Maj M
Department of Medical Psychology and Psychiatry, First Medical School, University of Naples, Italy.
Acta Psychiatr Scand. 1988 Aug;78(2):182-7. doi: 10.1111/j.1600-0447.1988.tb06320.x.
The course and outcome of cycloid psychotic disorder was explored by means of a prospective three-year follow-up of a sample of patients fulfilling the diagnostic criteria for the disorder provided by Perris & Brockington, compared to patients with a diagnosis of affective or schizoaffective disorder. The most striking difference between cycloids and affectives was the lack of manic episodes during the follow-up period in the former group. Moreover, the mean age at onset was lower in cycloids. No difference between these patient groups was observed with regard to outcome. Compared to schizoaffectives, cycloids showed several differences in the clinical picture during the index episode, and their symptomatological pattern was more consistent from one episode to another during the follow-up. Moreover, the outcome of cycloids was significantly more favourable than that of schizodepressives.
通过对一组符合佩里斯和布罗金顿提出的循环型精神障碍诊断标准的患者样本进行为期三年的前瞻性随访，并与患有情感性或分裂情感性障碍的患者进行比较，探讨了循环型精神障碍的病程和转归。循环型患者与情感性患者之间最显著的差异在于，在前一组患者的随访期间未出现躁狂发作。此外，循环型患者的平均发病年龄较低。在转归方面，未观察到这些患者组之间存在差异。与分裂情感性患者相比，循环型患者在索引发作期间的临床表现存在若干差异，并且在随访期间其症状模式在不同发作之间更为一致。此外，循环型患者的转归明显优于分裂抑郁型患者。
