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 publication approximately schizo affective problems (Marneros and Tsuang, Schizoaffective Psychoses, Springer-Verlag, 1986) supported the belief that schizoaffective problems vary in proper methods from schizophrenic problems. The category of schizo affective problems as a subgroup of schizophrenia has additionally been criticized, and empirical learn in scientific, genetic, healing, and prognostic components helps the concept that there are a few powerful similari ties among schizo affective and affective problems. in fact, there are usually not basically similarities among those teams, but additionally alterations simply as there are among schizo affective and schizophrenic problems. it's exactly the lifestyles of similarities and transformations among schizo affective problems and the opposite so-called standard psychological issues, i.e., schizophrenia and affective problems, which makes them a problem in psychiatric examine, a problem to the conventional dichotomy within the type of issues which originated with Kraepelin. This problem is definitely proving fruitful in psychiatric learn. those "cases in among" could exhibit that sep arating, dividing, and restricting isn't regularly significant. occasionally it may be extra significant to unify; to unify within the experience of establishing bridges among general teams. it truly is right here that the belief of a "psychotic continuum" can develop into correct, and the research of schizoaffective problems is of leading significance in learn on a potential continuum of psychosis.
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Extra info for Affective and Schizoaffective Disorders: Similarities and Differences
Among the predictors, three are not significantly associated with any of the criteria. They are young age (variable 2), difficulties at work (3), and chronic abuse of alcohol and/or other drugs (9). The others correlate significantly with at least one of the criteria. This is true for male sex (1), insidious onset of the psychosis (6) and of the index episode (7), chronic course before hospital admission (8), and the symptom scores at admission and discharge (10-13). The most powerful predictors with six significant out of seven correlation coefficients are the global rating of the psychopathological state at discharge (14) and the diagnostic dichotomy of schizophrenic versus affective and schizoaffective psychoses (15).
Information about professional efficiency during the last year according to Huber et al. (1979). The Predictive Value of Grouping Schizoaffective Psychoses 37 - Working incapacity. - Time spent in psychiatric hospital(s) during the follow-up period. For this report, we will neglect additional information about social adaptation during the 4 weeks preceding the interviews, which were assessed with the Social Interview Schedule (SIS: Clare and Cairns 1978; German version: Faltermaier et a1. 1985; see Hecht et a1.
Tsuang © Springer-Verlag Berlin Heidelberg 1990 34 D. von Zerssen et al. , schizophrenias and affective psychoses. , schizophreniform psychoses and pure paranoid syndromes of unknown origin) on the one hand, and between major depression and other predominantly depressive disorders, such as abnormal reactions with depressed mood, on the other hand; the border between schizophrenias and affective psychoses is also far from being clear. Many acute-onset psychoses display typical schizophrenic and typical manic and/or depressive features either at the same time (Kasanin 1933) and/or in an irregular alternation of predominantly schizophrenic and predominantly affective episodes (Angst 1986).