By: Haydee Cantu and Jennifer Nichols - the UIC Department of ...

By: Haydee Cantu and Jennifer Nichols - the UIC Department of ... By: Haydee Cantu and Jennifer Nichols - the UIC Department of ...

psych.uic.edu
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12.07.2015 Views

Peers and Culture• Youth with schizophrenia are especially vulnerable tointerpersonal relationship difficulties. Prodromal period –relationship difficulties and withdrawal• Potential symptoms should always be evaluated in thecontext of one’s culturally and environmentally sanctionedbeliefs – symptoms should be incongruent• Prevalence rates of schizophrenia are similar crossculturally• Transitioning to a new culture may be associated withonset of illness – first and second generation immigrantsare at higher risk, especially if from developing countries• Urban environments and increased life stressors may alsoincrease risk of development

Treatment• Combines medication with psychosocial interventions(addresses cognitive, behavioral, familial, and socialfunctioning); very similar to adult treatment withadded emphasis on family and developmental issues• Medication: guidelines based on adult literature;risperidone and aripiprazole have been approved bythe FDA for adolescents. Clozapine is used in youthwith treatment resistant schizophrenia who havefailed other agents (significant side effect profile)• Acute phase treatment: treatment based on side effectprofile, insurance, and what has worked in the past (forpatient or family members)• 4-6 weeks needed to determine effectiveness – switchafter 6 weeks if no improvement

Peers <strong>and</strong> Culture• Youth with schizophrenia are especially vulnerable tointerpersonal relationship difficulties. Prodromal period –relationship difficulties <strong>and</strong> withdrawal• Potential symptoms should always be evaluated in <strong>the</strong>context <strong>of</strong> one’s culturally <strong>and</strong> environmentally sanctionedbeliefs – symptoms should be incongruent• Prevalence rates <strong>of</strong> schizophrenia are similar crossculturally• Transitioning to a new culture may be associated withonset <strong>of</strong> illness – first <strong>and</strong> second generation immigrantsare at higher risk, especially if from developing countries• Urban environments <strong>and</strong> increased life stressors may alsoincrease risk <strong>of</strong> development

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