SCHIZOAFFECTIVE PSYCHOSES MANIFESTED AT JUVENILE AGE

141 patients with schizoaffective psychosis were observed: 70 patients in the period of the first manifest attack and 71 ones 10-20 years af ter it (catamnestic group). It was found that juvenile schizoaffective psychosis is clinically heterogenous endogenous disease, presenting i n a continuum of forms in the range from the ones close to affective p sychosis to the forms closer to shift-like progredient schizophrenia. The course of the psychosis was determined by peculiarities of nonaffe ctive delirious disorders in clinical picture of manifest attacks. 3 m ain variants of such attacks are recognized: with domination of delusi on of imagination (the 1st type); with domination of a delusion of per ception (the 2nd type); with domination of a delirium of perception co mbined with manifestations of acute interpretative delirium (the 3d ty pe). The 1st and 2nd types of manifest attacks correspond to ICD-10 cr iteria of schizoaffective psychosis. The course and outcome of juvenil e schizoaffective psychosis were less favourable than those of analogo us psychosis in adult age.