Outcome of a clinical cohort of unipolar, bipolar and schizoaffective patients. Results of a prospective study from 1959 to 1985.

Détails

ID Serval
serval:BIB_B111E6533FF0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Outcome of a clinical cohort of unipolar, bipolar and schizoaffective patients. Results of a prospective study from 1959 to 1985.
Périodique
Schweizer Archiv fur Neurologie und Psychiatrie
Auteur(s)
Angst J., Preisig M.
ISSN
0258-7661 (Print)
ISSN-L
0258-7661
Statut éditorial
Publié
Date de publication
1995
Peer-reviewed
Oui
Volume
146
Numéro
1
Pages
17-23
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
In a prospective study, 186 unipolar depressives and 220 cases of bipolar disorder meeting DSM-III criteria for major depression or mania were followed up. Subjects were classified according to polarity and the presence or absence of schizophrenic symptoms, into four diagnostic subgroups: unipolar depression, bipolar disorder, unipolar schizoaffective disorder and bipolar schizoaffective disorder. At the last follow-up in 1985, 53% of the patients had deceased. Eleven percent of the sample (17% of all deaths) had committed suicide. The risk of suicide was associated with clinical severity and onset prior to the age of 60. However, there was no difference in suicide rates according to sex or diagnostic subgroup. Late onset of affective illness was associated with chronicity, which occurred in 10 to 19% of cases. Recovery was more frequent among unipolar than among bipolar patients. The 5-year remission rates (i.e. 26% in unipolars, 16% in bipolars) were independent of the number of episodes.

Mots-clé
Adult, Aged, Bipolar Disorder/diagnosis, Bipolar Disorder/mortality, Bipolar Disorder/psychology, Cause of Death, Cohort Studies, Depressive Disorder/diagnosis, Depressive Disorder/mortality, Depressive Disorder/psychology, Female, Follow-Up Studies, Humans, Male, Middle Aged, Neurocognitive Disorders/diagnosis, Neurocognitive Disorders/mortality, Neurocognitive Disorders/psychology, Prospective Studies, Psychiatric Status Rating Scales, Psychotic Disorders/diagnosis, Psychotic Disorders/mortality, Psychotic Disorders/psychology, Suicide/psychology, Suicide/statistics & numerical data, Treatment Outcome
Pubmed
Création de la notice
08/02/2018 11:08
Dernière modification de la notice
20/08/2019 15:20
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