpatient units Community care programs Social and living skills training Behavioral family therapy Vocational rehabilitation
59
Symptoms of 1 day to 1 month -->
Brief Psychotic Disorder
60
1 month to six months -->
Schizophreniform Disorder
61
schizoaffective disorder
Mood disorder + 2 weeks psychotic symptoms (when no mood disorder epidsodes)