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Delusional Disorder Diagnostic
Criteria
A. The presence of 1 or more delusions with a duration of 1 month
or longer.B. Criterion A for schizophrenia has never been met.C.
Apart from the delusions or its ramifications, functioning is not
markedly impaired, and behavior is not obviously bizarre or odd.D.
If manic ormajor depressive episodes have occurred, these have
been brief relative to the duration of the delusional periods.E. The
disturbance is not attributable to the physiological effects of a
substance or another medical condition and is not better explained
by another mental disorder.
TERM 2
Delusional Disorder Prevalence
DEFINITION 2
The lifetime prevalence of delusional disorder has been
estimated at 0.2%, and the most frequent subtype is
persecutory. Delusional disorder, jealous type, is probably
more common in males than females, but there are no major
gender differences in the overall frequency of delusional
disorder.
TERM 3
Delusional Disorder Culture-Related
Diagnostic Issues
DEFINITION 3
An individual's cultural and religious background must be
taken into account in evaluating the possible presence of
delusional disorder. The content of the delusions also varies
across cultural contexts.
TERM 4
Schizophrenia Diagnostic
Criteria
DEFINITION 4
A. 2 or more of the following, each present for a significant portion of time during
a 1-month period (or less if successfully treated). At least one of these must be 1,
2, or 3:
Delusions
Hallucinations
Disorganized speech
Grossly disorganized or catatonic behavior
Negative symptoms
B. For a significant portion of time since the onset of the disturbance, level of
functioning in 1 or more major areas is markedly below the level achieved prior
to the onset.C. Continuous signs of disturbance persist for at least 6 months and
must include at least 1 month of symptoms.D. Schizoaffective disorder and
depressive or biplor disorder with psychotic features have been ruled out.E. The
disturbance is not attibutal to the physiological effects of a substance or other
medical conditionF. If there is history of aurism spectrum disorder or a
communication disorder of a childhood onset, the additional diagnosis of
schizophrenia is made only if prominent delusions or hallucinations are also
present for 1 month. TERM 5
Schizophrenia Diagnostic
Features
DEFINITION 5
The characteristic symptoms of schizophrenia involve a range of cognitive,
behavioral, and emotional dysfunctions, but no single symptom is pathognomonic
of the disorder. The diagnosis involves the recognition of a constellation of signs
and symptoms associated with impaired occupationsl or social functioning.
Individuals with the disorder will vary substantially on most features, as
schizophrenia is a heterogeneous clinical syndrome. Mood symptoms and full
mood episodes are common in schizophrenia and may be concurrent with active
phase symptomology. However, as distinct from a psychotic mood disorder or
schizaffective disorder, a schizophrenia diagnosis requires the presence of
delusions and hallucinations in the absence of mood episodes.
Schizophrenia Prevalence
The lifetime prevalence of schizophrenia appears to be
approximately 0.3%-0.7%, although there is reported
variation by race/ethnicity, across countries, and by
geographic origin for immigrants and children of immigrants.
The sex ratio differes across samples and populations.
TERM 7
Schizophrenia Risk and Prognostic Factors
DEFINITION 7
Environmental - Season of birth has been linked to the incidence of
schizophrenia, including late winter/early spring in some locations and
summer for the deficit form of the disease. The incidence is higher for
children growing up in an urban environment and for some minority
ethnic groups. Genetic and physiological - There is a strong
contribution for genetic factors in determining risk, although most
individuals who have been diagnosed have no family history of
psychosis.Pregnancy and birth complications with hypoxia and greater
paternal age are associated with higher risk for the developing fetus.
TERM 8
Schizoaffective Disorder Diagnostic
Criteria
DEFINITION 8
A. An uninterrupted period of illness during which there is a major
mood episode concurrent with Criterian A of schizophrenia.B.
Delusions or hallucinations for 2 or more weeks in the absence of a
major mood episode during the lifetime duration of the illness.C.
Symptoms that meet the criteria for a major mood episode are
present for the majority of the total duration of the active and
residual portions of the illness.D. The disturbance is not
attributable to the effects of a substance or another medical
condition.
TERM 9
Schizoaffective Disorder Diagnostic
Features
DEFINITION 9
The diagnosis of schizoaffective disorder is based on the assessment of
an uninterrupted period of illness during whish the individual continues to
display active or residual symptoms of psychotic illness. At some point
during the illness, Criterian A for schizophrenia must be met. In addition,
there is ma major mood episode. Episodes of depression or mania are
present for the majority of the total duration of the illness. To separate
schizoaffective disorder from a depressive or bipolar disorder with
psychotic features, delusions or hallucinations must be present for at
least 2 weeks in the absence of major mood episodes.
TERM 10
Schizoaffective Disorder Prevalence
DEFINITION 10
Schizoaffective disorder appears to be about 1/3 as common
as schizophrenia. Lifetime prevalence of schizoaffective
disorder is estimated to be 0.3%. The incidence of
schizoaffective disorder is higher in females than in males,
mainly due to an increase incidence of the depressive type
among females.