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Comparison of Long-Term Outcome of Schizophrenic, Affective and Schizoaffective Disorders

Published online by Cambridge University Press:  06 August 2018

Andreas Marneros ,
Arno Deister  and
Anke Rohde
Andreas Marneros
Affiliation:
Universitätsnervenklinik, Bonn, Germany
Arno Deister
Affiliation:
Universitätsnervenklinik, Bonn, Germany
Anke Rohde
Affiliation:
Universitätsnervenklinik, Bonn, Germany
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Extract

Kraepelin's assumption that affective psychoses always have a ‘good‘ outcome was found to be untrue — it could not differentiate affective from schizophrenic disorders. Long-term investigations have shown that a relevant proportion of affective disorders have an ‘unfavourable outcome’ (Angst, 1987; Marneros & Deister, 1990; Marneros et al, 1990b), while some schizophrenic disorders can have a good prognosis (Bleuler, 1972; Ciompi & Müller, 1976; Huber et al, 1979; Möller & von Zerssen, 1986; Marneros et al, 1989a, 1990b, 1991b).

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The British Journal of Psychiatry , Volume 161 , Issue S18: Onset and Course of Schizophrenic Disorders: Dynamic Interactions between Relevant Factors , October 1992 , pp. 44 - 51
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Angst, J. (1987) Verlauf der affektiven Psychosen. In Psychiatrie der Gegenwart. Vol. 5: Affektive Psychosen (eds K. P. Kisker, H. Lauter, J. E. Meyer, et al), pp. 115–136. Berlin: Springer.Google Scholar
Angst, J. (1989) Der Verlauf schizoaffektiver Psychosen. In Schizoaffective Psychosen. Diagnose, Therapie und Prophylaxe (ed. Marneros, A.), pp. 47–54. Berlin: Springer.Google Scholar
Berti Ceroni, G., Neri, C. & Pezzoli, A. (1984) Chronicity in major depression: a naturalistic prospective study. Journal of Affective Disorders, 7, 123–132.Google Scholar
Biehl, H., Maurer, K., Jablensky, A., et al (1989) The WHO Psychological Impairments Rating Schedule (WHO/PIRS). I. Introducing a new instrument for rating observed behaviour and the rationale of the psychological impairment concept. British Journal of Psychiatry, 155 (suppl. 7), 68–70.Google Scholar
Bleuler, M. (1972) Die schizophrenen Geistesstörungen im Lichte langjähriger Kranken- und Familiengeschichten. Stuttgart: Thieme.Google Scholar
Ciompi, L. & Müller, C. (1976) Lebensweg und Alter der Schizophrenen. Eine katamnestische Langzeitstudie bis ins Senium. Berlin: Springer.Google Scholar
Deister, A., Marneros, A., Rohde, A., et al (1990) Long-term outcome of affective, schizoaffective and schizophrenic disorders: a comparison. In Affective and Schizoaffective Disorders. Similarities and Differences (eds A. Marneros & M. T. Tsuang), pp. 157–167. Berlin: Springer.Google Scholar
Endicott, J., Spitzer, R. L., Fleiss, J. L., et al (1976) The Global Assessment Scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry, 33, 766–771.Google Scholar
Gross, G., Huber, G. & Schüttler, R. (1986) Long-term course of Schneiderian schizophrenia. In Schizoaffective Psychoses (ed. Marneros, A.). Berlin: Springer.Google Scholar
Huber, G., Gross, G. & Schüttler, R. (1979) Schizophrenie. Berlin: Springer.Google Scholar
Jung, E., Krumm, B., Biehl, H., et al (1989) DAS-M. Mannheimer Skala zur Einschätzung sozialer Behinderung. Weinheim: Beltz Test.Google Scholar
Kettering, R. L., Harrow, M., Grossman, L., et al (1987) The prognostic relevance of delusions in depression: a follow-up study. American Journal of Psychiatry, 144, 1154–1160.Google Scholar
Kleining, G. & Moore, H. (1968) Soziale Selbsteinstufung (SSE) – Ein Instrument zur Messung sozialer Schichten. Kölner Zeitschrift für Soziologie und Sozialpsychologie, 27, 273–292.Google Scholar
Marneros, A. (ed.) (1989) Schizoaffektive Psychosen. Diagnose, Therapie und Prophylaxe. Berlin: Springer.Google Scholar
Marneros, A. & Tsuang, M. T. (eds) (1986) Schizoaffective Psychoses. Berlin: Springer.Google Scholar
Marneros, A., Deister, A. & Rohde, A. (1986a) The Cologne study on schizoaffective disorders and schizophrenia suspecta. In Schizoaffective Psychoses (ed. Marneros, A.), pp. 123–142. Berlin: Springer.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1986b) Features of schizoaffective disorders – The “cases-in-between”. In Schizoaffective Psychoses (ed. Marneros, A.), pp. 143–154. New York: Springer.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1986c) Schizoaffective disorders. The prognostic value of the affective component. In Schizoaffective Psychoses (ed. Marneros, A.), pp. 155–163. Berlin: Springer.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1988a) Long-term course of schizoaffective disorders. Part I: definitions, methods, frequency of episodes and cycles. European Archives of Psychiatry & Neurological Sciences, 237, 264–275.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1988b) Long-term course of schizoaffective disorders. Part II: length of cycles, episodes and intervals. European Archives of Psychiatry & Neurological Sciences, 237, 276–282.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1988c) Long-term course of schizoaffective disorders. Part III: onset, type of episodes and syndrome shift, precipitating factors, suicidality, seasonality, inactivity of illness and outcome. European Archives of Psychiatry & Neurological Sciences, 237, 283–290.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1989a) Long-term outcome of schizoaffective and schizophrenic disorders: a comparative study. I. Definitions, methods, psychopathological and social outcome. European Archives of Psychiatry & Neurological Sciences, 238, 118–125.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1989b) Prämorbide und soziale Merkmale von Patienten mit schizoaffektiven Psychosen. Fortschritte der Neurologie und Psychiatrie, 57, 205–212.Google Scholar
Marneros, A. & Deister, A. (1990) Chronische Depression – Psychopathologie, Verlaufsaspekte und prädisponierende Faktoren. In Therapieresistenz unter Antidepressiva-Behandlung (ed. Möller, H. J.), pp. 1–12. Berlin: Springer.Google Scholar
Marneros, A. & Tsuang, M. T. (eds) (1990) Affective and Schizoaffective Psychoses. Similarities and Differences. New York: Springer. —–, Rohde, A., Deister, A., et al (1990a) Behinderung und Residuum bei schizoaffektiven Psychosen. Daten, methodische Probleme und Hinweise für zukünftige Forschung. Fortschritte der Neurologie und Psychiatrie, 58, 66–75.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1990b) Psychopathological and social status of patients with affective, schizophrenic and schizoaffective disorders after long-term course. Acta Psychiatrica Scandinavica, 82, 352–358.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1991a) Autarkie und Autarkiebeein-trächtigung bei schizophrenen Patienten. Nervenarzt, 62, 41–48.Google Scholar
Marneros, A., Rohde, A., Deister, A., et al (1991b) Affektive, schizophrene und schizoaffektive Psychosen – eine Langzeitstudie. Berlin: Springer. Möller, H. J. & von Zerssen, D. (1986) Der Verlauf schizophrener Psychosen unter den gegenwartigen Behandlungsbedingungen . Berlin: Springer.Google Scholar
Opjordsmoen, S. (1989) Long-term course and outcome in unipolar affective and schizoaffective psychoses. Acta Psychiatrica Scandinavica, 79, 317–326.Google Scholar
Spitzer, R. L., Gibbon, M., & Endicott, J. (1976) The Global Assessment Scale. Archives of General Psychiatry, 33, 768.Google Scholar
Winokur, G. & Morrison, J. (1973) The Iowa 500: follow–up of 225 depressives. British Journal of Psychiatry, 123, 543–548.Google Scholar
World Health Organization (1988) WHO Psychiatric Disability Assessment Schedule (WHO/DAS). Geneva: WHO.Google Scholar
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