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Delusional Disorders & Schizophrenia: Criteria, Prevalence, Culture, Quizzes of Psychopathology

Information on delusional disorders, including diagnostic criteria, prevalence, culture-related issues, and a comparison with schizophrenia. It also covers schizoaffective disorder, its diagnostic criteria, features, prevalence, and risk and prognostic factors. This information is essential for mental health professionals and students in psychology, psychiatry, and related fields.

Typology: Quizzes

2013/2014

Uploaded on 01/24/2014

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TERM 1
Delusional Disorder Diagnostic
Criteria
DEFINITION 1
A. The presence of 1 or more delusio ns with a duration of 1 month
or longer.B. Criterion A for schizophren ia has never been met.C.
Apart from the delusions or its ramifica tions, functioning is not
markedly impaired, and behavior is no t obviously bizarre or odd.D.
If manic ormajor depressive episodes h ave 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 condit ion 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 treat ed). 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 mark edly below the level achieved prior
to the onset.C. Continuous signs of disturba nce 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 fe atures have been ruled out.E. The
disturbance is not attibutal to the physiologica l effects of a substance or other
medical conditionF. If there is history of auris m spectrum disorder or a
communication disorder of a childhood onse t, the additional diagnosis of
schizophrenia is made only if prominent del usions or hallucinations are also
present for 1 month.
TERM 5
Schizophrenia Diagnostic
Features
DEFINITION 5
The characteristic symptoms of schizophreni a involve a range of cognitive,
behavioral, and emotional dysfunctions, but n o single symptom is pathognomonic
of the disorder. The diagnosis involves the re cognition of a constellation of signs
and symptoms associated with impaired occ upationsl or social functioning.
Individuals with the disorder will vary substan tially on most features, as
schizophrenia is a heterogeneous clinical sy ndrome. Mood symptoms and full
mood episodes are common in schizophren ia and may be concurrent with active
phase symptomology. However, as distinct from a psychotic mood disorder or
schizaffective disorder, a schizophrenia diagno sis requires the presence of
delusions and hallucinations in the absence of mood episodes.
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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.