Outcome of affective psychosis.
The outcome of delusional depression is generally considered as poor when compared to non-delusional depression. We examined the social adjustment of remitted subjects affected by delusional compared to non-delusional mood disorder. Social adjustment of 135 inpatients (81 delusional and 54 non-delusional subjects), in remission from mood disorders for at least 3 months, were compared using the Social Adjustment Scale [SAS, Weissman et al., 1971]. Social adjustment was marginally lower for delusional subjects. The difference was significant within the "Family" sub-area of the SAS. Stratification by gender or polarity was precluded by the small sample size. These results furnish evidence of poor inter-episode function in patients with delusional mood disorder.
Serretti
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Istituto Scientifico Ospedale San Raffaele, Department of Neuropsychiatric Sciences, University of Milan School of Medicine, Italy. serretti.alessandro@hsr.it
Lattuada
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Smeraldi
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D003702:Delusions / Q000175:diagnosis / Q000209:etiology; D003866:Depressive Disorder / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D012720:Severity of Illness Index; D012917:Social Adjustment; D016896:Treatment Outcome