Maj M, Perris C
Acta Psychiatr Scand. 1985 Nov;72(5):405-13. doi: 10.1111/j.1600-0447.1985.tb02633.x.
A classification of schizoaffective disorders for research purposes is presented. Two main categories are preliminarily singled out: 1) that characterized by the consecutive appearance of an affective and a schizophrenic syndrome (type I), 2) that marked by the concurrent appearance of a full schizophrenic and a full affective syndrome (type II). Within type I, two subtypes are distinguished: 1) that beginning as a typical schizophrenic disorder and shifting later on into a recurrent affective syndrome (affective subtype), 2) that beginning as an affective disorder and showing in its further course a progressive schizophrenic development towards deterioration (schizophrenic subtype). For type II, a multiaxial classification is proposed. Axis 1 should be used to describe the cross-sectional symptomatology, axis 2 to define the course, and axis 3 to note the presence of associated factors. On axis 1, schizoaffective disorder type II can be divided into a manic and a depressive subtype. Operational diagnostic criteria for each are provided. On axis 2, an affective (recurrent) and a schizophrenic (continuous with exacerbations) subtype can be distinguished.
本文提出了一种用于研究目的的分裂情感性障碍分类。初步划分出两个主要类别：1）以情感综合征和精神分裂症综合征相继出现为特征的（I型），2）以完整的精神分裂症综合征和完整的情感综合征同时出现为特征的（II型）。在I型中，又区分出两个亚型：1）起病为典型精神分裂症障碍，随后转变为复发性情感综合征的（情感亚型），2）起病为情感障碍，在病程中表现出向恶化发展的进行性精神分裂症演变的（精神分裂症亚型）。对于II型，提出了一种多轴分类法。轴1应用于描述横断面症状学，轴2用于定义病程，轴3用于记录相关因素的存在情况。在轴1上，II型分裂情感性障碍可分为躁狂亚型和抑郁亚型。并提供了每种亚型的操作性诊断标准。在轴2上，可区分出情感性（复发性）亚型和精神分裂症性（伴有加重的持续性）亚型。
