Cross-sectional similarities and differences between schizophrenia, schizoaffective disorder and mania or mixed mania with mood-incongruent psychotic features.

摘要: Abstract Background. – The cross-sectional clinical differentiation of schizophrenia or schizoaffective disorder from mood-incongruent psychotic mania mixed is difficult, since pathognomonic symptoms are lacking in these conditions. Aims the study. To compare a series variables related to mood and cognition patient groups with DSM-III-R diagnosis schizophrenia, disorder, mania. Methods. One hundred fifty-one consecutive patients were evaluated week prior discharge by using structured interview for DSM-III-R-patient edition (SCID-P). Severity psychopathology was assessed 18-item version brief psychiatric rating scale (BPRS) negative assessment (SANS). Level insight assess unawareness mental disorders (SUMD). Results. There no differences rates specific types delusions hallucinations between subjects SANS factors scores significantly higher than bipolar groups. Patients state scored on depression excitement compared group and, lesser extent, group. Subjects showed highest SUMD indicating that they much more compromised dimension Conclusion. Negative rather affective symptomatology may be useful construct differentiate