PSYCH410 Exam III Study Guide .docx

O level of dysfunction in adoptive family biological

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o Level of dysfunction in adoptive family + biological risk Most critical contributors: high genetic risk (at least 1 parent who has schizophrenia) + severe dysfunction in adoptive family o Has to do with family systems What role does expressed emotion play in the treatment of schizophrenia? o Communication style that is associated with high relapse rates for those who come into the hospital for acute episodes; sending patients back home to households with bad family dynamics is the #1 predictor of who will relapse and end up back in the hospital o Specifically within family dynamics/communication (anger, frustrations, anxiety, upset, disappointment) What other psychosocial and cultural factors increase the risk of developing schizophrenia? o Parenting and family communication style (how parents communicate with their kids) 9
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o Immigration status: stress of the immigration process o Urban vs. rural: urban environments more stressful o Cannabis use: smoking weed + genetic risk can lead to an increased risk of schizophrenia What are some of the risks of traditional (first generation) antipsychotic medications? o Ex. Haloperidol/Haldol aka neuroleptics o Neurologic side effects: Parkinsonian effects- first exposure to the medication is too high of a dose, they start to experience symptoms of Parkinson’s; usually reversible Tardive dyskinesia – can create a permanent neurologic condition if not caught early enough; experience uncontrollable complex movements Neuroleptic malignant syndrome – extremely rare; white blood cell count drops dramatically and immune system does not work properly What are two types of benefits of newer, second-generation antipsychotic medications? o Ex. Clozapine, Resperidone o Overall effectiveness is better, treat negative symptoms pretty well o Significantly reduce all the neurologic side effects from traditional medications What percentage of individuals with schizophrenia respond well to medication treatments, what percentage are considered to have good long-term outcomes, and what percentage recover to the extent that they no longer need treatment? o Respond well: 70% o Good long-term outcomes: 40% o Recover + no longer need treatment: 15% What types of psychosocial interventions have been shown to improve long-term outcomes? o Family therapy o Individual cognitive-behavioral therapy o Cognitive rehabilitation o Community treatment, vocational rehabilitation, case management Why is access to physical health care as important as access to mental health care in schizophrenia? o Elevated risk of death from a wide range of medical conditions + schizophrenia o Risk of death has been increasing over past 30 years o Need to treat both physical and mental health in patients with schizophrenia 10
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