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40 Cards in this Set

  • Front
  • Back
What percentage of the U.S population at some point in life reports symptoms that match the defining features of a major psychiatric disorder?
1/3
Are psychiatric disorders more prevalent in men or women?
Same
What is the peak age for depression and antisocial personality disorder?
25- 44
What is the peak age of disorders of cognitive impairment?
> 65
In a given year what percentage of the adult population experiences psychiatric symptoms?
19%
Delusions
False beliefs strongly held despite contrary evidence
What sexually transmitted disease can cause symptoms resembling schizophrenia?
Syphilitic Psychosis
Schizophrenia
A severe psychopathologycharacterized by negative symptoms such as emotional withdrawal, impoverished thought, and by positive symptoms such as hallucinations and delusions.
What is the prevalence of schizophrenia?
1-2% approximately 2.2 million americans
Dissociative Thinking
A condition seen in Schizophrenia that is characterized by disturbances of thought and difficulty relating events properly.
Dementia Praecox refers to what aspect of Schizophrenia?
"Praecox" means early, "de" means to move away from and "mentia" means the mind. Refers to Schizophrenia's early onset.
What are the characteristic 3 symptoms of Schizophrenia?
1. Auditory Hallucinations
2. Highly personalized delusions
3. Changes in affect
What are the 2 major divisions of Schizophrenic symptoms?
Positive symptoms and Negative symptoms, which may respond differently to drug treatments suggesting that they arise from different neural abnormalities.
Positive Symptoms
Abnormal behavioral states that have been gained
Negative Symptoms
Abnormality resulting from a loss of normal functions
What are the positive symptoms of schizophrenia?
Hallucinations and delusions.
The positive symptoms of schizophrenia are thought to be the result of what?
Hyperactivity in the neural circuits
Why may the positive symptoms of schizophrenia typically develop in late adolescence?
Late adolescence is when the prefrontal cortex finishes developing.
What 3 first rank symptoms distinguish schizophrenia from other disorders?
1. Auditory Hallucinations
2. Highly personalized delusions
3. Changes in affect
Do positive or negative symptoms of schizophrenia appear first?
Negative symptoms, although they are more subtle.
Do more treatments for Schizophrenia typically treat negative or positive symptoms?
Positive Symptoms, because they are more visible.
What are the typical negative symptoms of Schizophrenia?
Flat affect
Alogia
Social withdrawal
Anhedonia
Catatonia
Reduced motivation
The negative symptoms of Schizophrenia are thought to be the result of what?
Hypofrontality, meaning decreased functionality in the prefrontal cortex.
Eugen Bleuler classified the key symptom of Schizophrenia as what?
Dissociative thinking
Schizophrenia inheritance likely involves (a) ______ gene(s).
Multiple Genes
1.___ % of monozygotic twins are concordant for schizophrenia. 2.____% of dizygotic twins are concordant for schizophrenia. The 3._______ rate of concordance in monozygotic twins is evidence that schizophrenia is 3.____________ (heritable/ not heritable).
1. 50%
2. 17%
3. Higher
4. Heritable
In twins disconcordant for Schizophrenia, the Schizophrenic twin typically shows what early behavioral and physical differences from their non-schizophrenic twin?
Lower birth weight
Increased physiological distress
Submissive
Tearful
Sensitive
Vulnerable
Schizophrenics have what type of measurable motor impairment?
Saccades, Inability to use normal smooth movements of their eyes to follow a moving target.
What are the potential non-genetic causes of Schizophrenia?
1. Environment
2. Drug Abuse (Amphetamines)
3. Viruses
4. Brain Damage
5. Childhood Trauma
6. Birth Trauma
What does the animal model of amphetamine use demonstrate about Schizophrenia?
Amphetamine use in animal models induced pacing which is a positive symptom of Schizophrenia.
Genes influencing Schizophrenia are scattered across 1.___ of the 23 pairs of human chromosomes.
1. 15
Which genes have been identified as abnormal in a substantial number of people with Schizophrenia?
1. Neuregulin 1 (regulates NMDA, GABA and ACh receptors).
2. Dysbindin (presynaptic plasticity)
3. Catechol-O- methyltransferase (metabolize DA) and G72 (glutaminergic activity)
Why is paternal age thought to be a risk factor for Schizophrenia?
Because their sperm is older and therefore the product of more cellular divisions than younger men which increases the chances of mutation.
What ventricular abnormalities are sometimes found in Schizophrenics?
Enlarged cerebral ventricles particularly the lateral ventricles which remains after initial onset.
The extent of the enlargement of the lateral ventricles in a Schizophrenic predicts what?
Responsiveness to antipsychotic drugs.
What limbic system abnormalities may be present in Schizophrenics and what symptoms may the abnormalities cause?
Reduced size and function of the Hippocampus, Amygdala, Parahippocampal regions, Cingulate Gyrus. Responsible for flattened affect.
What may cause ventricular enlargement in Schizophrenics?
Atrophy of the Hippocampus and Amygdala which make up the walls of some areas of the cerebral ventricles. Some of this may occur prenatally.
What differences in brain activation are evident on an EEG between controls and Schizophrenics?
Schizophrenics have a reduced activation of the P300 wave which is implicated in information processing.
Which area of the brain contains disorganized cells in Schizophrenics?
The hippocampal pyramidal cells in chronic Schizophrenics show a characteristic disorganization occurring in-utero from the abnormal synaptic arrangements of the inputs and outputs of these cells.
What is a possible root cause of brain disorganization in Schizophrenics?
Maternal exposure to influenza in the second trimester.