A schizoaffective disorder is characterized by:
A. Mood component coexisting with the schizophrenic symptoms
B. Thought disorder that comes and goes
C. Psychotic disorder with substance abuse
D. Schizophrenia with auditory and visual hallucinations
ANS: A
In schizophrenia, psychotic features are evident with two or more of the following characteristics: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, and negative symptoms. The last of these characteristics, negative symptoms, refers to affective flattening, poverty of speech, avolition, anhedonia, and social isolation. Schizophrenia subtypes include paranoid, disorganized, catatonic, undifferentiated, and residual. Differential diagnoses include schizophreniform disorder, characterized by schizophrenic symptoms of 1 to 6 months; schizoaffective disorder, characterized by a prominent mood component coexisting with the schizophrenic symptoms; delusional disorder, characterized by at least 1 month of no bizarre delusions without an active phase of symptoms of schizophrenia; brief psychotic disorder, characterized by symptoms that last more than 1 day but remit by 1 month; and substance-induced psychotic disorder, characterized by symptoms directly related to an abused substance, toxin, or medication.
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