Marneros A, Rohde A, Deister A, Steinmeyer E M
Psychiatrische Universitätsklinik Bonn.
Fortschr Neurol Psychiatr. 1989 May;57(5):205-12. doi: 10.1055/s-2007-1000761.
The present study reports on findings in international literature regarding premorbid and social factors of schizoaffective patients and also own findings of the Cologne study (72 schizoaffective patients with a mean follow-up period of 25.6 years). Altogether it can be said that more women suffer from schizoaffective disorders than men. The mean age at first manifestation is higher than that of schizophrenic patients and lower than that of affective disorders, although schizoaffective disorders can occur at any age. Premorbid social adjustment and ability to form a stable heterosexual partnership before onset are good in schizoaffective patients. There seems to be no special premorbid personality of schizoaffective patients. Education and level of vocational training are generally good. Only a few schizoaffective patients belong to the lower social classes. Most schizoaffective patients do not come from a "broken home". Although "life events" are frequent in a schizoaffective population, the relevance of this finding has to be limited: If we evaluate "life events" in regard to single episodes, we find that most episodes, especially episodes occurring during the later course, do not have precipitating factors. In conclusion, it can be said that - besides the already known better prognosis of schizoaffective disorders - several differences exist regarding premorbid and social factors, between schizoaffective disorders and schizophrenia.
本研究报告了国际文献中关于分裂情感性障碍患者病前及社会因素的研究结果，以及科隆研究（72例分裂情感性障碍患者，平均随访期为25.6年）的自身研究结果。总体而言，可以说患分裂情感性障碍的女性多于男性。首次发病的平均年龄高于精神分裂症患者，低于情感障碍患者，尽管分裂情感性障碍可在任何年龄发生。分裂情感性障碍患者病前的社会适应能力以及发病前建立稳定异性伴侣关系的能力良好。分裂情感性障碍患者似乎没有特殊的病前人格。教育程度和职业培训水平总体良好。只有少数分裂情感性障碍患者属于社会底层。大多数分裂情感性障碍患者并非来自“破裂家庭”。尽管“生活事件”在分裂情感性障碍人群中很常见，但这一发现的相关性必须受到限制：如果我们就单个发作来评估“生活事件”，我们会发现大多数发作，尤其是后期发生的发作，没有诱发因素。总之，可以说——除了已知的分裂情感性障碍预后较好之外——在病前和社会因素方面，分裂情感性障碍与精神分裂症之间存在一些差异。
