Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-24T11:13:53.207Z Has data issue: false hasContentIssue false
  • English
  • Français

Fully recovered schizophrenics compared to chronic patients on premorbid and treatment characteristics

Published online by Cambridge University Press:  28 April 2020

BR Rund  and
AK Torgalsbøen
BR Rund
Affiliation:
Dikemark Hospital, Department 8; and University of Oslo
AK Torgalsbøen
Affiliation:
Dikemark Hospital Department 2, 1385Solberg, Norway
Get access

Summary

Ten fully recovered schizophrenics (Group A) were compared to 10 chronic schizophrenic patients (Group B) on several variables concerning premorbid adjustment, family interaction, hospitalization, and treatment. Patients in Group A were clearly, but not statistically significantly better than patients in Group B on premorbid adjustment. Likewise, a clear tendency toward an earlier onset of the illness in Group B patients was found. There were also differences between the 2 groups on some family interaction variables, firstly with regard to leadership in the farnily and parent capability for empathy and ability to give love and care. The most important differences were found, however, with respect to treatment. Almost all patients in Group A had been in psychotherapy, while this was only the case for 2 patients in Group B. Patients in Group A attached great importance to the psychotherapeutic treatment, and some also to their religious belief and/or the psychological support from their spouse, in explaining why they had been cured from the illness.

Résumé

Résumé

Dix patients schizophrènes complètement guéris (Groupe A) ont été comparés à 10 patients schizophrènes chroniques (Groupe B) par rapport à plusieurs variables concernant la prémorbidité, les interactions familiales, les hospitalisations et le traitement. En ce qui concerne la prémorbidité, les patients du groupe A étaient nettement meilleurs que ceux du groupe B, mais du point de vue statistique la différence n’était pas significative. De même, a été notée une nette tendance chez les patients du groupe B à présenter la maladie plus tôt. Il y avait aussi des différences entre les deux groupes sur certaines variables en relation avec les interactions familiales, tout d'abord en ce qui concerne l’exercice de l’autorité parentale dans la famille (leadership), la capacité des parents pour l’empathie et leur potentialité à donner des soins et de l’amour. Cependant, on a noté les différences les plus importantes sur le plan du traitement. Presque tous les patients du groupe A avaient suivi une psychothérapie, contrairement à 2 patients uniquement du groupe B. La guérison des patients du groupe A peut s’expliquer par le fait que ceux-ci attachaient une grande importance au traitement psychothérapique, quelques-uns d’entre eux étant aidés en plus par leur croyance religieuse et/ou par le soutien psychologique de leur époux(se).

Keywords

schizophreniarecoverytreatmentpremorbidityschizophrénieguérisontraitementprémorbidité
Type
Original article
Information
Psychiatry and Psychobiology , Volume 5 , Issue 2 , 1990 , pp. 113 - 121
Copyright
Copyright © European Psychiatric Association 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achté, K A (1967) On prognosis and rehabilitation in schizophrenie and paranoid psychoses. Acta Psychiatr Scand (Suppl) 196Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders, 3 rd ed Revised WashingtonGoogle Scholar
Arieti, S (1974) Interpretation of Schizophrenia. Basic Books, LondonGoogle Scholar
Astrup, CFossum, AHolmboe, R (1962) Prognosis in Functional Psychoses. C Thomas Publ, Springfield, I11Google ScholarPubMed
Astrup, CNoreik, K (1966) Functional Psychoses. Diagnostic and Prognostic Models. C Thomas Publ, Springfield, I11Google ScholarPubMed
Bland, RCParker, JH (1976) Prognosis in schizophrenia, a ten-year follow-up of first admission. Arch Gen Psychiatry 33, 949–954CrossRefGoogle Scholar
Bleuler, M (1968) A 23-year longitudinal study of 208 schizophrenics and impressions in regard to the nature of schizophrenia. In: Transmission of Schizophrenia. (Rosenthal, D, ed). Pergamon Press, New YorkGoogle Scholar
Ciompi, L (1980) The natural history of schizophrenia in the long term. Br J Psychiatry 136, 413–420CrossRefGoogle ScholarPubMed
Eitinger, LLaane, CLLangfeldt, G (1958) The prognostic value of treatment in schizophrenia and the schizophreniform States. Acta Psychiatr Scand 33, 35–58CrossRefGoogle Scholar
Endicott, JSpitzer, RLFleiss, JLCohen, J (1976) The Global Assessment Scale. A procedure for measuring overall severity of psychiatric disturbance. Arch Gen Psychiatry 33, 766–771CrossRefGoogle ScholarPubMed
Evans, JRodnick, EGoldstein, MJudd, L (1972) Premorbid adjustment, phenothiazine treatment and remission in acute schizophrenics. Arch Gen Psychiatry 27, 486–490CrossRefGoogle ScholarPubMed
Faergeman, PH (1963) Psychogenic Psychoses. Butterworth and Co, LondonGoogle Scholar
Fenton, WSMcGlashan, TH (1987) Prognostic scale for chronic schizophrenia. Schizophr Bull 13, 277–286CrossRefGoogle ScholarPubMed
Goldstein, MJ (1978) Further data concerning the relation between premorbid adjustment and paranoid symptomatology. Schizophr Bull 4, 236–241CrossRefGoogle ScholarPubMed
Harding, CMBrooks, GWAshikaga, TStrauss, JSBreier, A (1987) The Vermont longitudinal study of persons with severe mental illness, 1 : Methodology, study sample, and overall status 32 years later. Am J Psychiatry 144, 718–726Google Scholar
Harding, CMZubin, JStrauss, JS (1987) Chronicity in schizophrenia: Facts, partial fact or artifact? Hosp Community Psychiatry 38, 477–486Google ScholarPubMed
Holmboe, RAstrup, C (1957) A follow-up study of 255 patients with acute schizophrenia and schizophreniform psychoses. Acta Psychiatr Neurol Scand (suppl) 115Google Scholar
Huber, GGross, GScheuttler, R (1979) Schizophrenie. Eine Verlaufs- und Sozial-psychiatrische Langzeitstudie. Springer, BerlinGoogle Scholar
Langfeldt, G (1937) The Prognosis in Schizophrenia and Factors Influencing the Course of the Disease. Munksgaard, CopenhagenGoogle Scholar
McGlashan, TH (1984) The Chestnut Lodge Follow-up Study. I : Follow-up methodology and study sample. Arch Gen Psychiatry 41, 573–585CrossRefGoogle ScholarPubMed
Noreik, KAstrup, CDalgard, OSHolmboe, R (1967) A prolonged follow-up of acute schizophrenic and schizophreniform psychoses. Acta Psychiatr Scand 43, 432–443CrossRefGoogle ScholarPubMed
Philips, L (1953) Case history data and prognosis in schizophrenia. J Nerv Ment Dis 119, 515–525CrossRefGoogle Scholar
Pokorny, AD (1978) The course and prognosis of schizophrenia. In: The Phenomenology and Treatment of Schizophrenia. (Fann, WEJaracab, APokorny, AWilliams, R, eds). Spectrum Press, New York21–37Google Scholar
Retterstøl, N (1970) Prognosis in Paranoid Psychoses. C Thomas Publ, Springfield, I11Google Scholar
Robins, EGuze, S (1970) Establishment of diagnostic validity in psychiatric illness: its application to schizophrenia. Am J Psychiatry 126, 983–987CrossRefGoogle Scholar
Staudt, WZubin, J (1957) A biometric evaluation of the somatotherapies in schizophrenia. Psychol Bull 54, 171–196CrossRefGoogle Scholar
Stephens, JH (1978) Long-term prognosis and follow-up in schizophrenia. Schizophr Bull 4, 25–47CrossRefGoogle Scholar
Tsuang, MTWoolson, RFFlemming, JA (1979) Longterm outcome of major psychoses, 1 : schizophrenia and affective disorders compared with psychiatrically symptom-free surgical conditions. Arch Gen Psychiatry 36, 1295–1301CrossRefGoogle Scholar
Winokur, GMorrison, JClancy, J (1972) The Iowa 500, II: A blind family history comparison of mania, depression, and schizophrenia. Arch Gen Psychiatry 27, 462–464CrossRefGoogle Scholar
Wittman, P (1941) A scale for measuring prognosis in schizophrenic patients. Elgin Papers 4, 20–33Google Scholar
Zubin, JSutton, SSalzinger, K (1961) A biometric approach to prognosis in schizophrenicia. In: Comparative Epidemilogy in the Mental Disorder. (Hoch, PHZubin, J, eds). Grune and Stratton, New YorkGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.