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 syndrome-presence 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.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Achté K (1986) Depression and suicide. Psychopathology 19:210–214
Angst J (1980) Verlauf unipolar depressiver, bipolar manischdepressiver und schizo-affektiver Erkrankungen und Psychosen. Fortschr Neurol Psychiatr 48:3–30
Angst J (1986) The course of schizoaffective disorders. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York Tokyo
Angst J, Felder W, Lohmeyer B (1979) Are schizoaffective psychoses heterogeneous? J Aff Dis 1:155–165
Berg E, Lindelius R, Petterson U, Salum I (1983) Schizoaffective psychoses. A long-term follow-up. Acta Psychiatr Scand 67:389–398
Brockington I, Wainwright S, Kendell R (1980a) Manic patients with schizophrenic or paranoid symptoms. Psychol Med 10:73–83
Brockington et al. (1980b) Depressed patients with schizophrenic or paranoid symptoms. Psychol Med 10:665–675
Dingman C, McGlashan T (1986) Discriminating characteristics of suicides. Acta Psychiatr Scand 74:91–97
Maj M (1985) Clinical course and outcome of schizoaffective disorders. Acta Psychiatr Scand 72:542–550
Marneros A, Tsuang MT (1986) Schizoaffective disorders: Present level and future perspectives. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York Tokyo
Marneros A, Deister A, Rohde A, Jünemann H, Fimmers R (1988a) Long-term course of schizoaffective disorders. Part I: Definitions, methods, frequency of episodes and cycles. Eur Arch Psychiatr Neurol Sci 237:264–275
Marneros A, Rohde A, Deister A, Jünemann H, Fimmers R (1988b) Long-term course of schizoaffective disorders. Part II: Length of cycles, episodes and intervals. Eur Arch Psychiatr Neurol Sci 237:276–282
Praag H van, Nijo L (1984) About the course of schizoaffective psychoses. Compr Psychiatr 25:9–22
Rzewuska M, Angst J (1982) Prognosis of periodic bipolar manic depressive and schizo-affective psychoses. Arch Psychiatr Nervenkr 231:471–486
Rohde A, Marneros A (1988) Schizoaffective disorders and suicidal behaviour. Proceedings of the Second European Symposium on Suicidal Behaviour, Edinburgh
Tsuang MT, Dempsey GM, Dvoredsky A, Struss A (1977) A family history study of schizo-affective disorder. Biol Psychiatr 12:331–338
Winokur G, Scharfetter C, Angst J (1985) Stability of psychotic symptomatology (delusions, hallucinations), affective syndromes, and schizophrenic symptoms (thought disorder, incongruent affect) over episodes in remitting psychoses. Eur Arch Psychiatr Neurol Sci 234:303–307
Supported by the German Research Association (Deutsche Forschungsgemeinschaft) by grants No. Ma 915-1/1 and Ma 915-1/2. The data analysis and statistical evaluation were carried out in the Institute for Medical Documentation and Statistics of the University of Bonn (Head: Prof. Dr. M. P. Baur)
About this article
Cite this article
Marneros, A., Rohde, A., Deister, A. et al. Long-term course of schizoaffective disorders. Eur Arch Psychiatr Neurol Sci 237, 283–290 (1988). https://doi.org/10.1007/BF00450547
- Schizoaffective disorders
- Syndrome shift