The Munich 15-year follow-up study (MUFUSSAD) on first-hospitalized patients with schizophrenic or affective disorders: assessing courses, types and time stability of diagnostic classification

European Psychiatry : the Journal of the Association of European Psychiatrists
Hans-Jürgen MöllerRonald Bottlender

Abstract

In the context of the development of DSM-V and ICD-11 it appears to be useful to get further data on the validity of the diagnostic differentiation between schizophrenic and affective disorders. This study investigated the relevance of the main diagnostic groups schizophrenia, schizoaffective psychosis and affective disorder in the context of different diagnostic systems (ICD-9, ICD-10, DSM -IV), assessing their time stability, long-term courses, types and functional outcome. A total of 323 first hospitalized inpatients of the Psychiatric Department of the University Munich were recruited at index time. The full follow-up evaluation including standardized assessment procedures could be performed in 197 patients. The re-diagnosis of the patients' disorders shows that with the transition from ICD-9 to ICD-10 or DSM-IV, the group of affective disorders increased numerically while the diagnostic groups of schizophrenia and schizoaffective disorders decreased in size. The structured clinical interview for DSM-IV (SCID) analysis showed that altogether ICD-10 and DSM-IV had a relatively high diagnostic stability. Of the patients with an ICD-10 diagnosis of schizophrenia, 57% had a chronic course; 61% of the patients with a DSM-IV diag...Continue Reading

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Citations

Jul 3, 2008·European Archives of Psychiatry and Clinical Neuroscience·Hans-Jürgen Möller
Dec 5, 2008·European Archives of Psychiatry and Clinical Neuroscience·Hans-Jürgen Möller
Dec 19, 2012·International Review of Psychiatry·Wolfgang GaebelHelen-Rose Cleveland
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May 23, 2018·European Psychiatry : the Journal of the Association of European Psychiatrists·Grazia RutiglianoPaolo Fusar-Poli

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