Panglalah skizoafektif
| Kelainan skizoafektif | |
|---|---|
| Khusus | Psikiatri |
| Ceciren | |
| Komplikasi |
|
| Onset ketah | Yusa 16-30 warsa |
| Tipé | |
| Sebab ipun | Unknown[3] |
| Paktor risiko |
|
| Metode diagnostik | Penilaian psikiatri |
| Diagnosa matiosan |
|
| Patambaan | |
| Prognosa | Depends on the individual, medication response, and therapeutic support available |
| Prékuénsi | 0.3% |
Panglalah skizoafektif inggih punika gangguan mental sane kacihnayang antuk gejala skizofrenia ( psikosis ) lan gangguan mood, becik gangguan bipolar utawi depresi . [4] [5] Kriteria diagnostik sane utama inggih punika wentennyane gejala psikotik sane paling kidik kalih minggu nenten wenten gejala mood sane menonjol. [5] Gejala sane ketah minakadi halusinasi, delusi, bebaosan lan pikayunan sane nenten teratur, taler episode mood. [6] Gangguan skizoafektif sering prasida iwang kadiagnosis [5] ritatkala diagnosis sane patut minab depresi psikotik, gangguan bipolar I, gangguan skizofreniform, utawi skizofrenia. Puniki dados pikobet santukan pengobatan lan prognosis mabinayan pisan ring akehnyane diagnosis puniki. Akeh jadma sane keni gangguan skizoafektif madue gangguan mental sane lianan rumasuk gangguan kecemasan. [5] [7]
Wenten tiga wangun gangguan skizoafektif: tipe bipolar (utawi manik) (kacihnayang antuk gejala skizofrenia lan mania), tipe depresi (kacihnayang antuk gejala skizofrenia lan depresi), lan tipe campuran (kacihnayang antuk gejala skizofrenia, depresi, lan mania). [8] [9] [10] Halusinasi auditori, utawi "suara mirengang", sane pinih sering. [11] [12] Ngawit gejala biasane kakawitin ring masa remaja utawi masa dewasa muda. [13] Ring skala peringkat perkembangan gejala sane mapaiketan sareng spektrum skizofrenia, gangguan skizoafektif ngranjing ring pantaraning gangguan mood lan skizofrenia ring sajeroning keparahan. [14]
Genetika (sane katitenin ring widang genomik); pikobet sane wenten ring rangkaian saraf ; kronis ring pangawit, miwah stres lingkungan sane mangkin kronis utawi jangka pendek kacingak dados faktor kausal sane mabuat. [15] [16] [17] Nenten wenten asiki penyebab organik sane kaisolasi sane sampun kapanggihin, nanging wenten bukti sane ekstensif indik kelainan ring metabolisme tetrahidrobiopterin (BH4), dopamin, lan asam glutamat ring jadma sane keni skizofrenia, gangguan mood psikotik, lan gangguan skizoafektif. [18]
Sedek diagnosis gangguan skizoafektif arang, 0,3% ring populasi umum, [19] punika kabaos diagnosis umum ring pantaraning gangguan jiwa. [20] Diagnosis gangguan skizoafektif kadasarin antuk kriteria DSM-5, sane utamanyane kawangun antuk kawentenan gejala skizofrenia, mania, lan depresi, lan paiketan temporal pantaraning ipun.
Tetamban sane utama mangkin inggih punika tamba antipsikotik sane kaadungang sareng stabilizer suasana hati utawi antidepresan (utawi makakalih). Wenten rasa jejeh sane sayan nincap olih makudang-kudang peneliti indik antidepresan prasida nincapang psikosis, mania, lan bersepeda episode suasana hati jangka panjang ring gangguan punika. [ citation needed ] Yening wenten resiko majeng ring raga utawi anak tiosan, biasane ring pangawit perawatan, rawat inap minab perlu. [21] Rehabilitasi psikiatri, psikoterapi, lan rehabilitasi vokasi mabuat pisan anggen pemulihan fungsi psikososial sane tegehan . . Pinaka kelompok, jadma sane keni diagnosis gangguan skizoafektif nganggen kriteria DSM-IV lan ICD-10 (sane sampun kaanyarang ) madue pikolih sane becikan, [22] [23] nanging madue pikolih fungsional psikososial individu sane variabel yening saihang sareng jadma sane madue gangguan mood, saking sane kaon ngantos sane pateh. [23] [24] [ sumber non-primer kabuatang ] Pikolih majeng ring jadma sane keni diagnosis gangguan skizoafektif DSM-5 gumantung ring data saking studi kohort prospektif, sane durung puput. [23] Diagnosis DSM-5 kaanyarang santukan kriteria DSM-IV ngawinang nganggen diagnosis sane kalintang; [21] inggih punika, kriteria DSM-IV ngawinang akeh pasien sane iwang diagnosis antuk gangguan punika. Perkiraan prevalensi DSM-IV kirang saking siki persen saking populasi, ring kisaran 0,5-0,8 persen; [25] estimasi prevalensi DSM-5 sane anyaran durung wenten.
- ↑ "Schizoaffective disorder, bipolar type". www.icd10data.com.
- ↑ "Schizoaffective disorder, depressive type". www.icd10data.com.
- ↑ 3,0 3,1 "Schizoaffective Disorder Overview – Causes". www.nami.org.
- ↑ "F25 Schizoaffective disorders". ICD-10 Version:2010. World Health Organization.
- ↑ 5,0 5,1 5,2 5,3 Malaspina D, Owen MJ, Heckers S, Tandon R, Trump D, Schultz S, Barch DM, Gaebel W, Gur RE, Tsuang M, Van Os J, Carpenter W (May 2013). "Schizoaffective disorder in the DSM-5". Schizophrenia Research. 150 (1): 21–5. doi:10.1016/j.schres.2013.04.026. PMID 23707642.
- ↑ Brannon, Guy E; Bienenfeld, David; Talavera, Francisco (9 September 2013). "Schizoaffective Disorder". WebMD. Cite journal requires
|journal=(help); Check date values in:|date=(help) - ↑ Kaplan, HI; Saddock, VA (2007). Synopsis of Psychiatry. New York: Lippincott, Williams & Wilkins. ISBN 978-0-7817-7327-0.
- ↑ "F25 Schizoaffective disorders". ICD-10 Version:2010. World Health Organization.
- ↑ Malaspina D, Owen MJ, Heckers S, Tandon R, Trump D, Schultz S, Barch DM, Gaebel W, Gur RE, Tsuang M, Van Os J, Carpenter W (May 2013). "Schizoaffective disorder in the DSM-5". Schizophrenia Research. 150 (1): 21–5. doi:10.1016/j.schres.2013.04.026. PMID 23707642.
- ↑ "Schizoaffective disorder". Royal College of Psychiatrists (ring Inggris). Kaaksés 2022-09-30.
- ↑ Martin LF, Hall MH, Ross RG, Zerbe G, Freedman R, Olincy A (December 2007). "Physiology of schizophrenia, bipolar disorder, and schizoaffective disorder". The American Journal of Psychiatry. 164 (12): 1900–6. doi:10.1176/appi.ajp.2007.06010017. PMID 18056246.
- ↑ Startup H, Freeman D, Garety PA (19 June 2006). "Persecutory delusions and catastrophic worry in psychosis: developing the understanding of delusion distress and persistence". Behaviour Research and Therapy. 45 (3): 523–537. doi:10.1016/j.brat.2006.04.006. PMID 16782048.
- ↑ "Schizoaffective Disorder in Children and Adolescents". www.mindyra.com (ring Inggris). Kaarsipin saking versi asli tanggal 2024-11-30. Kaaksés 2022-09-30.
- ↑ Vardaxi, Chrysoula Ch.; Gonda, Xenia; Fountoulakis, Konstantinos N. (2018-02-01). "Life events in schizoaffective disorder: A systematic review". Journal of Affective Disorders (ring Inggris). 227: 563–570. doi:10.1016/j.jad.2017.11.076. ISSN 0165-0327. PMID 29172048.
- ↑ Kempf, L. (11 July 2009). "Mood disorder with psychotic features, schizoaffective disorder, and schizophrenia with mood features: Trouble at the borders". International Review of Psychiatry. 17 (1): 9–19. doi:10.1080/09540260500064959. PMID 16194767 – saking Taylor & Francis.
- ↑ American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (ring Inggris) (édisi ka-Fifth). Arlington, VA: American Psychiatric Publishing. ISBN 9780890425558.
- ↑ Munk Laursen, Thomas (16 June 2009). "Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia Overlap: A New Comorbidity Index". The Journal of Clinical Psychiatry. 70 (10) – saking Psychiatrist.com.
- ↑ Archibald, Luke (20 December 2019). "Alcohol Use Disorder and Schizophrenia or Schizoaffective Disorder". Alcohol Research: Current Reviews. 40 (1). doi:10.35946/arcr.v40.1.06. PMC 6927747. PMID 31886105 – saking NIH.
- ↑ Marneros, Andreas (30 June 2012). "Schizoaffective Disorder". Korean Journal of Schizophrenia Research. 15 (1): 5–12. doi:10.16946/kjsr.2012.15.1.5 – saking KoreaMed Synapse.
- ↑ Joshi, Kruti; Lin, Jay; Lingohr-Smith, Melissa; Fu, Dong-Jing; Muser, Erik (October 2016). "Treatment Patterns and Antipsychotic Medication Adherence Among Commercially Insured Patients With Schizoaffective Disorder in the United States". Journal of Clinical Psychopharmacology (ring Inggris). 36 (5): 429–435. doi:10.1097/JCP.0000000000000549. ISSN 0271-0749. PMC 5017269. PMID 27525965.
- ↑ 21,0 21,1 Becker, T.; Kilian, R. (2006). "Psychiatric services for people with severe mental illness across western Europe: what can be generalized from current knowledge about differences in provision, costs and outcomes of mental health care?". Acta Psychiatrica Scandinavica. Supplementum. 113 (429): 9–16. doi:10.1111/j.1600-0447.2005.00711.x. PMID 16445476.
- ↑ "F25 Schizoaffective disorders". ICD-10 Version:2010. World Health Organization.
- ↑ 23,0 23,1 23,2 Malaspina D, Owen MJ, Heckers S, Tandon R, Trump D, Schultz S, Barch DM, Gaebel W, Gur RE, Tsuang M, Van Os J, Carpenter W (May 2013). "Schizoaffective disorder in the DSM-5". Schizophrenia Research. 150 (1): 21–5. doi:10.1016/j.schres.2013.04.026. PMID 23707642.
- ↑ Jäger M, Bottlender R, Strauss A, Möller HJ (2004). "Fifteen-year follow-up of ICD-10 schizoaffective disorders compared with schizophrenia and affective disorders". Acta Psychiatrica Scandinavica. 109 (1): 30–7. doi:10.1111/j.0001-690x.2004.00208.x. PMID 14674956.
- ↑ Jeffrey, Susan (26 May 2009). "APA 2009: DSM on Track for 2012, But Difficult Decisions Lie Ahead". Medscape Medical News. WebMD. Kaaksés 3 August 2009.