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Schizoaffective Disorder

Updated : August 22, 2023





Background

Schizoaffective disorder is a chronic mental health condition characterized by the symptoms of schizophrenia, such as visual or auditory hallucinations, delusions, self-harm, impulsivity, and emotional dysregulation.

Patients affected with this disorder are often misdiagnosed with bipolar disorder or Schizophrenia. Schizoaffective disorder is less studied, and treatment interventions are often referred to for these disorders.

Epidemiology

Schizoaffective disorder is rare, with an estimated lifetime prevalence rate of 0.3%. Men and women are affected by this disorder at the same rate. According to recent evidence, cases of this disorder develop between the age of 25 and 35.

Inpatient admissions of schizoaffective disorder are due to psychosis and are estimated to be about 10% to 30%. There are no large-scale studies on the epidemiology, incidence, and prevalence of the schizoaffective disorder.

Anatomy

Pathophysiology

The specific pathophysiology of schizoaffective disorder is unknown. Some studies suggest abnormalities of serotonin, dopamine and norepinephrine have a role.

White matter alterations in several brain areas, including the left temporal gyrus, right lentiform nucleus, and right precuneus, have also been linked to schizoaffective disorder and schizophrenia.

Researchers discovered diminished hippocampus volume and deformations of the medial and lateral thalamic regions in schizoaffective disorder patients.

Etiology

There have been no definitive studies on the disorder’s cause. According to various research, up to 50% of individuals with schizophrenia have comorbid depression.

Both mood disorders and schizophrenia have heterogeneous pathogenesis that includes a variety of risk factors such as genetics, social factors, trauma, and stress. Stressful events and trauma usually trigger the disorder’s symptoms or onset.

To differentiate schizophrenia and schizoaffective disorder, an individual should have only psychomotor symptoms such as auditory or visual hallucinations for at least two weeks.

Genetics

First-degree relatives have a higher risk of developing schizoaffective disorder. Individuals with a family history of bipolar disorder and schizophrenia are also at a higher risk of being affected.

Prognostic Factors

Since the diagnostic criteria for schizoaffective disorder change periodically, prognosis studies have been challenging to conduct.

The estimated prognosis in individuals with psychotic disorder is about 50%. Schizoaffective disorder has various consequences on social functioning and daily activities if left untreated, like unemployment, depression, and reduced ability to care for self.

The prime reason for mortality is suicide; about 5% of patients with schizoaffective disorder commit suicide.

Clinical History

Physical Examination

Age group

Associated comorbidity

Associated activity

Acuity of presentation

Differential Diagnoses

Laboratory Studies

Imaging Studies

Procedures

Histologic Findings

Staging

Treatment Paradigm

by Stage

by Modality

Chemotherapy

Radiation Therapy

Surgical Interventions

Hormone Therapy

Immunotherapy

Hyperthermia

Photodynamic Therapy

Stem Cell Transplant

Targeted Therapy

Palliative Care

Medication

Media Gallary

References

https://www.ncbi.nlm.nih.gov/books/NBK541012/

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Schizoaffective Disorder

Updated : August 22, 2023




Schizoaffective disorder is a chronic mental health condition characterized by the symptoms of schizophrenia, such as visual or auditory hallucinations, delusions, self-harm, impulsivity, and emotional dysregulation.

Patients affected with this disorder are often misdiagnosed with bipolar disorder or Schizophrenia. Schizoaffective disorder is less studied, and treatment interventions are often referred to for these disorders.

Schizoaffective disorder is rare, with an estimated lifetime prevalence rate of 0.3%. Men and women are affected by this disorder at the same rate. According to recent evidence, cases of this disorder develop between the age of 25 and 35.

Inpatient admissions of schizoaffective disorder are due to psychosis and are estimated to be about 10% to 30%. There are no large-scale studies on the epidemiology, incidence, and prevalence of the schizoaffective disorder.

The specific pathophysiology of schizoaffective disorder is unknown. Some studies suggest abnormalities of serotonin, dopamine and norepinephrine have a role.

White matter alterations in several brain areas, including the left temporal gyrus, right lentiform nucleus, and right precuneus, have also been linked to schizoaffective disorder and schizophrenia.

Researchers discovered diminished hippocampus volume and deformations of the medial and lateral thalamic regions in schizoaffective disorder patients.

There have been no definitive studies on the disorder’s cause. According to various research, up to 50% of individuals with schizophrenia have comorbid depression.

Both mood disorders and schizophrenia have heterogeneous pathogenesis that includes a variety of risk factors such as genetics, social factors, trauma, and stress. Stressful events and trauma usually trigger the disorder’s symptoms or onset.

To differentiate schizophrenia and schizoaffective disorder, an individual should have only psychomotor symptoms such as auditory or visual hallucinations for at least two weeks.

First-degree relatives have a higher risk of developing schizoaffective disorder. Individuals with a family history of bipolar disorder and schizophrenia are also at a higher risk of being affected.

Since the diagnostic criteria for schizoaffective disorder change periodically, prognosis studies have been challenging to conduct.

The estimated prognosis in individuals with psychotic disorder is about 50%. Schizoaffective disorder has various consequences on social functioning and daily activities if left untreated, like unemployment, depression, and reduced ability to care for self.

The prime reason for mortality is suicide; about 5% of patients with schizoaffective disorder commit suicide.

https://www.ncbi.nlm.nih.gov/books/NBK541012/

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