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33 Cards in this Set
- Front
- Back
- 3rd side (hint)
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For a dx of Sz, how long must sxs be present?
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Active sxs for ≥ 1 mo with signs of disturbance for ≥ 6 mos
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For a dx of Sz, how many sxs are required?
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- Bizarre delusions only OR
- Hallucination of running commentary OR - Hallucination of 2+ voices conversing with each other OR - ≥ 2/5: delusions, hallucinations, disorg'd speech, disorg'd/catatonic bex, negative sxs |
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For a dx of Sz, what must you see in a person's functioning?
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Functioning during disturbance must be markedly below functioning prior to disturbance.
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Identify the 5 types of Sz:
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- Paranoid
- Disorg'd - Catatonic - Undiff'd - Residual |
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What is the suggested protocol for a differential dx of Sz?
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- Catatonic
- Disorg'd - Paranoid - Undiff'd |
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General criteria for Sz, Catatonic Type
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≥ 2 sxs:
- catatonia - excessive/purposeless bexs - negativism/mutism - peculiar VOL movt - echolalia |
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General criteria for Sz, Disorg'd Type
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Prominence of disorg'd speech/bex and neg. sxs
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General criteria for Sz, Paranoid Type
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≥ 1 sx:
- Delusions - Hallucinations 0 sxs: - Disorg'd speech/bex - Neg. sxs |
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Comment on the course of Sz.
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Variable. Can be stable for some and a progressive deterioration for others.
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Comment on nature of onset in Sz.
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May be abrupt or gradual, typically with presence of a prodomal phase.
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What is the typical age of onset in Sz?
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Late teens to early 20s.
What are the median ages of onset for males and females? |
M: early to mid-20s
F: late 20s |
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Identify the factors improving the prognosis of Sz.
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- Good prior fxng
- Late onset - Abrupt onset - Presence of mood d/o - Presence of stressor - Paranoid Type |
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How does Schizophreniform D/O differ from Sz?
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The entire duration of Schizophreniform D/O (including the prodromal phase) is between 1-6 mos.
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How long must mood sxs be absent to receive a dx of Schizoaffective D/O?
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≥ 2 weeks
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How does Brief Psychotic D/O differ from Sz?
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- Duration is 1 day to 1 mo
- ≥ 1 sx of Sz EXCEPT for neg sxs |
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General criteria of Delusional D/O
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Non-bizarre delusions for ≥ 1 mo
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Disorder subtype that involves delusions in which another person, usu of a higher status, is in love with the disordered person.
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Delusional D/O, Erotomanic Type
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Disorder subtype that involves delusions of inflated self-worth, power, knowledge, or a special rex to a deity or famous person.
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Delusional D/O, Grandiose Type
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Disorder subtype that involves delusions in which the person believes that a sexual partner is being unfaithful.
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Delusional D/O, Jealous Type
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Disorder subtype that involves delusions in which either the person or someone close to the person is being persecuted or ill-treated.
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Delusional D/O, Persecutory Type
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Disorder subtype that involves delusions of having a physical defect or medical problem.
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Delusional D/O, Somatic Type
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Disorder subtype with delusions involving more than one theme consistent with any of the erotomanic, jealous, grandiose, persecutory, or somatic types.
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Delusional D/O, Mixed Type
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Disorder subtype with delusions whose themes are not characteristic of the erotomanic, jealous, grandiose, persecutory, or somatic types.
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Delusional D/O, Unspecified Type
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Typical age of onset for Delusional D/O is
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Mid-late adulthood
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Describe the course of Delusional D/O
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Variable. May be chronic or fluctuating (remittance followed by relapse).
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What are the time specifiers for Major Depressive, Manic, Mixed, and Hypomanic Episodes respectively?
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≥ 2 weeks (dep)
≥ 1 week (man) ≥ 1 week (mix) ≥ 4 days (hypo) |
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Average age of onset for MDD
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Mid-20s
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Describe the rex b/t significant stressors and depressive episodes.
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Stressors are most significant in precipitating the first and second episodes than subsequent episodes.
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Prevalence of Sz in gen. pop. is
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1%
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Concordance rate for Sz among first degree relatives
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10%
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Concordance rate for Sz among MZ twins
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50%
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Risk for Sz when both parents have Sz
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45%
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Risks associated with non-parental or first-degree relatives of those w/ Sz
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Increased risk of developing other psychotic d/os
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