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The natural history of schizophrenia: a 5-year prospective follow-up of a representative sample of schizophrenics by means of a standardized clinical and social assessment

Published online by Cambridge University Press:  09 July 2009

D. C. Watt ,
K. Katz  and
M. Shepherd
D. C. Watt
Affiliation:
St John's Hospital, Stone, Nr Aylesbury; and the Institute of Psychiatry, London
K. Katz
Affiliation:
St John's Hospital, Stone, Nr Aylesbury; and the Institute of Psychiatry, London
M. Shepherd*
Affiliation:
St John's Hospital, Stone, Nr Aylesbury; and the Institute of Psychiatry, London
*
1Address for correspondence: Professor M. Shepherd. Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF.
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Synopsis

A comprehensive, representative cohort of 121 schizophrenics from a delimited catchment area, hospitalized in the course of 20 months (1973–4) and who met PSE criteria, was collected for a therapeutic trial (1976–6) in which, during the year after discharge, standardized clinical and social assessments has been made by personal interview at home. Standardized observations were repeated 4 years later. Follow-up was 99% complete. 48% of the cohort and 58% of the first admissions had a good outcome. Females fared significantly better than males.

Type
Preliminary Communications
Information
Psychological Medicine , Volume 13 , Issue 3 , August 1983 , pp. 663 - 670
Copyright
Copyright © Cambridge University Press 1983

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References

Affleck, J. W., Burns, J. & Forrest, A. D. (1976). Long-term follow-up of schizophrenic patients in Edinburgh. Acta Psychiatrica Scandinavica 53, 227–237.CrossRefGoogle ScholarPubMed
Bleuler, M. (1972). Die schizophrenen Geistesstörungen im Lichte langjährigher Kranken und Familiengeschichten. Thieme: Stuttgart.Google Scholar
Ciompi, L. (1980). The natural history of schizophrenia in the long-term. British Journal of Psychiatry 136, 413–420.CrossRefGoogle ScholarPubMed
Falloon, I., Watt, D. C. & Shepherd, M. (1978 a). A comparative controlled trial of pimozide and fluphenazine decanoate in the continuation therapy of schizophrenia. Psychological Medicine 8, 59–70.CrossRefGoogle ScholarPubMed
Falloon, I., Watt, D. C. & Shepherd, M. (1978 b). The social outcome of patients in a trial of long-term continuation therapy in schizophrenia: pimozide vs. fluphenazine. Psychological Medicine 8, 265–274.CrossRefGoogle Scholar
Hogarty, G. E., Goldberg, S. C., Schooler, N. R. & Ulrich, R. F. (1974). Drug and sociotherapy in the after-care of schizophrenic patients. II: Two-year relapse rates. Archives of General Psychiatry 31, 603–608.CrossRefGoogle ScholarPubMed
Huber, G., Gross, G. & Schüttler, R. (1975). A long-term follow-up study of schizophrenia: psychiatric course of illness and prognosis. Acta Psychiatrica Scandinavica 52, 49–57.CrossRefGoogle ScholarPubMed
Lewis, A. (1936). Manic depressive psychoses. Journal of Mental Science 82, 488–557.CrossRefGoogle Scholar
Lilienfield, A. M. & Lilienfield, D. E. (1980). Foundations of Epidemiology (second edn). Oxford University Press: Oxford.Google Scholar
May, P. R. A., Tuma, A. H. & Kraude, W. (1965). Community follow-up of treatment of schizophrenia – issues and problems. American Journal of Orthopsychiatry 35, 754–763.CrossRefGoogle ScholarPubMed
May, P. R. A., Tuma, A. H. & Dixon, W. J. (1976). Schizophrenia: a follow-up study of results of treatment. I: Design and other problems. Archives of General Psychiatry 33, 474–480.CrossRefGoogle ScholarPubMed
Renton, C. A., Affleck, J. W., Carstairs, G. M. & Forrest, A. D. (1963). A follow-up of schizophrenic patients in Edinburgh. Acta Psychiatrica Scandinavica 39. 548–600.CrossRefGoogle ScholarPubMed
Shapiro, R. & Shader, R. (1979). Selective review of results of previous studies of schizophrenia and other psychoses. In Schizophrenia: An International Follow-up Study (World Health Organization), pp. 11–43. Wiley: Chichester.Google Scholar
Shepherd, M. (1957). A Study of the Major Psychoses in an English County. Chapman and Hall: London.Google Scholar
Stephens, J. H. (1978). Long-term prognosis and follow-up in schizophrenia. Schizophrenia Bulletin 4, 25–47.CrossRefGoogle ScholarPubMed
Stevens, B. C. (1972). The dependence of schizophrenic patients on elderly relatives. Psychological Medicine 2, 17–32.CrossRefGoogle ScholarPubMed
Teschke, G. C. (1972). Review of: Bleuler, M. Die schizophrenen Geistesstörungen im Lichte langjährigher Kranken und Familiengeschichten. Schizophrenia Bulletin 4, 48–55.Google Scholar
Watt, D. C. & Szulecka, T. K. (1979). The effect of sex, marriage and age at first admission on the hospitalisation of schizophrenics during 2 years following discharge. Psychological Medicine 9, 529–540.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
World Health Organization (1979). Schizophrenia: An International Follow-up Study. Wiley: Chichester.Google Scholar