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Evaluating clinicians' representations of schizoaffective disorder
Institution:1. Zagreb University Hospital Centre, Zagreb, Croatia;2. Zagreb School of Medicine, Zagreb, Croatia;3. East London NHS Foundation Trust, London, UK;4. Westphalian Wilhelms-University Muenster and University Hospital Muenster, Department of Psychiatry and Psychotherapy, Muenster, Germany;5. Institute of Neuropsychiatric Care (INEP), Prague, Czech Republic;6. Department of Psychiatry, First Faculty of Medicine, Charles University, Prague, Czech Republic;7. School of Medicine, University of Belgrade, Belgrade, Serbia;8. Clinic for Psychiatry, Clinical Center of Serbia, Belgrade, Serbia;9. Psychiatric University Hospital Zurich, Zurich, Switzerland;10. University Psychiatric Hospital Vrapce, Zagreb, Croatia;11. Psychiatric Hospital Ivan Barbot, Popovaca, Croatia;12. Rijeka University Hospital Centre, Rijeka, Croatia;1. School of Medicine, Deakin University, Geelong, Australia;2. Department of Psychiatry, The University of Melbourne, Parkville, Australia;3. Orygen Research Centre, Parkville, Australia;4. Florey Institute for Neuroscience and Mental Health, Parkville, Australia;5. Monash Alfred Psychiatry Research Centre, The Alfred Hospital and Monash University Central Clinical School, Commercial Road, Melbourne, VIC 3004, Australia;6. Parc de Salut Mar, Institute of Neuropsychiatry and Addictions, Passeig Marítim 25–29, 08003 Barcelona, Spain;7. Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;1. Departments of Biobehavioral Health and Medicine, Pennsylvania State University, University Park, PA, United States;2. Department of Psychological Sciences, University of California, Merced, CA, United States;3. Department of Biobehavioral Health, Pennsylvania State University, University Park, PA, United States
Abstract:BackgroundSchizoaffective disorder (SAD) has routinely exhibited poor diagnostic accuracy and reliability. In addition to phenomenological problems with the definition of SAD, the way in which clinicians represent the symptoms of the disorder could contribute to its poor diagnostic outcomes.PurposeThe present study sought to examine clinicians' representations of SAD compared to schizophrenia (SCZ), bipolar disorder with psychotic features (BiPD-PSY), and major depressive disorder with psychotic features (MDD-PSY).MethodParticipants (N = 113) were clinicians recruited via email as part of a larger study. They were randomly assigned to either select symptoms from a predetermined criteria list or freely list features of the disorders based on their own mental representations.ResultsParticipants' conceptualizations of SAD were not entirely congruent with DSM-5 criteria; they conceptualized it as less psychotic than SCZ and less affective than the two mood disorder tasks. SAD was conceptualized as significantly more depressive than manic.ConclusionsThis study's findings support the notion that clinicians' conceptualizations of SAD are not entirely congruent with its DSM-5 criteria, which could contribute to diagnostic difficulties.
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