Schizophrenia – Definitions and Diagnosis

Schizophrenia – Definitions and Diagnosis – slide 1

Schizophrenia – Definitions and Diagnosis – slide 2

Schizophrenia – Definitions and Diagnosis – slide 3

Schizophrenia – Definitions and Diagnosis – slide 4

Schizophrenia – Definitions and Diagnosis – slide 5

Schizophrenia – Definitions and Diagnosis – slide 6

Schizophrenia – Definitions and Diagnosis – slide 7

Schizophrenia – Definitions and Diagnosis – slide 8

Schizophrenia – Definitions and Diagnosis – slide 9

Schizophrenia – Definitions and Diagnosis – slide 10

Schizophrenia – Definitions and Diagnosis – slide 11

Schizophrenia – Definitions and Diagnosis – slide 12

Schizophrenia – Definitions and Diagnosis – slide 13

Schizophrenia – Definitions and Diagnosis – slide 14

Schizophrenia – Definitions and Diagnosis – slide 15

Schizophrenia – Definitions and Diagnosis – slide 16

Schizophrenia – Definitions and Diagnosis – slide 17

Schizophrenia – Definitions and Diagnosis – slide 18

Schizophrenia – Definitions and Diagnosis – slide 19

Schizophrenia – Definitions and Diagnosis – slide 20

Schizophrenia – Definitions and Diagnosis – slide 21

Schizophrenia – Definitions and Diagnosis – slide 22

Schizophrenia – Definitions and Diagnosis – slide 23

Schizophrenia – Definitions and Diagnosis – slide 24

Schizophrenia – Definitions and Diagnosis – slide 25

Schizophrenia – Definitions and Diagnosis – slide 26

Schizophrenia – Definitions and Diagnosis – slide 27

Schizophrenia – Definitions and Diagnosis – slide 28

Schizophrenia – Definitions and Diagnosis – slide 29

Schizophrenia – Definitions and Diagnosis – slide 30

Schizophrenia – Definitions and Diagnosis – slide 31

Schizophrenia – Definitions and Diagnosis – slide 32

Schizophrenia – Definitions and Diagnosis – slide 33

Schizophrenia – Definitions and Diagnosis – slide 34

Schizophrenia – Definitions and Diagnosis – slide 35

Schizophrenia – Definitions and Diagnosis – slide 36

Schizophrenia – Definitions and Diagnosis – slide 37

Schizophrenia – Definitions and Diagnosis – slide 38

Schizophrenia – Definitions and Diagnosis – slide 39

Schizophrenia – Definitions and Diagnosis – slide 40

Schizophrenia – Definitions and Diagnosis – slide 41

Schizophrenia – Definitions and Diagnosis – slide 42

Schizophrenia – Definitions and Diagnosis – slide 43

Schizophrenia – Definitions and Diagnosis – slide 44

Schizophrenia – Definitions and Diagnosis – slide 45

Schizophrenia – Definitions and Diagnosis – slide 46

Schizophrenia – Definitions and Diagnosis – slide 47

Schizophrenia – Definitions and Diagnosis – slide 48

Schizophrenia – Definitions and Diagnosis – slide 49

Schizophrenia – Definitions and Diagnosis – slide 50

Schizophrenia – Definitions and Diagnosis – slide 51

Schizophrenia – Definitions and Diagnosis – slide 52

Schizophrenia – Definitions and Diagnosis – slide 53

Schizophrenia – Definitions and Diagnosis – slide 54

Schizophrenia – Definitions and Diagnosis – slide 55

Schizophrenia – Definitions and Diagnosis – slide 56

Schizophrenia – Definitions and Diagnosis – slide 57

Schizophrenia – Definitions and Diagnosis – slide 58

Schizophrenia – Definitions and Diagnosis – slide 59

Schizophrenia – Definitions and Diagnosis – slide 60

Schizophrenia – Definitions and Diagnosis – slide 61

Schizophrenia – Definitions and Diagnosis – slide 62

Schizophrenia – Definitions and Diagnosis – slide 63

Schizophrenia – Definitions and Diagnosis – slide 64

Schizophrenia – Definitions and Diagnosis – slide 65

Schizophrenia – Definitions and Diagnosis – slide 66

Schizophrenia – Definitions and Diagnosis – slide 67

Schizophrenia – Definitions and Diagnosis – slide 68

Schizophrenia – Definitions and Diagnosis – slide 69

Schizophrenia – Definitions and Diagnosis – slide 70

Schizophrenia – Definitions and Diagnosis – slide 71

Schizophrenia – Definitions and Diagnosis – slide 72

Schizophrenia – Definitions and Diagnosis – slide 73

Schizophrenia – Definitions and Diagnosis – slide 74

Schizophrenia – Definitions and Diagnosis – slide 75

Schizophrenia – Definitions and Diagnosis – slide 76

grid_view

out of/ 76

Slide description

Full description, scroll

file_download Download slide file_downloadDownload all

Schizophrenia is characterized by distortions in thinking, perception, emotions, language, sense of self and behaviour. People with schizophrenia commonly experience hallucinations and delusions. In this slide deck, basic concepts and definitions related to schizophrenia are explored. It also includes slides comparing the diagnostics based on ICD-10, ICD-11, DSM-5 and DSM-IV.

This slide deck has been developed in collaboration with the former Lundbeck International Neuroscience Foundation.

file_download Download slide file_downloadDownload all

Index for
slide deck

Title

Schizophrenia – Definitions and Diagnosis – slide 1

Definitions and Diagnosis

file_download Download slide

Definitions

Schizophrenia – Definitions and Diagnosis – slide 2

Definitions

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 3

Schizophrenia: a definition

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 4

Schizophrenia: a definition (cont’d)

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 5

The trajectory to schizophrenia – evolution of symptoms and main risk factors

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 6

Negative Symptoms: something is “missing”

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 7

Positive Symptoms: Hallucinations

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 8

Delusions

file_download Download slide

What is optimal functioning for a patient with schizophrenia?

Schizophrenia – Definitions and Diagnosis – slide 9

What is optimal functioning for a patient with schizophrenia?

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 10

Take home points

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 11

Functioning is complex and multifactorial

Functioning is complex and multifactorial, and there are many different domains of function e.g. social, everyday, community and psychological functioning, some which are defined on this slide.

Background

Definitions of the various types of functioning have…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 12

A variety of factors contribute to functional impairment in patients with schizophrenia

Please note, this slide builds.

Key message: A variety of factors contribute to impairment in everyday functioning in patients with schizophrenia, including functional capacity, social cognition, symptoms, environmental factors, and health status.

The figure on this slide shows…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 13

Multiple measures of patient functioning exist, but may not always help to understand the impact on the patient1

Key message: Although many measures of functioning exist, little is known about how these measures help to understand the impact of functional impairment.^{[Wilson C et al., 2016]}

To comprehensively evaluate functional outcome in schizophrenia, a combination of performance-based and…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 14

Quality of life can be measured using different scales

Key message: Quality of life can be measured using different scales.

Background Heinrichs-Carpenter Quality of Life Scale (QLS).^{[Bilker et al., 2003; Cramer et al., 2001]}

The QLS balances subjective questions regarding life satisfaction and occupational role functioning.
It consists of…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 15

Patients may have functional goals that are personal and meaningful to them

Goal-setting helps patients focus on improving their daily lives, and accomplishing these goals provides a sense of satisfaction and success.^{[Med-IQ, 2014]}

Reference: Med IQ. Goal-Setting Worksheet for People with Schizophrenia. Available at: http://www.mediq.com/files/noncme/material/pdfs/

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 16

Patients may have functional goals that are personal and meaningful to them

Key message: Better social and occupational functioning are consistently identified as important self-defined treatment goals, and improved functioning may be the most meaningful and valued outcome of treatment from a patient and family perspective.^{[Bellack et al., 2007]}

Background

In an…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 17

Patients with schizophrenia experience motivation deficits

Key message: People with schizophrenia more often refer to their goals as being driven by boredom or a desire to ‘pass time’ and report goals that are more disconnected–disengaged compared with those of healthy controls.^{[Gard et al., 2014]}

Patients…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 18

Motivation deficits significantly predict poor functional outcomes in early schizophrenia

Key message: Motivational deficits are prevalent in patients with schizophrenia, and correlate significantly with each domain of functioning examined (global functional outcome, social functioning, role functioning, and number of days worked in the past 30 days). These deficits are prevalent…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 19

Current treatment guidelines include optimizing functioning and quality of life as important treatment goals

Note, this slide contains builds. Goals 2 and 3 change colour to red as these are the most relevant to the focus of the deck.

Current treatment guidelines include optimizing functioning and quality of life as important treatment goals,…

file_download Download slide

Schizophrenia – Definitions and Diagnosis – slide 20

Health-related quality of life encompasses many variables

Key message: Health-related quality of life is complex and encompasses functional abilities, well-being, social interaction, vocational status, and physical and psychological state.

Background^{[Cramer et al., 2000]}

Assessment of health-related quality of life (HRQoL) has become an important aspect in…

file_download Download slide

task_alt