Table 2 Description of the study sample.
Total (N = 992) | Schizophreniform syndrome (N = 456) | Affective syndrome (N = 536) | Statistics | |
---|---|---|---|---|
Sociodemographic and clinical findings | ||||
Sex | 445 male (45%): | 208 male (46%): | 237 male (44%): | Chi2 = 0.195 |
547 female (55%) | 248 female (54%) | 299 female (56%) | p = 0.659 | |
Age (range) in years | 42.75 ± 17.93 (from 18-90) | 35.30 ± 14.89 (from 18 to 90) | 49.10 ± 17.87 (from 18-90) | F = 21.110 p < 0.001 |
Syndromea | Schizophrenia spectrum (N = 456) (46%) Depressive spectrum (N = 455) (46%) Bipolar spectrum (N = 81) (8%) | Paranoid-hallucinatory: 238 (52%) Hebephrenic: 16 (4%) Catatonic: 10 (2%) Delusional disorders: 25 (5%) Schizoaffective: 122 (27%) - Depressive: 89 (73%) - Manic: 23 (19%) - Mixed: 10 (8%) Acute polymorphic psychotic: 25 (5%) Schizotypal: 3 (1%) Substance-induced psychosis: 7 (2%) Coenesthetic: 3 (0.7%) Undifferentiated/atypical: 3 (0.7%) Prodromal stage: 4 (0.9%) | Mild episode: 2 (0.5%) Moderate episode: 30(7%) Severe episode: 379 (92%) - with psychotic symptoms: 76 (20%) - without psychotic symptoms: 297 (80%) Unknown: 44 (10%) Bipolar, currently depressive: 48 (59%) Bipolar, currently manic: 19 (23%) Bipolar, currently mixed: 14 (17%) | - |
Clinical course | - | |||
First episode | 279 (28%) | 188 (41%) | 91 (17%) | |
Chronic (>2 years) | 259 (26%) | 122 (27%) | 137 (26%) | |
Recurrent | 445 (45%) | 145 (32%) | 300 (57%) | |
Unknown | 9 | 1 | 8 | |
Previous/current comorbid psychiatric disorders | ||||
Neurodevelopmental disorders (ADHD, autism, tic disorder) | 89 (9%) | 4 (0.9%) | 85 (16%) | |
Personality disorders | 43 (4%) | 1 (0.2%) | 42 (8%) | |
Substance abuse/dependence | 114 (11%) | 4 (0.9%) | 110 (21%) | |
Anxiety | 33 (3%) | 0 (0%) | 33 (6%) | |
OCD | 24 (2%) | 1 (0.2%) | 23 (4%) | |
PTSD | 18 (2%) | 0 (0%) | 18 (3%) | |
Cognitive disorders (MCI) | 41 (4%) | 1 (0.2%) | 40 (7%) | |
Sleep disturbances | 18 (2%) | 1 (0.2%) | 17 (3%) | |
Eating disorders | 16 (2%) | 1 (0.2%) | 15 (3%) | |
Somatoform disorder | 32 (2%) | 0 (0%) | 32 (6%) | |
Othersb | 9 (0.9%) | 1 (0.2%) | 8 (1%) | |
Previous/current comorbid neurological disorders | ||||
Neurovascular | 24 (2%) | 5 (1%) | 19 (4%) | |
Demyelinating | 3 (0.3%) | 1 (0.2%)c | 2 (0.4%)d | |
Extrapyramidal/movement disorders | 16 (2%) | 3 (1%) | 13 (2%) | |
Infectious | 6 (1%) | 1 (0.2%) | 5 (1%) | |
Tumors | 3 (0.3%) | 0 (0%) | 3 (0.6%) | |
Paroxysmal disorders | 19 (2%) | 8 (2%) | 11 (2%) | |
Traumatic injuries | 23 (2%) | 17 (4%) | 6 (1%) | |
Polyneuropathy | 20 (2%) | 1 (0.2%) | 19 (4%) | |
Migraine and other headache | 46 (5%) | 16 (4%) | 30 (6%) | |
Restless Legs Syndrome | 16 (2%) | 1 (0.2%) | 15 (3%) | |
Hydrocephalus | 11 (1%) | 3 (0.7%) | 8 (1%) | |
Others | 22 (2%) | 5 (1%) | 17 (4%) | |
Psychopharmacological treatment | ||||
Overall psychopharmaco-logical treatment | - | |||
Yes | 916 (94%) | 429 (96%) | 487 (93%) | |
No | 56 (6%) | 20 (4%) | 36 (7%) | |
Unknown | 20 | 7 | 13 | |
Antidepressants | - | |||
Overall | 518 (57%) | 116 (27%) | 402 (83%) | |
Tricyclic | 59 (6%) | 11 (3%) | 48 (10%) | |
SSRI, SNRI, NDRI, NARI | 451 (49%) | 105 (24%) | 346 (71%) | |
MAO inhibitors | 8 (0.9%) | 0 (0%) | 8 (2%) | |
Antipsychotics | - | |||
Overall | 671 (73%) | 412 (96%) | 259 (53%) | |
“Typical” | 142 (16%) | 82 (19%) | 60 (12%) | |
Low-potency | 100 (11%) | 52 (12%) | 48 (10%) | |
Medium-potency | 0 (0%) | 0 (0%) | 0 (0%) | |
High-potency | 42 (5%) | 30 (7%) | 12 (2%) | |
“Atypical” | 620 (68%) | 393 (92%) | 227 (47%) | |
Mood stabilizers | - | |||
Lithium | 149 (16%) | 35 (8%) | 114 (23%) | |
Anticonvulsants | 143 (16%) | 75 (17%) | 68 (14%) | |
Benzodiazepines | 146 (16%) | 75 (17%) | 71 (13%) | - |
Number of psycho-pharmacological medi-cation classes per patient | - | |||
Same class/only one drug | 378 (41%) | 191 (45%) | 187 (38%) | |
Two drugs | 325 (35%) | 150 (35%) | 175 (36%) | |
Three drugs | 165 (18%) | 70 (16%) | 95 (20%) | |
Four drugs | 45 (5%) | 15 (3%) | 30 (6%) | |
Five drugs | 3 (0.3%) | 3 (0.7%) | 0 (0%) |