Fifteen-year follow-up of ICD-10 schizoaffective disorders compared with schizophrenia and affective disorders
Article first published online: 10 DEC 2003
Acta Psychiatrica Scandinavica
Volume 109, Issue 1, pages 30–37, January 2004
How to Cite
Jäger, M., Bottlender, R., Strauss, A. and Möller, H.-J. (2004), Fifteen-year follow-up of ICD-10 schizoaffective disorders compared with schizophrenia and affective disorders. Acta Psychiatrica Scandinavica, 109: 30–37. doi: 10.1111/j.0001-690X.2004.00208.x
- Issue published online: 10 DEC 2003
- Article first published online: 10 DEC 2003
- Accepted for publication June 20, 2003
- schizoaffective disorders;
- affective disorders;
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.