Preprint Short Note Version 1 Preserved in Portico This version is not peer-reviewed

Schizoaffective Disorder - The Middle Point between Schizophrenia and Psychotic Bipolar

Version 1 : Received: 13 December 2023 / Approved: 14 December 2023 / Online: 14 December 2023 (09:06:03 CET)

How to cite: Patadia, C.; Desai, D.; Malafi, M. E. Schizoaffective Disorder - The Middle Point between Schizophrenia and Psychotic Bipolar. Preprints 2023, 2023121064. https://doi.org/10.20944/preprints202312.1064.v1 Patadia, C.; Desai, D.; Malafi, M. E. Schizoaffective Disorder - The Middle Point between Schizophrenia and Psychotic Bipolar. Preprints 2023, 2023121064. https://doi.org/10.20944/preprints202312.1064.v1

Abstract

Schizoaffective disorder and its classification have always been a topic of discrepancy among researchers. The overlapping presentations of schizoaffective disorder, schizophrenia and psychotic bipolar disorder makes it difficult to classify and diagnose. This study is a narrative review of literatures and genetic and epidemiological research evidences, done to determine the similarities and differences between schizoaffective and psychotic bipolar disorder. Beginning from the introduction of schizoaffective disorder as "schizoaffective psychosis" by Kasanin in 1933, various researchers have proposed different views regarding the diagnosis and classifications for schizoaffective disorder. DSM-III considered schizoaffective disorder as a diagnosis of exclusion as it fails to fit the definite diagnostic criteria of schizophrenia, major affective disorders, or schizophreniform disorder. DSM-V updated the criteria of schizoaffective disorder and stated it as a life time illness rather than being an episodic disorder as in DSM-IV and hence is more reliable. However, some studies show that schizoaffective disorder patients are more like schizophrenia than mood disorder. It still remains unclear whether schizoaffective disorder is a heterogenous disease, a form of schizophrenia, a form of mood disorder or a midpoint in the continuation spectrum of schizophrenia and psychotic bipolar disease.

Keywords

Schizoaffective disorder; Schizophrenia; Bipolar disorder with Psychotic features; Duration of symptoms

Subject

Medicine and Pharmacology, Psychiatry and Mental Health

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