Long-term course of schizoaffective disorders

Part III: Onset, type of episodes and syndrome shift, precipitating factors, suicidality, seasonality, inactivity of illness, and outcome
  • A. Marneros
  • A. Rohde
  • A. Deister
  • R. Fimmers
  • H. Jünemann
Article

Summary

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.

Key words

Schizoaffective disorders Onset Outcome Suicidality Syndrome shift 

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Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • A. Marneros
    • 1
  • A. Rohde
    • 1
  • A. Deister
    • 1
  • R. Fimmers
    • 2
  • H. Jünemann
    • 1
  1. 1.Psychiatric Department of the University of BonnBonnGermany
  2. 2.Institute for Medical Documentation and Statistics of the University of BonnBonnGermany

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