II. Model: Classic Schizophrenia Typing

  1. Paranoid Schizophrenia
    1. Delusions
    2. Frequent Auditory Hallucinations
    3. Intact cognitive function and affect
  2. Disorganized Schizophrenia
    1. Disorganized Speech and behavior
    2. Inappropriate or flat affect
  3. Catatonic Schizophrenia (2 or more of the following)
    1. Immobility (stupor or Catalepsy)
    2. Posturing, grimacing or other mannerisms
    3. Stereotyped movements (excessive and purposeless)
    4. Echolalia or Echopraxia
    5. Extreme Negative Symptoms in Psychosis
      1. Resistance to instructions
      2. Rigid Posture
      3. Mutism
  4. Residual Schizophrenia
    1. Persistent Negative Symptoms in Psychosis
      1. Poverty of speech
      2. Flat affect
    2. Attenuated Positive Symptoms in Psychosis
      1. Mild Hallucinations or Delusions
      2. Eccentric behavior
      3. Odd beliefs
      4. Mildly Disorganized Speech
  5. Undifferentiated Schizophrenia
    1. Not paranoid, disorganized, or Catatonic type

III. Model: Alternative Three-Factor Classification

  1. Type
    1. Psychotic
    2. Disorganized
    3. Negative (deficit)
  2. Severity
    1. Absent
    2. Mild
    3. Moderate
    4. Severe

IV. References

  1. (2013) DSM V, American Psychiatric Association, p. 99
  2. (2000) DSM IV, American Psychiatric Association, p. 297-343
  3. Freedman (2003) N Engl J Med 349:1738-49 [PubMed]
  4. Schultz (2007) Am Fam Physician 75:1821-9 [PubMed]

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Related Studies

Ontology: Schizophrenia, Disorganized (C0036347)

Definition (NCI) A subtype of schizophrenia characterized by disorganized speech, disorganized behavior, and a flat or inappropriate affect; associated features include grimacing, mannerisms, and other oddities of behavior. Criteria for the catatonic type of schizophrenia are not met.
Definition (MSH) A type of schizophrenia characterized by frequent incoherence; marked loosening of associations, or grossly disorganized behavior and flat or grossly inappropriate affect that does not meet the criteria for the catatonic type; associated features include extreme social withdrawal, grimacing, mannerisms, mirror gazing, inappropriate giggling, and other odd behavior. (Dorland, 27th ed)
Concepts Mental or Behavioral Dysfunction (T048)
MSH D012562
ICD9 295.1
ICD10 F20.1
SnomedCT 35252006, 154867004, 192320001, 191541005, 191535003
DSM4 295.10
English Disorganized Schizophrenia, Disorganized Schizophrenias, Hebephrenic Schizophrenia, Hebephrenic Schizophrenias, Schizophrenia, Disorganized, Schizophrenia, Hebephrenic, Schizophrenias, Disorganized, Schizophrenias, Hebephrenic, Disorganized type schizophrenia, Hebephrenia, Schizophrenia, Disorganized Type, Hebephrenia - unspecified, Hebephrenic schizophrenia NOS, Unspecified hebephrenic schizophrenia, hebrephrenic schizophrenia, disorganized schizophrenia (diagnosis), disorganized type schizophrenic disorders, disorganized schizophrenia, Schizophrenia, disorganised type, Hebephrenic type schizophrenia, Schizophrenia, Disorganized [Disease/Finding], disorganized schizophrenia type, hebephrenic schizophrenia, schizophrenia disorganized, Hebephrenic schizophrenia, Hebephrenic schizophrenia (disorder), Hebephrenic schizophrenia NOS (disorder), Unspecified hebephrenic schizophrenia (disorder), Hebephrenic schizophrenia (diagnosis), schizophrenia hebephrenic, Disorganised schizophrenia, Disorganized schizophrenia, Disorganized schizophrenia (disorder), hebephrenia, disorganized; schizophrenic, hebephrenic; schizophrenic, schizophrenia; disorganized, schizophrenia; hebephrenic, Disorganized schizophrenia, NOS, Schizophrenia (Disorganized Type), Disorganized Type Schizophrenia, Schizophrenia, disorganized type
Italian Schizofrenia, tipo disorganizzato, Ebefrenia, Schizofrenia tipo ebefrenico, Schizofrenia tipo disorganizzato, Schizofrenia ebefrenica, Schizofrenia disorganizzata
Dutch hebefrenie, gedesorganiseerde type schizofrenie, hebefrenische schizofrenie, hebefrenische type schizofrenie, gedesorganiseerde schizofrenie, gedesorganiseerd; schizofrenie, hebefreen; schizofrenie, schizofrenie; gedesorganiseerd, schizofrenie; hebefreen, schizofrenie, gedesorganiseerde type, Hebefrene schizofrenie, Schizofrenie, gedesorganiseerde, Schizofrenie, hebefrene
French Schizophrénie type désorganisé, Schizophrénie de type hébéphrénique, Schizophrénie type désorganisée, Schizophrénie de type désorganisé, Schizophrénie désorganisée, Schizophrénie hébéphrénique, Hébéphrénie
German hebephrene Form der Schizophrenie, disorganisierte Schizophrenie, hebephrene Schizophrenie, Hebephrenie, Schizophrenie, desorganisierter Typus, Hebephrene Schizophrenie, Schizophrenie, desorganisierte, Schizophrenie, hebephrene
Portuguese Esquizofrenia de tipo hebefrénico, Hebefrenia, Esquizofrenia desorganizada, Esquizofrenia de tipo desorganizado, Esquizofrenia hebefrénica, Esquizofrenia Hebefrênica
Spanish Esquizofrenia desorganizada, Esquizofrenia de tipo desorganizado, Hebefrenia, Esquizofrenia hebefrénica, Esquizofrenia de tipo hebefrénico, esquizofrenia hebefrénica no especificada, esquizofrenia hebefrénica no especificada (trastorno), esquizofrenia hebefrénica, SAI, esquizofrenia hebefrénica, SAI (trastorno), esquizofrenia desorganizada (trastorno), esquizofrenia desorganizada, Esquizofrenia, tipo desorganizada, Esquizofrenia Desorganizada, Esquizofrenia Hebefrénica
Japanese 統合失調症、解体型, ハカガタトウゴウシッチョウショウ, ハカビョウ, トウゴウシッチョウショウカイタイガタ, カイタイガタトウゴウシッチョウショウ, 解体型精神分裂病, 統合失調症-崩壊型, 崩壊型精神分裂病, 破瓜型分裂病, 破瓜病, 精神分裂病-崩壊型, 解体型分裂病, 分裂病-破瓜型, 分裂病-解体型, 崩壊型統合失調症, 破瓜型精神分裂病, 破瓜型統合失調症, 精神分裂病-破瓜型, 精神分裂病-解体型, 統合失調症-破瓜型, 統合失調症-解体型, 解体型統合失調症
Swedish Schizofreni, desorienterad
Finnish Hebefreeninen skitsofrenia
Czech Dezorganizovaná schizofrenie, Schizofrenie, dezorganizovaný typ, Dezorganizovaný typ schizofrenie, Hebefrenie, Hebefrenní schizofrenie, Hebefrenní typ schizofrenie, hebefrenie, dezorganizovaná schizofrenie, hebefrenní schizofrenie, schizofrenie dezorganizovaná
Korean 파과형 정신분열병
Polish Hebefrenia, Schizofrenia rozkojarzeniowa, Schizofrenia zdezorganizowana, Postać zdezorganizowana schizofrenii
Hungarian Dezorganizált schizophrenia, Hebephrenia, Dezorganizált típusú schizophrenia, Hebephreniás típusú schizophrenia, Hebephreniás schizophrenia, Schizophrenia, dezorganizált típus
Norwegian Desorientert schizofreni, Schizofreni, desorientert

Ontology: Paranoid Schizophrenia (C0036349)

Definition (NCI) A subtype of schizophrenia characterized by prominent delusions (typically persecutory or grandiose) or hallucinations in the context of a relative preservation of cognitive functioning and affect.
Definition (MSH) A chronic form of schizophrenia characterized primarily by the presence of persecutory or grandiose delusions, often associated with hallucination.
Definition (PSY) Type of schizophrenia characterized by grandiosity, suspiciousness, and delusions of persecution, often with hallucinations.
Definition (CSP) psychotic behavior accompanied simultaneously by persecutory or grandiose delusions (paranoia) and hallucinations (schizophrenia); delusional jealousy may be present.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D012563
ICD9 295.30, 295.3
ICD10 F20.0
SnomedCT 154865007, 191551006, 192330005, 191557005, 268748000, 192319007, 154869001, 268747005, 64905009
DSM4 295.30
English Schizophrenia, paranoid type, Paranoid Schizophrenia, Paranoid Schizophrenias, Schizophrenia, Paranoid, Schizophrenias, Paranoid, Paranoid type schizophrenia, PARANOID TYPE SCHIZOPHRENIA, Schizophrenia, Paranoid Type, Paranoid schizo.- unspecified, Paranoid schizophrenia NOS, Paranoid type schizophrenia, unspecified state, Unspecified paranoid schizophrenia, paranoid schizophrenia, paranoid schizophrenia (diagnosis), paraphrenic schizophrenia, Paranoid schizo-unspec, Schizophrenia, Paranoid [Disease/Finding], paranoid schizophrenia type, schizophrenia paranoid type, schizophrenia paranoid, Schizophrenia;paranoid, Paranoid type schizophrenia, unspecified, [X]Paraphrenia - late, Unspecified paranoid schizophrenia (disorder), Paranoid schizophrenia NOS (disorder), Paranoid schizophrenia, Paraphrenic schizophrenia, Paranoid schizophrenia (disorder), paranoid; schizophrenia, paraphrenic; schizophrenic, schizophrenia; paranoid, schizophrenia; paraphrenic, Paranoid schizophrenia, NOS, Paranoid Type Schizophrenia
Italian Schizofrenia, tipo paranoide, Schizofrenia tipo paranoide, stato non specificato, Schizofrenia tipo paranoide, Schizofrenia paranoide
Dutch paranoïde schizofrenie, paranoïde type schizofrenie, paranoïde type schizofrenie, niet-gespecificeerde toestand, parafreen; schizofrenie, paranoïd; schizofrenie, schizofrenie; parafreen, schizofrenie; paranoïd, schizofrenie, paranoïde type, Waanstoornis, Paranoïde schizofrenie, Schizofrenie, paranoïde
French Schizophrénie type paranoïde, état non précisé, Schizophrénie paraphrénique, Psychose hallucinatoire chronique, Schizophrénie type paranoïde, Schizophrénie de type paranoïde, Schizophrénie paranoïde
German paranoide Form der Schizophrenie,unspezifischer Zustand, paranoide Schizophrenie, paranoide Form der Schizophrenie, Schizophrenie, paranoider Typus, Paranoide Schizophrenie, Schizophrenie, paranoide
Portuguese Esquizofrenia de tipo paranóide, Esquizofrenia de tipo paranóide, estado NE, Esquizofrenia Paranoide, Esquizofrenia paranóide
Spanish Esquizofrenia de tipo paranoide, Esquizofrenia paranoide, Esquizofrenia de tipo paranoide, estado no especificado, esquizofrenia paranoide, SAI, esquizofrenia paranoide no especificada (trastorno), esquizofrenia paranoide, SAI (trastorno), esquizofrenia paranoide no especificada, esquizofrenia paranoide (trastorno), esquizofrenia paranoide, Esquizofrenia, tipo paranoide, Esquizofrenia Paranoide
Japanese 妄想型統合失調症、状態像詳細不明, 統合失調症、妄想型, トウゴウシッチョウショウモウソウガタ, モウソウガタトウゴウシッチョウショウ, モウソウガタトウゴウシッチョウショウジョウタイゾウショウサイフメイ, 統合失調症-妄想型, 精神分裂病-偏執型, 偏執分裂病, 偏執型分裂病, 偏執型精神分裂病, 偏執精神分裂病, 妄想分裂病, 妄想型分裂病, 妄想型精神分裂病, 妄想性分裂病, 妄想性精神分裂病, 妄想精神分裂病, 偏執型統合失調症, 偏執統合失調症, 分裂病-偏執型, 分裂病-妄想性, 妄想型統合失調症, 妄想性統合失調症, 妄想統合失調症, 精神分裂病-妄想型, 精神分裂病-妄想性, 統合失調症-偏執型, 統合失調症-妄想性
Swedish Schizofreni, paranoid
Finnish Paranoidinen skitsofrenia
Czech Schizofrenie, paranoidní typ, Paranoidní schizofrenie, Paranoidní typ schizofrenie, Paranoidní typ schizofrenie, blíže neurčený stav, paranoidní schizofrenie, schizofrenie paranoidní
Korean 편집성 정신분열병
Polish Schizofrenia paranoidalna, Postać paranoidalna schizofrenii
Hungarian Schizophrenia, paranoid típus, Paranoid típusú schizophrenia, nem meghatározott állapot, Paranoid típusú schizophrenia, Paranoid schizophrenia
Norwegian Schizofreni, paranoid, Paranoid schizofreni

Ontology: Residual schizophrenia (C0036351)

Definition (NCI) A subtype of schizophrenia in which the individual has suffered an episode of schizophrenia but there are no longer any delusions, hallucinations, disorganized speech or behavior. Residual symptoms are seen in the form of negative symptoms (such as flat affect or avolition) or attenuated positive symptoms (such as odd beliefs).
Concepts Mental or Behavioral Dysfunction (T048)
ICD9 295.60, 295.6
ICD10 F20.5
SnomedCT 192324005, 26025008
DSM4 295.60
English Schizophrenia, Residual Type, Schizophrenia, residual type, Residual schizophrenia, unspecified state, residual schizophrenia (diagnosis), residual schizophrenia, schizophrenic residual state, Schizophrenia residual, Schizophr dis resid NOS, Restzustand (schizophrenic), Schizophrenic residual state, residual schizophrenia type, schizophrenia residual, residual type schizophrenia, schizophrenia residual type, Schizophrenic disorders, residual type, unspecified, Residual schizophrenia, Restzustand, Residual schizophrenia (disorder), Restzustand; schizophrenic, residual schizophrenic; state, residual; schizophrenic, schizophrenia; Restzustand, schizophrenia; residual, state; residual schizophrenic, Residual schizophrenia, NOS, Schizophrenia (Residual Type), Residual Type Schizophrenia, Restzustand, schizophrenic, Residual type schizophrenic disorders
Italian Schizofrenia, tipo residuale, Schizofrenia residuale, Schizofrenia residuale, stato non specificato
Dutch resttype schizofrenie, niet-gespecificeerde toestand, schizofrenie resttype, resttype schizofrenie, Restzustand; schizofrenie, rest; schizofrenie, schizofrene resttoestand; toestand, schizofrenie; Restzustand, schizofrenie; rest, toestand; schizofrene resttoestand, Schizofrene resttoestand, schizofrenie, resttype
French Schizophrénie résiduelle, Schizophrénie résiduelle, état non précisé, Schizophrénie type résiduel
German Residualschizophrenie, Residualschizophrenie, unspezifischer Zustand, Schizophrenes Residuum, Schizophrenie, residualer Typus
Portuguese Esquizofrenia residual, estado NE, Esquizofrenia residual
Spanish Esquizofrenia residual, estado no especificado, Esquizofrenia residual, esquizofrenia residual (trastorno), esquizofrenia residual, Esquizofrenia, tipo residual
Japanese 残遺型統合失調症, 残遺型統合失調症、状態像詳細不明, 統合失調症、残遺型, ザンイガタトウゴウシッチョウショウ, ザンイガタトウゴウシッチョウショウジョウタイゾウショウサイフメイ, トウゴウシッチョウショウザンイガタ
Czech Reziduální schizofrenie, Schizofrenie, reziduální typ, Reziduální schizofrenie, blíže neurčený stav, Schizofrenie reziduální
Korean 잔류형 정신분열병
Hungarian Residualis schizophrenia, Residualis schizophrenia, nem meghatározott állapot, Schizophrenia, residualis típus

Ontology: Catatonic type schizophrenia, unspecified state (C0375158)

Concepts Mental or Behavioral Dysfunction (T048)
ICD9 295.20
English Catatonic type schizophrenia, unspecified state, Catatonia-unspec, Catatonic type schizophrenia, unspecified
Dutch katatone type schizofrenie, niet-gespecificeerde toestand
French Schizophrénie type catatonique, état non précisé
German katatonische Form der Schizophrenie, unspezifischer Zustand
Italian Schizofrenia tipo catatonico, stato non specificato
Portuguese Esquizofrenia tipo catatónico, estado NE
Spanish Esquizofrenia de tipo catatónico, estado no especificado
Japanese 緊張型統合失調症、状態像詳細不明, キンチョウガタトウゴウシッチョウショウジョウタイゾウショウサイフメイ
Czech Katatonní typ schizofrenie, blíže neurčený stav
Hungarian Catatoniás típusú schizophrenia, nem meghatározott állapot