By A. Marneros, M. T. Tsuang (auth.), Professor Dr. med. Andreas Marneros, Ming T. Tsuang M.D., Ph.D., D.Sc. (eds.)
Several contributions in our first e-book approximately schizo affective issues (Marneros and Tsuang, Schizoaffective Psychoses, Springer-Verlag, 1986) supported the idea that schizoaffective issues range in proper methods from schizophrenic problems. The type of schizo affective issues as a subgroup of schizophrenia has additionally been criticized, and empirical examine in medical, genetic, healing, and prognostic parts helps the concept there are a few robust similari ties among schizo affective and affective issues. in fact, there are usually not basically similarities among those teams, but additionally ameliorations simply as there are among schizo affective and schizophrenic problems. it really is exactly the life of similarities and changes among schizo affective problems and the opposite so-called ordinary psychological issues, i.e., schizophrenia and affective problems, which makes them a problem in psychiatric study, a problem to the conventional dichotomy within the class of issues which originated with Kraepelin. This problem is unquestionably proving fruitful in psychiatric learn. those "cases in among" may possibly show that sep arating, dividing, and proscribing isn't really continuously significant. occasionally it may be extra significant to unify; to unify within the feel of establishing bridges among commonplace teams. it truly is right here that the belief of a "psychotic continuum" can develop into appropriate, and the research of schizoaffective issues is of major significance in learn on a potential continuum of psychosis.
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Additional info for Affective and Schizoaffective Disorders: Similarities and Differences
At hospital discharge, the manic groups show similar improvement regardless of treatment. During the follow-up more attempts at suicide were made among patients in the mood-incongruent group, but there are no significant differences for actual suicides and deaths. S. S. 78% 42% 10% 0% 3% 65% 40% 2% 1% 3% 69% 40% 1% 1% 5'Yo Follow-up, 2 yrs. or more Suicide in follow-up Death in follow-up Suicide attempts in follow-up 90% 70% ~ ~ > '-0 N ;:\. , 0 0 n 0 0 0- ~ ~ ;=;. 02 z0 ? c c S· ;:\. 0 n (1) ~ :::.
Patients in the three groups were equally likely to respond to ECT and antidepressant medication. Of course, the mood-incongruent psychotic group was more likely to have antipsychotic drug maintenance, something which is expected. Duration of follow-up was equal among the groups, and there was no significant difference in the number of patients who relapsed. There is a suggestion that the unipolar depressives with congruent psychotic symptoms were more likely to relapse, but this was not statistically significant.
Affect. 15 20* psychoses at discharge 30** Diagnosis of schizophrenia 16 07 + schizoaff. vs. affect. psychoses at discharge 2 Table 4. Cl> N ::I 0 < 0 t 45 The Predictive Value of Grouping Schizoaffective Psychoses Table 5. lntercorrelations among the criteria ScS at follow-up a AfS at follow-up b c GAS score Lack of prof. efficiency d Working incapacity e Time in hospital a b 21* -52*** 35*** 37*** 37*** -59*** 38*** 40*** o. for correlation coefficients omitted. 001. coefficients of correlation among the 16 predictors, contains 38 values which are significant at the 5% level instead of around six as expected by chance.