IngentaConnect Fifteen-year follow-up of ICD-10 schizoaffective disorders compar...

Authors: Jäger M.; Bottlender R.; Strauss A.; Möller H.-J.

Source: Acta Psychiatrica Scandinavica, Volume 109, Number 1, January 2004 , pp. 30-37(8)

Abstract:

Jäger M, Bottlender R, Strauss A, Möller H-J. Fifteen-year follow-up of ICD-10 schizoaffective disorders compared with schizophrenia and affective disorders.

Acta Psychiatr Scand 2004: 109: 30–37. © Blackwell Munksgaard 2004. Objective:

The nosological status of schizoaffective disorders is still unclear. The aim of the present study was to compare ICD-10 schizoaffective disorders to schizophrenia and affective disorders with respect to the clinical picture and the long-term outcome. Method:

Two hundred and forty-one first-admitted inpatients from the years 1980–1982 who fulfilled the ICD-10 criteria for schizophrenia, schizoaffective or affective disorders were included. Patients were examined at the time of first hospitalization and then followed-up after 15 years. Results:

With respect to the clinical picture at the time of first hospitalization ICD-10 schizoaffective disorders were distinguishable from both schizophrenia and affective disorders. However, with respect to the long-term outcome ICD-10 schizoaffective disorders had a prognosis similar to that of affective disorders. Conclusion:

Differing prognosis implies that schizoaffective disorders should be distinguished from schizophrenia and suggests their subcategorization under affective disorders.

Keywords: schizoaffective disorders; schizophrenia; affective disorders; ICD-10; validity; follow-up

Document Type: Research article

DOI: 10.1111/j.0001-690X.2004.00208.x

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