[Clinical and nosological approach to diagnosis of schizoaffective psychosis].
Using clinical and psychopathological method, 134 patients who met the ICD-10 criteria of diagnosis of schizoaffective psychosis (F25), were examined. Relatively small prognostic informative value of standard schizoaffective psychosis differentiation into affective- and schizo-dominant types was found. Subtyping of schizoaffective psychosis according to peculiarities of delusion formation in the picture of the disease attacks proved to be more significant. Given clinico-psychopathological features of circular affective and delusional disorders and their pathokinesis, as well as dynamics types and disease outcome, a schizoaffective psychosis systematization has been elaborated. That includes 3 nosologic types: "nuclear" type with non-progressive phase dynamics; "marginal" (intermediate) type and schizoaffective type of attack-like progressive schizophrenia. The concept of nosologic independence of schizoaffective psychosis ("nuclear" type) is discussed.
Panteleeva
G P
GP
Bologov
P V
PV
D000208:Acute Disease; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D011379:Prognosis; D011618:Psychotic Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D013997:Time Factors