Schizophrenia or schizoaffective disorder? A 50-year assessment of diagnostic stability based on a national case registry

Florentin, Sharon; Reuveni, Inbal; Rosca, Paola; Zwi-Ran, Shlomo Rahmani; Neumark, Yehuda

doi:10.1016/j.schres.2023.01.007

Cited by 6 publications

(4 citation statements)

References 48 publications

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“…Thirdly, valid subgroups representing ‘entities’ must be longitudinally stable. This is true for types of diabetes, intellectual disability with/without chromosomal aberration, but definitely not for schizoaffective psychosis ( 14 ), for example. However, subgroups characterised by socio-demographic or historical variables such as educational status could also qualify as subgroups according to criteria 1–3, although they obviously do not represent valid subgroups.…”

Section: Criteria For Valid Subgroupsmentioning

confidence: 96%

Searching for diagnoses and subgroups: a suggestion for criteria

Steinert

2024

Front. Psychiatry

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New subgroups of psychiatric disorders are often claimed. In contrast, classification systems have repeatedly had to abandon established subgroups such as paranoid vs. disorganised and catatonic schizophrenia due to lack of empirical evidence. Four criteria are proposed that should be met to claim valid subgroups: 1. distinct distribution of the defining characteristic between groups; 2. significant differences in variables other than those defining the subgroups cross-sectionally and longitudinally; 3. long-term stability; 4. significant differences between groups in aetiology, pathophysiology, and evidence-based therapy. In contrast to examples from somatic medicine, such as type 1 and type 2 diabetes, few psychiatric disorders meet these requirements.

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Section: Criteria For Valid Subgroupsmentioning

confidence: 96%

Searching for diagnoses and subgroups: a suggestion for criteria

Steinert

2024

Front. Psychiatry

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“…There has been a longstanding debate regarding the classification of schizoaffective disorder and its diagnostic validity and reliability, and as such less studies exist regarding schizoaffective disorder. 8 , 9 , 10 It has been further noted in the literature that many of those diagnosed with schizoaffective disorder later receive a diagnosis of schizophrenia. 8 Nevertheless, schizoaffective disorder has also been associated with longer hospitalisations.…”

Section: Introductionmentioning

confidence: 99%

“… 8 , 9 , 10 It has been further noted in the literature that many of those diagnosed with schizoaffective disorder later receive a diagnosis of schizophrenia. 8 Nevertheless, schizoaffective disorder has also been associated with longer hospitalisations. 11 Other factors found to be associated with increased length of stay (LOS) are male gender, ethnicity, unemployment, and accommodation status or homelessness.…”

Section: Introductionmentioning

confidence: 99%

Schizophrenia and schizoaffective disorder: Length of stay and associated factors

Goga,

Marais

2024

South African Journal of Psychiatry

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Background: Patients with schizophrenia and schizoaffective disorder often require longer admissions.Aim: To explore length of stay (LOS) and associated factors of patients with schizophrenia and schizoaffective disorder, admitted to a public sector specialised psychiatric hospital, over a 4-year period.Setting: The study was conducted at Tara Hospital in Johannesburg.Methods: A retrospective record review of 367 adult schizophrenia and schizoaffective disorder patients admitted between 01 January 2015 and 31 December 2018. Average LOS was calculated and the proportion of short-stay ( 30 days), medium-stay (31–90 days) and long-stay ( 90 days) admissions determined. Sociodemographic, clinical and admission outcome data were collected and analysed from a randomly selected subset of patients in each LOS category.Results: Mean LOS was 128 days (median 87, interquartile range [IQR] 49–164, range 0–755 days). A significantly greater proportion had long-stay admissions (p 0.001). Male gender (p = 0.018), being unmarried (p = 0.006), treatment resistant (p 0.001) and on clozapine (p = 0.009) were factors found to have a significant association with long-stay admissions. Rates of unemployment ( 80%), comorbid substance use disorders ( 40%), medical illnesses ( 40%), antipsychotic polypharmacy ( 40%) and readmissions ( 80%) were high. Most ( 80%) were discharged.Conclusion: Long-stay admissions were frequently required for patients with schizophrenia and schizoaffective disorder admitted to Tara Hospital.Contribution: This study highlights factors associated with long-stay admissions in patients with schizophrenia and schizoaffective disorder. More research is needed into whether increased access to community-based services, such as residential and daycare facilities, outpatient substance rehabilitation programmes and dual diagnosis clinics, could translate into shorter admissions, less frequent relapses and improved outcomes in this population.

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“…Gangguan skizoafektif merupakan gangguan mental serius yang menggabungkan gejala skizofrenia dengan gejala mood seperti depresi atau mania. Gangguan skizoafektif dikonseptualisasikan sebagai gabungan dari skizofrenia dan gangguan bipolar Florentin et al (2023). Secara keseluruhan, pada rata-rata karakteristik klinis dan demografi gangguan skizoafektif berada di antara gangguan bipolar dan skizofrenia tetapi lebih mirip dengan skizofrenia Pagel et al (2013).…”

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Menurunkan Perilaku Maladaptif Pada Gangguan Skizoafektif dengan Behavioral activation

Maulida,

Prabowo

2023

Procedia

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Schizoaffective disorder is a serious mental disorder that combines symptoms of schizophrenia with mood symptoms such as depression or mania. The main symptom of this disorder is affection problems, with possible motor movement and behavioral disorders. The study aims to develop effective treatment to reduce maladaptive behavior with behavioral activation. Assessment methods used through test and non-test techniques. Behavioral activation is a therapeutic approach that aims to overcome disorders by increasing positive activity and changing behavior patterns that hinder emotional well-being. The results showed that behavioral activation can reduce maladaptive behavior of schizoaffective disorder. This meant that the duration of the subject's maladaptive behavior decreased as the intervention progresses until the end of the intervention. Gangguan skizoafektif adalah gangguan mental serius yang menggabungkan gejala skizofrenia dengan gejala suasana hati seperti depresi atau mania. Gejala utama gangguan ini adalah masalah kasih sayang, dengan kemungkinan gangguan gerak motorik dan perilaku. Penelitian ini bertujuan untuk mengembangkan pengobatan yang efektif untuk mengurangi perilaku maladaptif dengan aktivasi perilaku. Metode penilaian yang digunakan melalui teknik tes dan non tes. Aktivasi perilaku merupakan pendekatan terapeutik yang bertujuan untuk mengatasi gangguan dengan meningkatkan aktivitas positif dan mengubah pola perilaku yang menghambat kesejahteraan emosional. Hasil penelitian menunjukkan bahwa aktivasi perilaku dapat menurunkan perilaku maladaptif gangguan skizoafektif. Artinya, durasi perilaku maladaptif subjek menurun seiring berjalannya intervensi hingga akhir intervensi.

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Schizophrenia or schizoaffective disorder? A 50-year assessment of diagnostic stability based on a national case registry

Cited by 6 publications

References 48 publications

Searching for diagnoses and subgroups: a suggestion for criteria

Searching for diagnoses and subgroups: a suggestion for criteria

Schizophrenia and schizoaffective disorder: Length of stay and associated factors

Menurunkan Perilaku Maladaptif Pada Gangguan Skizoafektif dengan Behavioral activation

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