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5 Cards in this Set
- Front
- Back
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Distinguishing features |
1 or more delusions for >= 1 month No history of schizophrenia; at most brief mood episodes No marked impairment beyond delusions, bizarre/odd behavior Erotomanic, grandiose, jealous, persecutory, somatic, mixed, unspecified No negative symptoms With bizarre content Additional specifiers |
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Prevalence |
Lifetime .2% prevalence (Most frequently persecutory) |
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Course and onset |
Chronic Usually stable but some convert to schizophrenia (more likely with delusions 1-3 months long) |
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Diagnostic Criteria |
A. The presence of one or more delusions with a duration of 1 month or longer B. Criterion A for schizophrenia has never been met C. Apart from impact of delusions or it’s ramifications, functioning is not impaired and behavior is not bizarre or odd D. If manic or major depressive episodes have occurred, these have been brief relative to duration of delusional periods E. Disturbance is not attributable to physiological effects of substance use or another medical condition and not better explained by another mental disorder such as body dysmorphic disorder or obsessive compulsive disorder |
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Specifiers |
Erotomanic type: central theme of delusion is that another person is in love with individual Grandiose type: conviction of having some great but unrecognized talent or insight or having made some important discovery Jealous type: his or her spouse or lover is unfaithful Persecutory type: individual’s belief that they are being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed or obstructed in pursuit of long-term goals Somatic type: bodily functions or sensations Mixed type: when more than one delusional theme Unspecified type: dominant delusional belief cannot be clearly determined or is not described in the specific types Bizarre content: deemed bizarre if delusions are clearly implausible, not understandable and not derived from ordinary life experiences Following are to be used after a 1 year duration of the disorder First episode, currently in acute episode: first manifestation of disorder meeting diagnostic symptom and time criteria; an acute episode is a time period in which symptom criteria are fulfilled. First episode currently in partial remission: improvement after a previous episode is maintained and in which criteria of disorder is only partially fulfilled First episode currently in full remission: time after a previous episode during which no disorder-specific symptoms are present Multiple episodes, currently in acute episode: multiple determined after min of two episodes Multiple episodes, currently in partial remission/full remission Continuous: remaining symptoms for majority of illness course with sub threshold symptoms periods being very brief relative to overall course Unspecified Current severity: primary symptoms of psychosis including delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, negative symptoms; rated on 5 point scale from 0 (not present) to 4 (present and severe) |
