Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-25T08:50:56.068Z Has data issue: false hasContentIssue false
  • English
  • Français

The Classification of Functional Psychoses and its Implications for Prognosis

Published online by Cambridge University Press:  02 January 2018

H. J. Möller ,
M. Hohe-Schramm ,
C. Cording-Tömmel ,
W. Schmid-Bode ,
H. U. Wittchen ,
M. Zaudig  and
D. Von Zressen
H. J. Möller*
Affiliation:
Psychiatric Department of the Technical University Munich, Ismaninger Str. 22, D-8000 München 80
M. Hohe-Schramm
Affiliation:
Psychiatric Department of the Technical University Munich, Ismaninger Str. 22, D-8000 München 80
C. Cording-Tömmel
Affiliation:
Max-Planck-Institute of Psychiatry, Munich, Kraepelinstr. 10, D-8000 München 40, West Germany
W. Schmid-Bode
Affiliation:
Max-Planck-Institute of Psychiatry, Munich, Kraepelinstr. 10, D-8000 München 40, West Germany
H. U. Wittchen
Affiliation:
Max-Planck-Institute of Psychiatry, Munich, Kraepelinstr. 10, D-8000 München 40, West Germany
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

One hundred and eighty-three patients suffering from functional psychoses were diagnosed according to ICD–8, RDC, and DSM–III criteria, and the concordance rates for the diagnoses compared. The heterogeneity of the diagnosis 'schizoaffective psychosis' as defined by these systems became clear. With respect to prognosis, the DSM–III diagnosis of schizophrenia was most closely related to poor outcome. Affective psychoses and schizoaffective psychoses, as well as DSM–III 'schizophreniform disorders', demonstrated a favourable prognosis.

Type
Papers
Information
The British Journal of Psychiatry , Volume 154 , Issue 4 , April 1989 , pp. 467 - 472
Copyright
Copyright © Royal College of Psychiatrists, 1989 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Berner, P., Katschnig, H. & Lenz, G. (1982) The poly-diagnostic approach: a method to clarify incongruences between different classification systems of the functional psychoses. Psychiatric Journal of the University of Ottawa, 7, 244–248.Google Scholar
Brockington, J. F., Kendell, R. E. & Leff, J. P. (1978) Definitions of schizophrenia: concordance and prediction of outcome. Psychological Medicine, 8, 387–398.CrossRefGoogle ScholarPubMed
Cairns, U., von Zerssen, D., Stutte, K. H., et al (1983) The stability of the symptom groupings in the inpatient multidimensional psychiatric scale. Journal of Psychiatric Research, 17, 19–28.CrossRefGoogle Scholar
Clare, A. W. & Cairns, V. E. (1978) Design, development and use of a standardized interview to assess social maladjustment and dysfunction in community studies. Psychological Medicine, 8, 589–604.Google Scholar
Coryell, W. & Tsuang, M. T. (1982) DSM–III schizophreniform disorder. Comparisons with schizophrenia and affective disorder. Archives of General Psychiatry, 39, 66–69.Google Scholar
Essen-Möller, E. (1956) Individual traits and morbidity in a Swedish rural population. Acta Psychiatrica Scandinavica, Suppl. 100.Google Scholar
Hecht, H., Faltermaier, T. & Wittchen, H. U. (1987) Die Social Interview Schedule (deutschspr modif version). Regensburg: Roderer.Google Scholar
Helgason, T. (1964) Epidemiology of mental disorders in Iceland. Acta Psychiatrica Scandinavica, Suppl. 173.Google Scholar
Helzer, J. E., Brockington, J. F. & Kendell, R. E. (1981) Predictive validity of DSM–III and Feighner definitions of schizophrenia. A comparison with Research Diagnostic Criteria and CATEGO. Archives of General Psychiatry, 38, 791–797.CrossRefGoogle ScholarPubMed
Huber, G., Gross, G. & Schüttler, R. (1979) Schizophrenie Eine Verlaufsund psychiatrische Langzeitstudie. Berlin: Springer.Google Scholar
Lorr, M. (1974) Assessing psychotic behavior by the IMPS. In Psychological Measurements in Psychopharmacology. Modern Problems in Pharmacopsychiatry, vol. 7 (eds Pichot, P. & Olivier Martin, M.), pp. 50–65. Basel: Karger.Google Scholar
Lorr, M. & Klett, C. J. (1967) Manual for the Inpatient Multidimensional Psychiatric Scale (rev). Palo Alto/Calif: Consulting Psychologists Press.Google Scholar
Marneros, A. & Tsuang, M. T., (eds) (1986) Schizoaffective Psychoses. Berlin: Springer.Google Scholar
Möller, H. J., von Zerssen, D., Werner-Eilert, K., et al (1982) Outcome in schizophrenic and similar paranoid psychoses. Schizophrenia Bulletin, 8, 99–108.CrossRefGoogle ScholarPubMed
Lorr, M., Schmid-Bode, W. & von Zerssen, D. (1986a) Prediction of long-term outcome in schizophrenia by prognostic scales: value and comparison of different prognostic scales. Schizophrenia Bulletin, 12, 225–235.Google Scholar
Lorr, M., Schmid-Bode, , Wittchen, H. U., et al (1986b) Outcome and prediction of outcome in schizophrenia: results from the literature and from two own studies. In Treatment of Schizophrenia. Family assessment and intervention (eds Goldstein, M. H., Hand, I. & Hahlweg, K.), pp. 11–24. Berlin: Springer.Google Scholar
Lorr, M., & von Zerssen, D. (1986) Der Verlauf schizophrener Psychosen unter den gegenwärtigen Behanglungsbedingungen. Berlin: Springer.Google Scholar
Lorr, M., Schmid-Bode, W., Cording-Tommel, C., et al (1988) Psychopathological and social outcome in schizophrenia vs. affective/schizoaffective psychoses and prediction of poor outcome in schizophrenia: results from a 5–8 year follow-up. Acta Psychiatrica Scandinavica, 77, 379–389.Google Scholar
Mombour, W. (1974) Syndrome bei psychiatrischen Erkrankungen. Eine vergleichende Untersuchung mit zwei Schätzskalen (IMPS-und AMDP-Skala). Archiv für Psychiatrie und Nervenkrankheiten, 219, 331–350.Google Scholar
Ødegaard, Ø. (1971) Die Epidemiologie der Psychosen. Nervenarzt, 42, 569–575.Google Scholar
Spitzer, R. L., Endicott, J. & Fleis, L. (1976) The global assessment scale. A procedure for measuring overall severity of psychiatric disturbances. Archives of General Psychiatry, 33, 766–771.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria (RDC) for a Selected Group of Functional Disorders (3rd edn). New York: New York State Psychiatric Institute.Google Scholar
Wittchen, H. U., Semler, G. & von Zerssen, D. (1985) A comparison of two diagnostic methods – clinical ICD-diagnoses vs. DSM–III and Research Diagnostic Criteria using the diagnostic interview schedule (version II). Archives of General Psychiatry, 46, 677–684.Google Scholar
von Zerssen, D. & Cording, C. (1978) The measurement of change in endogenous affective disorders. Archiv für Psychiatrie und Nervenkrankheiten, 226, 95–112.Google Scholar
World Health Organization (1967) Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 1965 revision (8th edn) (ICD–8). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.