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Schizoaffective disorder

Última revisão: 15 Jun 2025
Última atualização: 27 Jul 2022

Resumo

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • positive symptoms
  • negative symptoms
  • disorder of perception
  • delusions
  • disturbances in emotions
  • incongruent affect
  • disorders of stream and form of thought
  • cognitive abnormalities
  • deficit symptoms
  • major depressive episodes
  • manic episodes
Todos los datos

Otros factores de diagnóstico

  • neurologic deficit
  • family history
  • functional impairment
  • disorders of behavior
Todos los datos

Factores de riesgo

  • family history of schizophrenia
  • substance use
  • age of the father at patient's birth
  • psychological stress
  • environment
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • urine drug screen
  • sexually transmitted disease screening
  • complete blood count
  • thyroid function tests
Todos los datos

Pruebas diagnósticas que deben considerarse

  • laboratory studies to exclude organic causes
  • CT/MRI head
  • electroencephalogram (EEG)
Todos los datos

Algoritmo de tratamiento

Agudo

acute psychotic episode

En curso

multiple-episode disorder

Colaboradores

Autores

Adrian Preda, MD
Adrian Preda

Professor of Clinical Psychiatry

Department of Psychiatry and Human Behavior

University of California, Irvine School of Medicine

Irvine

CA

Divulgaciones

AP was paid for consultancy work for GLG and Guidepoint.

Robert G. Bota, MD
Robert G. Bota

Associate Clinical Professor of Psychiatry

University of California

Irvine

CA

Divulgaciones

RGB declares that he has no competing interests.

Agradecimientos

Dr Adrian Preda and Dr Robert G. Bota would like to gratefully acknowledge Dr Bao-Nhan Benjamin Nguyen, who contributed to the updating of this topic.

Divulgaciones

BN declares that he has no competing interests.

Revisores por pares

Kemal Sagduyu, MD

Professor of Psychiatry

University of Missouri Kansas City

Kansas City

MO

Divulgaciones

KS declares that he has no competing interests.

William T. Regenold, MDCM

Associate Professor of Psychiatry

University of Maryland School of Medicine

Baltimore

MD

Divulgaciones

WTR declares that he has no competing interests.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Abrams DJ, Rojas DC, Arciniegas DB. Is schizoaffective disorder a distinct categorical diagnosis? A critical review of the literature. Neuropsychiatr Dis Treat. 2008 Dec;4(6):1089-109.Texto completo  Resumen

Harrow M, Grossman LS, Herbener ES, et al. Ten-year outcome: patients with schizoaffective disorders, schizophrenia, affective disorders and mood-incongruent psychotic symptoms. Br J Psychiatry. 2000 Nov;177:421-6.Texto completo  Resumen

Cheniaux E, Landeira-Fernandez J, Versiani M. The diagnoses of schizophrenia, schizoaffective disorder, bipolar disorder and unipolar depression: interrater reliability and congruence between DSM-IV and ICD-10. Psychopathology. 2009;42(5):293-8. Resumen

Jäger M, Haack S, Becker T, et al. Schizoaffective disorder: an ongoing challenge for psychiatric nosology. Eur Psychiatry. 2011 Apr;26(3):159-65. Resumen

Turner DT, van der Gaag M, Karyotaki E, et al. Psychological interventions for psychosis: a meta-analysis of comparative outcome studies. Am J Psychiatry. 2014 May;171(5):523-38. Resumen

National Institute for Health and Care Excellence. Psychosis and schizophrenia in adults: prevention and management. March 2014 [internet publication].Texto completo

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Diferenciales

    • Schizophrenia
    • Substance-induced psychotic disorder
    • Dementia with psychosis
    Más Diferenciales
  • Guías de práctica clínica

    • Diagnostic and statistical manual, 5th edition, text revision (DSM-5-TR)
    • International statistical classification of diseases and related health problems, 11th revision (ICD-11)
    Más Guías de práctica clínica
  • Folletos para el paciente

    Schizoaffective disorder

    Más Folletos para el paciente
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