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EPIDEMIOLOGY AND IMPACT
CLINICAL PRESENTATION
DISEASE COURSE
DIAGNOSIS
OVERVIEW OF TREATMENT
100
What is the lifetime prevalence of schizophrenia
approximately 1%
100
Positive Symptoms of Schizophrenia
Hallucinations, Delusions, Disorganized Behavior, Catatonic Behavior
100
Name the stages of Schizophrenia
Prodromal phase, Acute or active phase, Chronic, stable or residual phase.
100
Diagnosis of patients with Schizophrenia is complicated by the varibility of its _________and __________
Signs and Symptoms
100
_____________was the first antipysycotic agent
Chlorpromazine
200
The mean age of the first psychotic episode is ____ years for men and ___ years for women
21 years for men and 27 years for women
200
Negative Symptoms of Schizophrenia
Affective Flattening, Alogia, Avolition, Anhedonia, Asocialtiy
200
The course and outcome of schizophrenia vary widely: ___ % to ___% remain chronically and severely psychotic
10% to 15%
200
In DSM-IV-TR: symptoms should be present for a significant protion of time during a _____month period
1
200
__________was the first atypical antipyscotic
Clozapine
300
The Average life expectancy for schizophrenia patients is about ___% shorter
About 20% shorter
300
Cognitive Symptoms
Disorganized thoughts/speech, impairments in memory and executive function, impaired attention
300
In the chronic, stable or residual phase, _________symptoms lessen in intensity and _________and __________symptoms may become more prominent
Positive, Negative, and cognitive
300
Diagnostic Sub types are important in a diagnosis of schizophrenia. True or False
True
300
Name at least 3 Nonpharmacologic therapies
individual psychotherapy; group, family, cognitive-behavioral and electoconvulsive therapy; vocational rehabilitation, psychosocial skills training;
400
As many as ___% of patients with schizophrenia attempt suicide and up to ____% succeed in committing suicide.
50% and 10%
400
Antipyschotic medications are most effective in treating _________symptoms
Positive
400
Most patients reach a plateau of stability 5 to 10 years after onset. True or False
True
400
Name the 5 schizophrenia sub types
Paranoid, Disorganized, Catatonic, Undifferentiated, Residual
400
Two examples of newer atypical antipyschotic agents are_________ and _________
Olanzapine and Risperidone
500
The estimated excess annual cost associated with schizophrenia in 2002 in the United States totaled ___Billion
63 Billion
500
__________delusions are considered particularly characteristic of schizophrenia
Bizarre
500
The course and outcome of schizophrenia vary widely: ___ % to ___% have relatively good outcomes and remain free of relapse
10% to 15%
500
DSM - IV - TR Diagnostic Criteria for Schizophrenia are:
Characteristic Symptoms, Social/Occupational Dysfunction, Duration, Schizoaffective and mod disorder exclusion, substance/general medical condition exclusion and relationship to a pervasive development disorder
500
Most patients receive treatment in an ______________setting
Outpatient