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  • Title: [Treatment guidelines for non-schizophrenic psychotic disorders?].
    Author: Jäger M, Frasch K, Weinmann S, Becker T.
    Journal: Psychiatr Prax; 2007 Nov; 34(8):370-6. PubMed ID: 17806003.
    Abstract:
    OBJECTIVE: To provide an overview of diagnostics, outcome and treatment of "non-schizophrenic psychotic disorders" (ICD-10: delusional disorders, acute and transient psychotic disorders and schizoaffective disorders). METHODS: Literature was identified by searches in "Medline" and "Cochrane Database of Systematic Reviews". RESULTS: The frequency of "non-schizophrenic psychotic disorders" within the whole diagnostic group "schizophrenia, schizotypal and delusional disorders" (ICD-10) ranges between 22% and 49%. Patients with these disorders show a more favourable long-term outcome than those with schizophrenia. With regard to therapy, as yet only a small empirical database exists. The comparability of those studies is limited by the use of different diagnostic criteria. There are only few evidence-based treatment guidelines for these disorders. CONCLUSIONS: There is a substantial need for controlled studies on the treatment of "non-psychotic schizophrenic disorders". Alternatively, clinical guidelines could be based on a dichotomy of affective and schizophrenic disorders or on a dimensional approach.
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