Schizophrenia classification: Difference between revisions
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==Classification== | ==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. | ||
* There is no established system for the classification of schizophrenia as per the diagnostic and statistical manual of mental disorders, Fifth Edition, (DSM-V) | * There is no established system for the classification of schizophrenia as per the diagnostic and statistical manual of mental disorders, Fifth Edition, (DSM-V) | ||
*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]]: | *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]]: | ||
**Delusions | **[[Delusions]] | ||
**Hallucinations | **[[Hallucinations]] | ||
**Disorganized speech | **[[Disorganized schizophrenia|Disorganized]] [[speech]] | ||
**Disorganized or catatonic behavior | **[[Disorganized schizophrenia|Disorganized]] or [[catatonic]] [[behavior]] | ||
**Negative symptoms | **[[Negative-sense|Negative]] [[symptoms]] | ||
**At least 1 of the symptoms must be the presence of delusions, hallucinations, or disorganized speech. | **At least 1 of the [[symptoms]] must be the presence of [[delusions]], [[hallucinations]], or [[Disorganized schizophrenia|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. | *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]]. | ||
*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) | *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) | ||
==References== | ==References== |
Revision as of 15:57, 8 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Classification
- Historically, schizophrenia in the West was classified into simple, catatonic, hebephrenic (now known as disorganized), and paranoid.
- The 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.
- There is no established system for the classification of schizophrenia as per the diagnostic and statistical manual of mental disorders, Fifth Edition, (DSM-V)
- 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:
- 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.
- 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)