Brockington I F, Hillier V F, Francis A F, Helzer J E, Wainwright S
Am J Psychiatry. 1983 Apr;140(4):435-9. doi: 10.1176/ajp.140.4.435.
The authors compare several definitions of mania in three series of patients. All the definitions were successful in selecting patients with a favorable outcome, but there were large differences in the number of patients diagnosed, ranging from 17 to 55. The Research Diagnostic Criteria (RDC) distinction between mania and schizoaffective mania proved useful in that the schizoaffective patients continued to show schizophrenic and paranoid symptoms, had more manic episodes, and had a poorer social outcome. The DSM-III tripartite division into nonpsychotic mania and two subgroups of psychotic mania did not appear to have a clear advantage over the RDC dichotomy in the prediction of outcome.
作者在三组患者中比较了几种躁狂的定义。所有定义在挑选出预后良好的患者方面都很成功，但诊断出的患者数量差异很大，从17例到55例不等。研究诊断标准（RDC）对躁狂和分裂情感性躁狂的区分被证明是有用的，因为分裂情感性障碍患者持续表现出精神分裂症和偏执症状，有更多的躁狂发作，且社会预后较差。《精神疾病诊断与统计手册》第三版（DSM-III）将躁狂分为非精神病性躁狂和两个精神病性躁狂亚组，在预后预测方面似乎并不比RDC二分法有明显优势。
