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Korean J Schizophr Res > Volume 15(1); 2012 > Article
Korean Journal of Schizophrenia Research 2012;15(1):13-19.
DOI: https://doi.org/10.16946/kjsr.2012.15.1.13    Published online June 30, 2012.
How Can We Differentiate Schizoaffective Disorder from Mood Disorder with Psychotic Feature?.
Chul Hyun Park, Tae Won Park, Jong Chul Yang, Keun Young Oh, Hyeong Tai Kim, Hong Bae Eun, Guang Biao Huang, Young Chul Chung
1Department of Psychiatry, Chonbuk National University Hospital & Research Institute of Clinical Medicine, Jeonju, Korea. chungyc@chonbuk.ac.kr
2Department of Psychiatry, Chonbuk National University Medical School and Institute for Medical Science, Jeonju, Korea.
3Maemsarang Hospital, In-san Medical Foundation, Wanju, Korea.
Abstract
Difficulties surrounding the classification of mixed psychotic and mood symptoms continue to plague psychiatric nosology. Since schizoaffective disorder was first defined in the literature, it has raised a considerable controversy regarding its clinical distinction from schizophrenia and mood disorder, especially mood disorder with psychotic feature. Recently, it seems that more people are diagnosed as mood disorder with psychotic feature rather than schizoaffective disorder when they are showing concurrent psychotic and mood symptoms. This may be due to unwillingness to make severe diagnosis at first and aggressive trend to expand the diagnostic criteria for bipolar disorder. Over-diagnosis of mood disorder with psychotic feature would expose the patients to unnecessary mood stabilizer. Therefore, it is critical to make exact diagnosis based on current diagnostic criteria and other relevant study findings. We conducted in-depth review into diagnostic criteria of DSM and ICD-10 for schizoaffective disorder and mood disorder with psychotic feature and other related studies comparing clinical features between the two disorders. As a result, important points helpful in differentiating the two disorders are highlighted and future suggestions are described.
Key Words: Schizoaffective disorder · Mood disorder with psychotic feature · Differential diagnosis
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