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Schizophrenia
Overview
55
Accounting
12th Grade
04/10/2013

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Term
Emil Kraepelin used this term for the "condition" of schizophrenia in 1800s
Definition
dementia praecox
Term
Eugen Bleuler coined the term in 1911
Definition
schizophrenia
Term
"split"
Definition
schizo
Term
"mind"
Definition
phrene
Term
not associated with multiple personalities; symptoms are positive and negative
Definition
Schizophrenia
Term
risk of 1st degree relative w/ schizophrenia
Definition
10 times
Term
risk for children with 2 parents with schizophrenia
Definition
35%
Term
avolition, affective flattening, alogia
Definition
negative symptoms
Term
delusions, hallucinations, disorganized speech, tactile symptoms (touch)
Definition
positive symptoms
Term
risk of 1st degree relative w/ schizophrenia
Definition
10 times
Term
risk for children with 2 parents with schizophrenia
Definition
35%
Term
avolition, affective flattening, alogia
Definition
negative symptoms
Term
delusions, hallucinations, disorganized speech, tactile symptoms (touch)
Definition
positive symptoms
Term
prominent delusions or hallucinations
Definition
Paranoid
Term
disorganized speech, behavior, and/or inappropriate affect
Definition
Disorganized
Term
motoric changes, extreme negativism and/or echolalia/echopraxia
Definition
Catatonic
Term
criteria not met by other subtypes
Definition
undifferentiated
Term
prominent positive symptoms absent, continuing negative symptoms
Definition
residual
Term
delusions, hallucinations, disorganized speech, psychomotor agitation
Definition
positive symptoms
Term
affective flattening, alogia (don't talk much), avolition (don't move much), poverty of speech, anhedonia (don't feel pleasure)
Definition
negative symptoms
Term
attention, memory, executive functioning
Definition
cognitive symptoms
Term
hyperactivity in limbic system leading to positive symptoms; hypofunctioning in prefrontal cortex leading to negative symptoms
Definition
Dopamine Hypothesis
Term
Glutamate dyfunction correlates with increased psychiatric symptoms
Definition
at NMDA receptor
Term
leads to cognitive symptoms
Definition
acetylcholine hypoactivity (nicotinic receptors)
Term
reduce threat to self and others; reduce acute symptoms; improve role functioning; minimize adverse effects
Definition
acute stabilization
Term
minimize/prevent treatment relapse; treatment adherence; optimize dose for maximizing response and minimizing adverse effects
Definition
Stabilization
Term
improve function and quality of life; optimize dose and minimize adverse reactions; continue treatment adherence
Definition
stable phase/maintenance
Term
antagonism of dopamine D-2 receptors
Definition
first generation antipsychotics
Term
First generation antipsychotics
Definition
primarily effective for positive symptoms; notable for association with motor symptoms and secondary negative symptoms
Term
Chlorpromazine, Fluphenazine, Haloperidol, Loxapine, Molindine, Perpheazine, Pimozide, Thioridazine, Thiothexine, Trifluperazine
Definition
First Generation Antipsychotics
Term
involuntary tonic contraction of skeletal muscles (adverse effect)
Definition
acute dystonia
Term
rigidity, tremors, bradykinesia (adverse effect)
Definition
pseudo-parkinsonism
Term
subjective inner restlessness: fidgeting, pacing (adverse effect)
Definition
akathisia
Term
stereotypical involuntary movements (e.g., sucking and lip smacking) (adverse effect)
Definition
tardive dyskinesia
Term
treatment of acute dystonia
Definition
anticholinergic PO or IM
Term
treatment of pseudo-parkinsoniam
Definition
anticholinergic
Term
treatment of akathisia
Definition
beta-blockers, benzodiazepines
Term
treatment of tardive dyskinesia
Definition
focus on preventions; may use clozapine
Term
onset of acute dystonia
Definition
24-96 hours
Term
onset of pseudo-parkinsonism
Definition
1-3 months
Term
onset of akathisia
Definition
3 months
Term
onset of tardive dyskinesia
Definition
months to years
Term
high risk for acute dystonia
Definition
young males
Term
high risk of pseudo-parkinsonism
Definition
older patients
Term
high risk for akathisia
Definition
all patients
Term
high risk of tardive dyskinesia
Definition
older females; history of mood disorders
Term
has high sedative effects, moderate hypotensive effects
Definition
chlorpromazine
Term
life threatening disease: muscular rigidity, hyperthermia, change in mental status, autonomic dysfunction
Definition
Neuroleptic Malignant Syndrome (NMS)
Term
Treat with hydration and cooling blankets; bromocriptine and/or dantrolene may be useful
Definition
NMS
Term
Prolactin elevation
Definition
from dopamine blockade in hypothalamus; may result in gynecomastia, amenorrhea, and sexual dysfunction
Term
secondary negative symptoms
Definition
reduced initiative, interest in environment, emotion or affect
Term
dermatologic
Definition
allergic-maculopapular rash, localize or general urticaria; photosensitivity reaction
Term
other antipsychotic adverse events
Definition
cardiac, lowering seizure threshold, hepatic function
Term
antagonism of D2, D1 and Serotonin receptors; effective for positive and negative symptoms
Definition
Clozapine
Term
Clozapine, Risperidone, Olanzapine, Quetiapine, Ziprazidone, Aripiprazole, Paliperidone, Ilopendone, Asenapine, Lurasidone
Definition
Second Generations Antipsychotics
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