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16 Cards in this Set
- Front
- Back
What is the criteria (5 things) including the characteristic symptoms of schizoprenia?
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Characteristic symp: delusions, hallucinations, disorganized speech and behavior, 4 A's; social/occupation dysfxn, duration (>6 months); exclusion of schizoaffective disorder or medical/substance abuse disorder
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What are the positive symptoms of schizophrenia? what are some examples of each?
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Impaired perception and thought. Impaired perception includes illusions, hallucinations, and delusions. Impaired thought includes thought disorganization, tangentiality, circumstantiality, loose associations, thought blocking. Also get impaired speech
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What are 5 common delusional subtypes?
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persecution, religion, grandiose, somatic, ideas of reference
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What are negative symptoms of schizophrenia and what are some examples?
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Deficits of personality and emotion. Impaired emotion: innapropriate affect, impaired perception of affect, expression of affect, usually experience of affect ok. Also have 4 A's: affective blunting, poor associations, autism, ambivalence
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What are some impaired behavior symptoms associated w/ schizophrenia? Are they positive or negative?
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Impaired behavior: bizarre, exagerrated mannerisms, stereotyped movements (repetitive, meaningless), posturing, catatonia.
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What are cognitive symptoms/defects in persons w/ schizophrenia?
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Defects in working memory, executive funxn, attention, info processing
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What is the single and double parent occurence rate of schizophrenia? What is the concordance rate for dizigotic and monozygotic twins?
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10% one parent, 50% two parents. 10-15% dizigotic, 50% monozygotic
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What are environmental factors thought to have a concordance w/ schizophrenia development?
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in utero viral exposure, malnutrition, birth seasonality (winter)
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What are some neuroanatomical findings in people w/ schizophrenia?
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reduced cortical volume (5-10% gray matter reduxn), reduced subcortical brain vol (thalamus, caudate, CC), enlarged ventricles
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What is the speculative neurochemistry hypothesis of schizophrenia?
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dysregulation of dopamine w/ contribution of Ser, Glu, and GABA.
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What are the positive prognostic factors in schizophrenia? What are negative?
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Pos: female, late onset, short symptom duration, mood symptoms present, no fam history, good premorbid funxning. Poor: Male, early onset, chronic symptom duration, mood symptoms absent, + fam history, good premorbid funxning
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What are psychosocial interventions for schizophrenia?
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supportive therapy, psycho-education discussions, living-skills building, individual group therapies
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What are the stages of schizophrenia and what are characteristics of each?
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Prodromal: variable decline in social, eduational, occupational funxn. Active: hallucinations, delusions, thought and behavior disorganizations. Residual: neg and cog symptoms predominate although many symptoms reduce. Have intermittent reversion to active
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What is?the definition of schizophreniform disorders
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A psychotic state similar or identical to schizophrenia that lasts for one-6 months. Called schizophrenia w/ training wheels
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What is schizoaffective disorder? What is the diagnostic criteria?
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between schizophrenia and bipolar disorder. have psychosis and a major mood disorder (depresion, mania). Criteria: major mood disorder, delusions/hallucinations for 2 weeks outside of mood, mood symptoms there for substantial protion, no med related symptoms
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What are delusioinal disorders? How do they differ from mood disorders and/or schizophrenia?
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delusional belief that is not bizarre but not normal. Do not have cognitive symptoms or mood instability. Funxning usually okay outside of belief
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