Compare and contrast late-onset schizophrenia and very-late-onset schizophrenia-like psychosis
What will be an ideal response?
Late-onset schizophrenia first appears after age 40. Many characteristic risk factors (family history, genetic risk, and childhood maladjustment) are similar to earlier onset, but people with late-life schizophrenia have a higher prevalence of the paranoid subtype and more auditory hallucinations. They also have fewer negative symptoms and less impaired cognitive skills. When the disorder begins later in life, patients report higher premorbid functioning and more successful occupational and marital histories.
Very-late-onset schizophrenia-like psychosis is a heterogeneous category that develops after the age of 65. In the very-late-onset subgroup, psychotic symptoms follow a stroke, tumor, or other neurodegenerative change. Very-late-onset schizophrenia-like psychosis is associated with less genetic susceptibility, less evidence of childhood maladjustment, and fewer negative symptoms.
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