Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

21 Cards in this Set

  • Front
  • Back
Schizophrenia-Type I
Positive Symptoms
Good premorbid Functioning
Favorable response to tradational Antipsychotic Drugs
Due to neurotransmitter adnormalities
Schizophrenia-Type II
Negative Symptoms
Relatively poor premorbid adjustment
Poor response to traditional antipsychotic meds
Structural brain abnormalities
Schizophrenia Associated Features
Inappropriated affect
Dysphoric mood
Abnormalities in motor behavior
Somatic complaints
IQ may be relatively unaffected -some degree of confusion-memory impairment-depersonalization
poor insight
High risk of suicide-men-under 30-unemployed-recently d/c from hosp.
Substance Dependence
No evidence of >aggression
Higher for males
Onset males 18-25 negative symptoms
Females onset 25-35 >affective symptoms-paranoid delusions and halluinations
Africian-American due to misdiagnosis experience hallucinations/delusions as symptoms of depression
Course and Prognosis
Chronic remission rare
Better prognosis w/ good premorbid adjustment-acute and late onset-female gender-presence of precipating event-brief duration of active phase symptoms-insight into illiness-fm hx of mood disorder-no fm hx.
Genetic component
Higher 1st degree biological relative-sibling 10% fraternal twin-17% Identical twin 48%-Child of schizophrenic parents.
General pop odds 5%-1.5%
Brain abnormalities-Diffuse or focal neocortical atrophy-progressive decline
diminished size of hippocampus-amygdala-globus pallidus
Increased voloume of the lateral and 3rd ventricles
reduced volume of limbic system structures 15-30%
ventricular enlargement>in males more neg symptoms
hypofrontality-lower than normal activity in the prefrontal cortex-negative symptoms and poor performance on cognitive tasks
Dopamine Hypothesis
Due to either elevated dopamine levels or to excess or oversensitive dopamine receptors
Phenothiazines-used to reduce symptoms-believed to block dopamine receptors.
Amphetamines-increase dopamine,increase symptoms
Elevated levels of norepinephrine and serotonin and low levels of GABA and glutemate.
Family Factors
Double-bind Communication-
High Expressed Emotion
Born in Late Winter or early spring-Increased exposure to an influenza virus.
Antipsychotic (neuroleptic) drugs-eliminate positive symptoms
Potential for severe side effects-Tardive Dyskinesia
Clozapine (Atypical antipsychotics)
Less severe side effects
reduce negative symptoms
reduce secondary symptoms of depression and hostiality
Family Interventions-reducing stress and nonbenefical emotional expression
social skills training and supported employment
Differential Diagnosis
Must distinquish b/t amphetamine and cocaine use
Mood disturbances common

Schizophrenia-mood disturbances are brief.
Schizoaffective Disorder 2 wks with only psychotic symptoms.
Schizophreniform Disorder
Disturbances present at least 1 month <than six mos-impaired social/occupational functioning
2/3 of people eventually receive diag of Schizophrenia
Delusional Disorder
1 or > nonbizzare delusions at least 1 month long
Psychosocial functioning not impaired any disturbance inf functioning related to delusions.
Delusional Disorder-Subtypes
erotomanic-someone in love w/them
Brief Psychotic Disorder
Present 1 day <than 1 month
eventual return to premorbid functioning
often, but not always follows overwhelming stressor
Mood Disorders and Suicide
Major Depressive Episode
Depressed mood loss of interest or enjoyment
change from previous functioning
persist at least 2 wks
at least 5 symptoms
depressed mood every day
diminished interest
feelings of worthlessness
loss of interest in appetite
significant weight loss/gain
sleep problems
reduced ability to concentrate
Manic Episode
Mood abnormally elevated, expansive and irratable.
at least 3 symptoms
increased goal directed activity
flight of ideas
decreased need for sleep
involvement in pleasurable activities w/ high potential for neg consequences
significant impairment in occupational or social functioning
need to be hospitalized
and/or presence of psychotic features
Hypomanic Episode
Elevated expansive or irritable mood.
at least 4 days - 3 symptoms
change in mood and functioning not enough to hospitalize
absence of psychotic symptoms.
Mixed Episodes
at least 1 week
rapidly alternating symptoms manic/depressive
marked impairment or requires hospitalization or psychotic symptoms.
Depressive Episode-Major Depressive Disorder
1 or > depressive episodes w/o hx of manic or hypomanic or mixed episodes
Double depression
Masked depression
Postpartum Onset
10-20% of women 1 in 500
Develop Psychosis including delusions
Average onset mid 20's
Childhood=rates /gender
Somatic Complaints -irritablility-social withdrawal
preadolescents (boys=aggressiveness and destuctiveness
more common w/disruptive Behavior Disorder ADHD or Anxiety
Adolescence-2xs >female
Disruptive Behavior Disorder-ADHD-Anxiety-Substance Related Disorders and eating Disorders
Elderly=Mem loss distractability-disorientation and other cognitive symptoms
difficult to distinquish pseudodementia from demetia
Symptoms may last 6 mos or longer most cases remit w/ full return to premorbid functioning
20%-30% symptoms remain for months to yrs.
50% exp > than 1 episode.