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Other Psychotic Disorders
Kaplan and Saddock, Synopsis of Psychiatry 10th ed., Chapter 14
18
Medical
Graduate
09/06/2013

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Term
What is schizophreniform disorder?
Definition
Basically schizophrenia that's only lasted 1-6 months
Term
Are Schneiderian first-rank symptoms common in schizophreniform disorder?
Definition
Yes
Term
Are negative symptoms common in schizophreniform disorder?
Definition
No
Term
What are the DSM-IV-TR diagnostic criteria to specify schizophreniform disorder with good prognostic features?
Definition

≥2 of:

(1) onset of psychosis within 4 weeks of first signs of illness

(2) confusion or perplexity

(3) good premordbid functioning

(4) absence of blunted or flat affect

Term
What percentage of patients with schizophreniform disorder progress to schizophrenia?
Definition
60-80%
Term
How does the prognosis of patients with schizoaffective disorder compare to that of patients with schizophrenia and of patients with mood disorders?
Definition
Prognosis with schizoaffective disorder is better than that of schizophrenia, worse than that of mood disorders
Term
What are the DSM-IV-TR diagnostic criteria for Schizoaffective Disorder?
Definition

A. An uninterrupted period of illness with MDD, mania or mixed episode concurrent with criterion A symptoms of schizophrenia

B. At least 2 weeks of delusions or hallucinations without mood symptoms

C. Mood disorder symptoms are present for a substantial portion of the illness

Term
What are the 6 risk factors associated with delusional disorder?
Definition

Advanced age

Sensory impairment

Family history

Social isolation

Personality features

Recent immigration

Term
What are the DSM-IV-TR diagnostic criteria for delusional disorder?
Definition

A. Nonbizzare delusions for >1 month

B. Never met criterion A for schizophrenia

C. Aside from delusion, function is not impaired

Term
Are hallucinations part of delusional disorder?
Definition
No. by definition, patients with delusional disorder do not have prominent or sustained hallucinations. Tactile or olfactory hallucinations may be present if they are consistent with the delusion.
Term
What are the 6 specific types of delusional disorder?
Definition

Erotomanic

Grandiose

Jealous

Persecutory

Somatic

Mixed

Term
What is Capgras syndrome?
Definition
The delusion that a familiar person has been replaced by an imposter
Term
What is Frégoli's phenomenon?
Definition
The delusion that persecutors or familiar persons can assume the guise of strangers
Term
What is Cotard's syndrome?
Definition
The delusion of having lost possessions, status, strength, heart, blood, intestines etc.
Term
What is the recommended strategy of psychotherapy in patients with delusional disorder?
Definition

Neither agree not challenge the patient's delusion.

Stimulate motivation to recieve help by emphasizing how, from the patient's perspective, the content of delusions must be very stressful.

Maintain unwavering reliability.

Ultimately, help patient entertain the possibility of doubt.

Term
What is brief psychotic disorder?
Definition
A psychotic condition with suddent onset, lasting ≥1 day but less than 1 month. Remission is full.
Term
Is there a gender preference in delusional disorders of the jealous type?
Definition
Men are the usual patients
Term
Is there a gender preference in delusional disorder of the erotomanic type?
Definition
Women are more commonly affected than men, men usually exhibit more violent behavior.
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