The present study (Cologne study) investigated the long-term course ( = 25 6 years, minimum 10, maximum 59 years) of 72 schizoaffective patients. The diagnosis was based on the longitudinal approach. All patients were interviewed personally, using the Present State Examination and a pool of question
Long-term course of schizoaffective disorders
✍ Scribed by A. Marneros; A. Rohde; A. Deister; R. Fimmers; H. Jünemann
- Publisher
- Springer-Verlag
- Year
- 1988
- Tongue
- English
- Weight
- 657 KB
- Volume
- 237
- Category
- Article
- ISSN
- 1433-8491
No coin nor oath required. For personal study only.
✦ Synopsis
In addition to the findings presented previously, one-half of the 72 investigated schizoaffective patients had an acute onset Onset of manic symptomatology was found to be usually acute Although precipitating factors were found in 76 % of the patients, this was found for only one-third of the 397 episodes In spite of the fact that the majority of patients ( 61 %) had a polymorphous course (with more than one type of episode), the pure schizophrenic or pure affective syndromes only seldomly dominated the course, as schizoaffectivity score and syndromepresence index showed Some 81 % of the patients had delusions or hallucinations but only 37 % of the individual episodes; 65 % of the patients had suicidal symptomatology ( 24 % of the episodes, mainly the schizodepressive ones) No seasonality was found, and 50 % of the patients had a favorable outcome, only 6 % ended in severe residuum In old age the illness usually became inactive.
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Length of cycles, intervals, and episodes of 72 schizoaffective patients were investigated (duration of the follow-up means = 25.6 years, minimum 10, maximum 59 years). The average cycle length (time between beginning of an episode and next relapse) was found to be 37.5 months (median). Patients wit
Seventy-two patients diagnosed as having schizoaffective disorders (Cologne study) were investigated with regard to syndrome shift During longterm follow-up (mean 25 6 years) they had 400 episodes (the duration of an episode being defined as the time between the beginning and end of inpatient or inp
The long-term outcome of 72 schizoaffective and 97 schizophrenic patients with a mean duration of illness of 25 6 years and 19 6 years respectively was investigated The outcome was assessed using the WHO Disability Assessment Schedule (WHO/DAS), the Psychological Impairment Rating Schedule (PIRS) (a