Schizoaffective disorder | |
---|---|
It has been hypothesized that Vincent van Gogh had schizoaffective disorder | |
Specialty | Psychiatry |
Symptoms | Hearing or seeing things that are not there, strongly held false beliefs, disorganized thinking, depressed mood, mania.[1] |
Complications | Anxiety disorders, substance use, suicide[2] |
Usual onset | Early adulthood[2] |
Duration | > 1 month[3] |
Types | Bipolar type, depressive type[2] |
Causes | Unknown[1] |
Risk factors | Genetics, social factors, emotional trauma, psychological stress[3] |
Differential diagnosis | Schizophrenia, bipolar, depression with psychosis[2] |
Treatment | Counselling, antipsychotics, mood stabilizers, antidepressants[3] |
Prognosis | Half of cases are favorable[3] |
Frequency | 0.3%[3] |
Schizoaffective disorder (SZA, SZD) is a mental disorder characterized by symptoms of schizophrenia and a mood disorder.[4][1] Symptoms may include hearing or seeing things that are not there, strongly held false beliefs, disorganized thinking, depressed mood, or mania.[1] Complications may include anxiety disorders, substance use, and suicide.[2]
Risk factors including genetics, social factors, emotional trauma, and psychological stress.[3] The underlying mechanism is unclear, though dopamine, norepinephrine, and serotonin may be involved.[3] Diagnosis require symptoms to be present for at least a month, with at least two weeks of psychosis without mood problems.[3] There are two types bipolar type, with symptoms of mania; and depressive type, with symptoms of depression only.[2] Other disorders that may present similarly include psychotic depression, bipolar disorder, and schizophrenia.[2]
Treatment is with some combination of counselling, antipsychotics, mood stabilizers, and antidepressants.[3] Hospitalization may be necessary if a person is at risk to themselves or others.[3] Electroconvulsive therapy may be used in resistant cases.[3] It affects about 0.3% of the population at some point in time.[3][2] The onset is usually in early adulthood.[2] It was initially included in the DSM-I in 1952 as a subtype of schizophrenia.[3]
References
edit- ^ a b c d "Schizoaffective Disorder Overview - Causes". www.nami.org. Archived from the original on 1 April 2020. Retrieved 14 January 2021.
- ^ a b c d e f g h i Diagnostic and Statistical Manual of Mental Disorders (Fifth ed.). American Psychiatric Association. 2013. pp. 105-110. doi:10.1176/appi.books.9780890425596.156852. ISBN 978-0-89042-555-8.
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(help) - ^ a b c d e f g h i j k l m Wy, TJP; Saadabadi, A (January 2020). "Schizoaffective Disorder". PMID 31082056.
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(help) - ^ "F25 Schizoaffective disorders". ICD-10 Version:2010. World Health Organization. Archived from the original on 2 November 2014. Retrieved 14 January 2021.