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Details

Autor(en) / Beteiligte
Titel
Heterogeneity of outcomes in schizophrenia: 3-year follow-up of treated prevalent cases
Ist Teil von
  • British journal of psychiatry, 2004-01, Vol.184 (1), p.48-57
Ort / Verlag
England: RCP
Erscheinungsjahr
2004
Quelle
Applied Social Sciences Index & Abstracts (ASSIA)
Beschreibungen/Notizen
  • Care for people with schizophrenia should address a wide range of outcomes, including professional and consumer perspectives. To measure changes in psychopathology, functioning, needs for care and quality of life; to develop predictive models for each outcome domain; and to assess the frequency of 'good'and'poor' outcomes, as defined in a series of different definitions that use combinations of the four domains measured. Three-year follow-up of a 1-year-treated prevalence cohort of 107 patients with an ICD-10 diagnosis of schizophrenia attending the South Verona community-based mental health service. Mean symptom severity and some types of needs for care worsen, but quality of life shows no change. Functioning shows a non-significant trend to deteriorate. Between 32% and 42% of the variance in the four key outcomes was explained by our model. Different definitions of 'good'and 'poor' outcome included 0-31% of patients, depending on the definition used. The 3-year outcome for schizophrenia depends on the domain of outcome used, whether staff or patient ratings are used and the stringency of the definitions used for good and poor outcome.

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