This paper describes the 13-year outcome of an epidemiologically defined and representative cohort of patients selected when they were experiencing their first episode of schizophrenia.
In a 13-year follow-up study of a cohort identified in Nottingham in 1978-80, the outcome (symptoms, disability, residence and treatment) was assessed using standardised instruments.
Four of the original 67 patients with ICD-9 schizophrenia were lost to follow-up and five were dead : 52% were without psychotic symptoms in the last two years of follow-up, 52% were without negative symptoms and 55% showed good/fair social functioning.
However, only 17% were alive at follow-up, without symptoms and disability, and receiving no treatment.
The findings reported are similar to those of other long-term follow-up studies of schizophrenia and also to 5-year follow-up studies.
Kraepelin's emphasis on the longitudinal implications of a diagnosis of schizophrenia are supported, but may be over-pessimistic.
Mots-clés Pascal : Schizophrénie, Psychose, Etude cohorte, Etude longitudinale, Long terme, Evolution, Enquête, Epidémiologie, Royaume Uni, Europe, Symptomatologie, Statut social, Traitement, Homme
Mots-clés Pascal anglais : Schizophrenia, Psychosis, Cohort study, Follow up study, Long term, Evolution, Inquiry, Epidemiology, United Kingdom, Europe, Symptomatology, Social status, Treatment, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0016671
Code Inist : 002B18C06A. Création : 01/03/1996.