The concept of distinct but voluminous groups of bipolar and unipolar diseases
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Summary
Seventy-six unipolar affective and 45 unipolar schizoaffective patients were compared using the same instruments as mentioned in part I of this study (this issue). In contrast to bipolar diseases significant differences regarding age at onset were found between the unipolar groups: schizoaffective unipolar patients became ill at a significantly lower age than affective unipolar patients (about 8 years). No other sociodemographic differences were found between the two groups. Patterns of course were found to be similar in both unipolar groups. Unipolar affective patients had a more favourable long-term outcome (GAS and WHO/DAS) than unipolar schizoaffective ones. Altogether, unipolar affective and unipolar schizoaffective disorders seem to have more similarities than differences.
Key words
Affective disorders Schizoaffective disorders Unipolar diseases Premorbid features Long-term course and outcomePreview
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References
- Angst J (1966) Zur Aetiologie und Nosologie endogener depressiver Psychosen. Eine genetische, soziologische und klinische Studie, Springer, Berlin Heidelberg New York (Monographien aus dem Gesamtgebiet der Neurologie und Psychiatrie, Heft 112)Google Scholar
- Angst J (1980a) Verlauf unipolar depressiver, bipolar manisch-depressiver und schizoaffektiver Erkrankungen und Psychosen. Fortschr Neurol Psychiatr 48:3–30Google Scholar
- Angst J (1980b) Clinical typology of bipolar illness. In: Belmaker RH, Praag HM van (eds) Mania. An evolving concept. Spectrum Publ, Jamaica NYGoogle Scholar
- Angst J (1986) The course of schizoaffective disorders. In: Marneros A, Tsuang MT (eds) Schizoaffective psychoses. Springer, Berlin Heidelberg New York, pp 63–93Google Scholar
- Angst J (1989) Der Verlauf schizoaffektiver Psychosen. In: Marneros A (eds) Schizoaffektive Psychosen. Diagnose. Therapie und Prophylaxe. Springer, Berlin Heidelberg New York, pp 47–54Google Scholar
- Marneros A, Deister A, Rohde A (1989a) Unipolar and Bipolar schizoaffective disorders: A comparative study. I. Premorbid and sociodemographic features. Eur Arch Psychiatr Neurol Sci 239:158–163Google Scholar
- Marneros A, Rohde A, Deister A (1989b) Unipolar and Bipolar schizoaffective disorders: A comparative study. II. Long-term course. Eur Arch Psychiatr Neurol Sci 239:164–170Google Scholar
- Marneros A, Deister A, Rohde A, Jünemann H (1989c) Unipolar and bipolar schizoaffective disorders: a comparative study. III. Long-term outcome. Eur Arch Psychiatry Neurol Sci 239:171–176Google Scholar
- Perric C (1966) A study of bipolar (manic-depressive) and unipolar recurrent depressive psychoses. Acta Psychiatr Scand [Suppl] 194:1–189Google Scholar
- Perris C (1969) The separation of bipolar (manic-depressive) from unipolar recurrent depressive psychoses. Behav Neuropsychiatry 1:17–24Google Scholar
- Rohde A, Marneros A, Deister A, Jünemann H, Staab B (1990) Course of affective and schizoaffective disorders. In: Marneros A, Tsuang MT (eds) Affective and schizoaffective disorders. Similarities and differences. Springer, Berlin Heidelberg New York, pp 146–156Google Scholar
- Winokur G, Clayton PJ (1967) Family history studies. I. Two types of affective disorders separated according to genetic and clinical factors. In: Wortis J (ed) Recent advances in biological psychiatry, vol. 9. Plenum Press, New York, pp 115–122Google Scholar
- Winokur G, Black DW, Nasrallah A (1990) The schizo-affective continuum: non-psychotic, mood congruent, and mood incongruent. In: Marneros A, Tsuang MT (eds) Affective and schizoaffective disorders. Similarities and differences. Springer, Berlin Heidelberg New York, pp 23–32Google Scholar