TITLE

Affective and schizoaffective mixed states

AUTHOR(S)
Marneros, Andreas; Röttig, Stephen; Wenzel, Andreas; Blöink, Raffaela; Brieger, Peter
PUB. DATE
April 2004
SOURCE
European Archives of Psychiatry & Clinical Neuroscience;2004, Vol. 254 Issue 2, p76
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Although both DSM-IV and ICD-10 define schizoaffective mixed states, they have not received much attention—neither in the clinical nor in research context. We present preliminary results of a prospective study of bipolar affective (n = 100) and bipolar schizoaffective (n = 177) patients. 25% of the bipolar affective and 32% of the bipolar schizoaffective patients had at least one (schizo)mixed episode during the illness course. Nevertheless, (schizo)mixed episodes were rare—only 5.6% of all episodes. There was a trend that patients with (schizo)mixed episodes were more often women and exhibited more disability (reflected by higher rates of disability payments). Nevertheless, these differences failed to reach significance. Overall, schizo-mixed episodes are as frequent as “pure” affective mixed episodes. They might be linked to a less favourable course. Nevertheless, while their diagnostic criteria are problematic, they are systematically underdiagnosed.
ACCESSION #
13087950

 

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