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Schizoaffective Disorder: Criteria and Prevalence-Reply

Norman E. Rosenthal, MD; Leora N. Rosenthal, PhD; Frank Stallone, PhD; David L. Dunner, MD; Ronald R. Fieve, MD
Arch Gen Psychiatry. 1981;38(7):844. doi:10.1001/archpsyc.1981.01780320124019.
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ABSTRACT

Only those patients with

Schneiderian first-rank symptoms other than audible thoughts were included in our RDC + schizoaffective group. Our original assertions about the numbers of patients in each subgroup are correct; that is, of 71 bipolar patients, 25 (35%) met RDC criteria for schizoaffective disorder, 21 by virtue of having at least one of the first-rank symptoms (not including "audible thoughts") in conjunction with a major affective syndrome. We maintain, therefore, that the differences we reported between RDC + and RDC- groups do not refer merely to "Schneiderian +" vs "Schneiderian -" patients. However, the reader's careful inspection of our report has helped us to uncover an error in our table on the frequency of Schneiderian first-rank symptoms (Table 3 in the article). The frequency of the actual symptoms was underreported in our article and should have been shown as in the Table. The total number of first-rank symptoms exceeds the number

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