Sz

Question 1

DSM-5 symptoms

Answer 1

• delusions
• hallucinations
• disorganised speech
• grossly disorganised behaviour
• negative symptoms
• diagnosis involves the presence of symptoms, but also impairment of social or occupational functioning

Question 2

Criterion A

Answer 2

• delusions
• hallucinations
• disorganised speech
• grossly disorganised behaviour
• catatonic behaviour

Question 3

Delusions

Answer 3

Persecutory 
Referential 
Somatic 
Religious 
Grandiose

Question 4

Hallucinations

Answer 4

Auditory 
Visual 
Alfactory 
Gustatory 
Tactile

Question 5

Grossly disorganised behaviour

Answer 5

Childlike silliness, unpredictable agitation

• difficulties with daily tasks or routines
• dishevelled or unusual appearance
• inappropriate behaviour

Question 6

Disorganised speech

Answer 6

• derailment
• tangentiality
• word salad

Question 7

Catatonic behaviour

Answer 7

Catatonic stupor
Catatonic rigidity
Catatonic posturing
Catatonic excitement

Question 8

Criterion B

Answer 8

Affective flattening
Alogia
Avolition

Question 9

Affective flattening

Answer 9

Lack of facial expression
Poor eye contact
Reduced body language

Question 10

Alogia

Answer 10

Restrictions in the fluency and productivity of thought and speech

Question 11

Is criterion A pos or neg

Answer 11

Positive

Question 12

What are the two phases?

Answer 12

1. Prodromal

2. Residual

Question 13

What is prodromal phase?

Answer 13

• occurs prior to the onset of the main symptoms

- some mild or subtle signs of the disorder

Question 14

Residual phase

Answer 14

• occurs after the active symptom phase

- mild symptoms

Question 15

What groups are more vulnerable?

Answer 15

Second generation African Caribbean living in the UK

- urban born individuals

Question 16

Prodromal phase?

Answer 16

• slow and gradual development of a variety of symptoms

Question 17

Active symptoms?

Answer 17

Manifestation of active positive and negative symptoms for more than 6 month

Question 18

Residual phase

Answer 18

• the course is variable with exacerbations and remissions

- for others, the course is chronic and they remain ill most of the time

Question 19

Relapse?

Answer 19

For most people negative symptoms remain even in the absence of positive symptoms

Question 20

Mason et al (1995)

Answer 20

13 year follow up:

• 17% full recovery
• 52% symptom free for last 2 years
• 55% showing fair good level of functioning

Question 21

Diagnosis

Answer 21

Presence of symptoms but also impairment of social or occupational functioning