Schizophrenia classification: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(6 intermediate revisions by 3 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Schizophrenia}}
{{Schizophrenia}}
{{CMG}};{{AE}}{{Vbe}}
{{CMG}};{{AE}}{{Vbe}}, {{I.D.}}


==Classification Based on Subtypes==
==Classification==
*Historically, [[schizophrenia]] in the West was classified into simple, [[catatonia|catatonic]], hebephrenic (now known as [[Disorganized schizophrenia|disorganized]]), and [[Paranoid personality disorder|paranoid]].
*Historically, [[schizophrenia]] in the West was classified into simple, [[catatonia|catatonic]], hebephrenic (now known as [[Disorganized schizophrenia|disorganized]]), and [[Paranoid personality disorder|paranoid]].
*The [[Diagnostic and Statistical Manual of Mental Disorders|DSM- IV]] contains five sub-classifications of schizophrenia: Paranoid, disorganized, catatonic, undifferentiated and residual type, but, this classification has been eliminated due to their limited diagnostic stability, low reliability and poor validity.
*The [[Diagnostic and Statistical Manual of Mental Disorders|DSM- IV]] contains five sub-classifications of [[schizophrenia]]: [[Paranoid-schizoid position|Paranoid]], [[Disorganized schizophrenia|disorganized]], [[catatonic]], [[undifferentiated]] and [[residual]] type, but, this [[classification]] has been eliminated due to their limited diagnostic stability, low reliability and poor validity.<ref name="pmid26777917">{{cite journal| author=Owen MJ, Sawa A, Mortensen PB| title=Schizophrenia. | journal=Lancet | year= 2016 | volume= 388 | issue= 10039 | pages= 86-97 | pmid=26777917 | doi=10.1016/S0140-6736(15)01121-6 | pmc=4940219 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26777917  }} </ref>


*According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, (DSM-V, to meet the criteria for [[diagnosis]] of [[schizophrenia]], the patient must have experienced at least 2 (or more) of the following [[symptoms]]:
* There is no established system for the classification of schizophrenia as per the diagnostic and statistical manual of mental disorders, Fifth Edition, (DSM-V)
**Delusions
**Hallucinations
**Disorganized speech
**Disorganized or catatonic behavior
**Negative symptoms
**At least 1 of the symptoms must be the presence of delusions, hallucinations, or disorganized speech.


*Continuous signs of the disturbance must persist for at least 6 months, during which the patient must experience at least 1 month of active symptoms (or less if successfully treated), with impairment in social, occupational and other significant areas of functioning. The symptoms are not attributable to any other psychiatric , medical or substance use disorder.
*According to the [[Diagnostic and statistical manual of mental disorders|Diagnostic and Statistical Manual of Mental Disorders]], Fifth Edition, (DSM-V, to meet the criteria for [[diagnosis]] of [[schizophrenia]], the [[patient]] must have experienced at least 2 (or more) of the following [[symptoms]]:<ref name="pmid22249081">{{cite journal| author=Laursen TM, Munk-Olsen T, Vestergaard M| title=Life expectancy and cardiovascular mortality in persons with schizophrenia. | journal=Curr Opin Psychiatry | year= 2012 | volume= 25 | issue= 2 | pages= 83-8 | pmid=22249081 | doi=10.1097/YCO.0b013e32835035ca | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22249081  }} </ref>
**[[Delusions]]
**[[Hallucinations]]
**[[Disorganized schizophrenia|Disorganized]] [[speech]]
**[[Disorganized schizophrenia|Disorganized]] or [[catatonic]] [[behavior]]
**[[Negative-sense|Negative]] [[symptoms]]
**At least 1 of the [[symptoms]] must be the presence of [[delusions]], [[hallucinations]], or [[Disorganized schizophrenia|disorganized]] [[speech]].


*If there is a history of autism spectrum disorder or a communication disorder of childhood onset, diagnosis of schizophrenia is made only if prominent delusions or hallucinations,in addition to the other required symptoms of schizophrenia, are also present for at least 1 month(or less if successfully treated)
*Continuous [[signs]] of the disturbance must persist for at least 6 months, during which the [[patient]] must experience at least 1 month of [[Active Carbon|active]] [[symptoms]] (or less if successfully treated), with impairment in [[Social (pragmatic) communication disorder|social]], [[Occupational safety and health|occupational]] and other significant areas of [[Functioning carcinoid|functioning]]. The [[symptoms]] are not attributable to any other [[psychiatric]], [[medical]], or [[Substance abuse|substance use]] [[disorder]].<ref name="pmid27733281">{{cite journal| author=GBD 2015 Mortality and Causes of Death Collaborators| title=Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015. | journal=Lancet | year= 2016 | volume= 388 | issue= 10053 | pages= 1459-1544 | pmid=27733281 | doi=10.1016/S0140-6736(16)31012-1 | pmc=5388903 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27733281  }} </ref>
 
*If there is a [[History and Physical examination|history]] of [[autism spectrum disorder]] or a [[communication disorder]] of [[ChildhoodOnset Schizophrenia|childhood]] onset, [[diagnosis]] of [[schizophrenia]] is made only if prominent [[delusions]] or [[hallucinations]], in addition to the other required [[symptoms]] of schizophrenia, are also present for at least 1 month(or less if successfully treated).<ref name="pmid19011234">{{cite journal| author=Buckley PF, Miller BJ, Lehrer DS, Castle DJ| title=Psychiatric comorbidities and schizophrenia. | journal=Schizophr Bull | year= 2009 | volume= 35 | issue= 2 | pages= 383-402 | pmid=19011234 | doi=10.1093/schbul/sbn135 | pmc=2659306 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19011234  }} </ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


[[Category:Disease]]
[[Category:Disease]]
[[Category:Psychiatry]]
[[Category:Psychiatry]]
[[Category:Mature chapter]]
[[Category:Mature chapter]]
[[Category:Primary care]]
[[Category:Needs overview]]
[[Category:Needs overview]]
{{WH}}
{{WS}}

Latest revision as of 00:05, 30 July 2020

Schizophrenia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Schizophrenia from other Disorders

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Psychotherapy

Brain Stimulation Therapy

Social Impact

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Schizophrenia classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Schizophrenia classification

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Schizophrenia classification

CDC on Schizophrenia classification

Schizophrenia classification in the news

Blogs on Schizophrenia classification

Directions to Hospitals Treating Schizophrenia

Risk calculators and risk factors for Schizophrenia classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2], Irfan Dotani

Classification

  • There is no established system for the classification of schizophrenia as per the diagnostic and statistical manual of mental disorders, Fifth Edition, (DSM-V)

References

  1. Owen MJ, Sawa A, Mortensen PB (2016). "Schizophrenia". Lancet. 388 (10039): 86–97. doi:10.1016/S0140-6736(15)01121-6. PMC 4940219. PMID 26777917.
  2. Laursen TM, Munk-Olsen T, Vestergaard M (2012). "Life expectancy and cardiovascular mortality in persons with schizophrenia". Curr Opin Psychiatry. 25 (2): 83–8. doi:10.1097/YCO.0b013e32835035ca. PMID 22249081.
  3. GBD 2015 Mortality and Causes of Death Collaborators (2016). "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1459–1544. doi:10.1016/S0140-6736(16)31012-1. PMC 5388903. PMID 27733281.
  4. Buckley PF, Miller BJ, Lehrer DS, Castle DJ (2009). "Psychiatric comorbidities and schizophrenia". Schizophr Bull. 35 (2): 383–402. doi:10.1093/schbul/sbn135. PMC 2659306. PMID 19011234.

Template:WH Template:WS