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Mood disorders with delusions versus schizophrenic disorders with delusions. Second phase of a longitudinal study of a cohort of adolescent psychiatric inpatients with delusions

Published online by Cambridge University Press:  16 April 2020

O Halfon ,
MC Mouren-Simeoni ,
F Radat ,
E Albert ,
V Nahama  and
M Dugas
O Halfon
Affiliation:
Fondation Santé des Étudiants de France, Clinique Médico-Psychologique, Neufmoutiers-en-Brie
MC Mouren-Simeoni
Affiliation:
Hôpital Necker-Enfants Malades, Paris
F Radat
Affiliation:
Hôpital Saint-Antoine, Paris
E Albert
Affiliation:
Hôpital Robert Debré, Paris, France
V Nahama
Affiliation:
Fondation Santé des Étudiants de France, Clinique Médico-Psychologique, Neufmoutiers-en-Brie
M Dugas
Affiliation:
Hôpital Robert Debré, Paris, France
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Summary

The prognostic significance of an index episode of affective disorder with delusions was assessed in a longitudinal study of a cohort of adolescent psychiatric inpatients (n = 43). Part I of a study has been reported in a previous article. Initial assessmentdata (anamnestic variables, clinical assessment) did not discriminate between onset of affective disorder and schizophrenia. Part II of the study provides a longitudinal perspective of the cohort's diagnostic and life adjustment: diagnoses of schizophrenia increased, schizophreniform disorders disappeared, affective disorders were stable and a schizo-affective category emerged. Patients in the schizophrenic category had severely impaired life adjustment, while the level of functioning in unipolar and bipolar patients was consistently satisfactory. Compared to the initial diagnosis, the cohort showed a tendency to develop into schizophrenia. It is too early to affirm that every adolescent with delusional symptoms at onset will later develop schizophrenia, however, this risk appears real.

Keywords

adolescentdelusionmanic depressive disorderschizophreniaschizo-affective disorder
Type
Original article
Information
European Psychiatry , Volume 7 , Issue 4 , 1992 , pp. 153 - 159
Copyright
Copyright © Elsevier, Paris 1992

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