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The Suffolk County Mental Health Project: demographic, pre-morbid and clinical correlates of 6-month outcome

Published online by Cambridge University Press:  09 July 2009

E. J. Bromet ,
L. Jandorf ,
S. Fennig ,
J. Lavelle ,
B. Kovasznay ,
R. Ram ,
M. Tanenberg-Karant  and
T. Craig
E. J. Bromet*
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
L. Jandorf
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
S. Fennig
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
J. Lavelle
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
B. Kovasznay
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
R. Ram
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
M. Tanenberg-Karant
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
T. Craig
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
*
1Address for correspondence: Dr Evelyn J. Bromet Department of PsychiatryPutnam Hall-South CampusState University of New YorkStony BrookNY 11794–8790USA.
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Synopsis

The diagnostic specificity and predictive utility of the classical prognostic indicators in schizophrenia were examined in psychotic patients enrolled in the Suffolk County Mental Health Project. First-admission psychotic patients with schizophrenia (N = 96), major depression (N = 42), and bipolar disorder (N = 64) drawn from 10 facilities in Suffolk County, New York, were assessed during their initial hospitalization and at 6–month follow-up. Longitudinal consensus diagnoses were determined after the 6-month interview. The diagnostic groups shared similar background characteristics, but schizophrenics had poorer pre-morbid adjustment, longer periods of psychosis before hospitalization and more negative symptoms initially. Except for rehospitalization, schizophrenics had the worst and bipolars the best functioning at follow-up. Among the classical prognostic indicators, the best predictor of 6-month outcome for each diagnostic group was premorbid functioning.

Type
Original Articles
Information
Psychological Medicine , Volume 26 , Issue 5 , September 1996 , pp. 953 - 962
Copyright
Copyright © Cambridge University Press 1996

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References

Ammons, R. B. & Ammons, C. H. (1962). The Quick Test: provisional manual. Psychological Reports 11, 111–161.CrossRefGoogle Scholar
Andreasen, N. C. (1983). The Scale for the Assessment of Negative Symptoms (SANS). University of Iowa: Iowa City.Google Scholar
Andreasen, N. C. (1984). The Scale for the Assessment of Positive Symptoms (SPAS). University of Iowa: Iowa City.Google Scholar
Beiser, M., Fleming, J. A. E., Iacono, W. G. & Lin, T.-Y. (1988). Refining the diagnosis of schizophreniform disorder. American Journal of Psychiatry 145, 695–700.Google ScholarPubMed
Biehl, H., Maurer, K., Schubart, C., Krumm, B. & Jung, E. (1986). Prediction of outcome and utilization of medical services in a prospective study of first onset schizophrenics. European Archives of Psychiatry and Neurological Sciences 236, 139–147.CrossRefGoogle Scholar
Bromet, E. J., Schwartz, J. E., Fennig, S., Geller, L., Jandorf, L., Kovasznay, B., Lavelle, J., Miller, A., Pato, C., Ram, R. & Rich, C. (1992). The epidemiology of psychosis: the Suffolk County Mental Health Project. Schizophrenia Bulletin 18, 243–255.CrossRefGoogle ScholarPubMed
Bromet, E. J., Dew, M. A. & Eaton, W. W. (1995). Epidemiology of psychosis with special reference to schizophrenia. In Textbook in Psychiatric Epidemiology (ed. Tsuang, M. T., Tohen, M. and Zahner, G.), pp. 283–300. Wiley-Liss Inc: New York.Google Scholar
Cannon-Spoor, H. E., Potkin, S. G. & Wyatt, R. G. (1982). Measurement of premorbid adjustment in chronic schizophrenia. Schizophrenia Bulletin 8, 470–484.CrossRefGoogle ScholarPubMed
Coryell, W., Keller, M., Lavori, P. & Endicott, J. (1990 a). Affective syndromes, psychotic features and prognosis. I. Depression. Archives of General Psychiatry 47, 651–657.CrossRefGoogle ScholarPubMed
Coryell, W., Keller, M., Lavori, P. & Endicott, J. (1990 b). Affective syndromes, psychotic features and prognosis. II. Mania. Archives of General Psychiatry 47, 658–662.CrossRefGoogle ScholarPubMed
Erickson, D. H., Beiser, M., Iacono, W., Fleming, J. A. E. & Lin, T.-Y. (1989). The role of social relationships in the course of first-episode schizophrenia and affective psychosis. American Journal of Psychiatry 146, 1456–1461.Google ScholarPubMed
Fennig, S., Kovasznay, B., Rich, C., Ram, R., Pato, C., Miller, A., Rubinstein, J., Carlson, G., Schwartz, J. E., Phelan, J., Craig, T. & Bromet, E. J. (1994 a). Six-month stability of psychiatric diagnosis in first admission patients with psychosis. American Journal of Psychiatry 151, 1200–1208.Google ScholarPubMed
Fennig, S., Bromet, E. J., Jandorf, L., Schwartz, J. E., Lavelle, J. & Ram, R. (1994 b). Eliciting psychotic symptoms using a semi-structured diagnostic interview. The Journal of Nervous and Mental Disease 182, 20–26.CrossRefGoogle ScholarPubMed
Grossman, L. S., Harrow, M., Goldberg, J. F. & Fichtner, C. G. (1991). Outcome of schizoaffective disorder at two long-term follow-ups: comparisons with outcome of schizophrenia and affective disorders. American Journal of Psychiatry 148, 1359–1365.Google ScholarPubMed
Harrow, M., Westermeyer, J. F., Silverstein, M., Strauss, B. S. & Cohler, B. J. (1986). Predictors of outcome in schizophrenia: the process-reactive dimension. Schizophrenia Bulletin 12, 195–207.CrossRefGoogle ScholarPubMed
Hegarty, J. D., Baldessarini, R. J., Tohen, M., Waternaux, C. & Oepen, G. (1994). One hundred years of schizophrenia: a meta-analysis of the outcome literature. American Journal of Psychiatry 151, 1409–1416.Google ScholarPubMed
Iacono, W. G. & Beiser, M. (1992). Where are the women in first-episode studies of schizophrenia? Schizophrenia Bulletin 18, 471–480.CrossRefGoogle ScholarPubMed
Jablensky, A. (1987). Prediction of the course and outcome of depression. Psychological Medicine 17, 1–9.CrossRefGoogle ScholarPubMed
Loebel, A. D., Lieberman, J. A., Alvir, J. M. J., Mayerhoff, D. I., Geisler, S. H. & Szymanski, S. R. (1992). Duration of psychosis and outcome in first-episode schizophrenia. American Journal of Psychiatry 149, 1183–1188.Google ScholarPubMed
Maneros, A., Deister, A. & Rohde, A. (1990). Sociodemographic and premorbid features of schizophrenic, schizoaffective, and affective psychoses. In Affective and Schizoaffective Disorders (ed. Maneros, A. and Tsuang, M. T.), pp. 130–145. Springer-Verlag: Berlin.CrossRefGoogle Scholar
National Institute on Drug Abuse (1988). National Household Survey on Drug Abuse: Main findings 1985. US Government Printing Office DHHS Publication No. (ADM) 88–1586: Washington, DC.Google Scholar
Ram, R., Bromet, E. J., Eaton, W. W., Pato, C. & Schwartz, J. E. (1992). The natural course of schizophrenia: a review of first-admission studies. Schizophrenia Bulletin 18, 185–207.CrossRefGoogle ScholarPubMed
Ring, N., Tantam, D., Montague, L., Newby, D., Black, D. & Morris, J. (1991). Gender differences in the incidence of definite schizophrenia and atypical psychosis – focus on negative symptoms of schizophrenia. Acta Psychiatrica Scandinavica 84, 489–496.CrossRefGoogle ScholarPubMed
Sands, J. R. & Harrow, M. (1995). Vulnerability to psychosis in unipolar major depression: is premorbid functioning involved? American Journal of Psychiatry 152, 1009–1015.Google ScholarPubMed
Spitzer, R. L., Williams, J. B. W., Gibbon, M. & First, M. B. (1992). The Structured Clinical Interview for DSM-III-R (SCID). I. History, rationale, and description. Archives of General Psychiatry 49, 624–629.CrossRefGoogle ScholarPubMed
Strauss, J. & Carpenter, W. T. (1974). The prediction of outcome in schizophrenia. II. Relationships between predictor and outcome variables. Archives of General Psychiatry 31, 37–42.CrossRefGoogle ScholarPubMed
Tohen, M., Stoll, A. L., Strakowski, S. M., Faedda, G. L., Mayer, P. V., Goodwin, D. C., Kolbrener, M. L. & Madigan, A. M. (1992 a). The McLean First-Episode Psychosis Project: six-month recovery and recurrence outcome. Schizophrenia Bulletin 18, 273–282.CrossRefGoogle ScholarPubMed
Tohen, M., Tsuang, M. T. & Goodwin, D. C. (1992 b). Prediction of outcome in mania by mood congruent or mood-incongruent psychotic features. American Journal of Psychiatry 149, 1580–1584.Google ScholarPubMed
Tsuang, M. T., Woolson, R. F. & Fleming, J. A. (1979). Long-term outcome of major psychoses. Archives of General Psychiatry 36, 1295–1301.CrossRefGoogle ScholarPubMed
Turner, W. M. & Tsuang, M. T. (1990). Impact of substance abuse on the course and outcome of schizophrenia. Schizophrenia Bulletin 16, 87–95.CrossRefGoogle ScholarPubMed
Westermeyer, J. F. & Harrow, M. (1988). Course and outcome in schizophrenia. In Handbook of Schizophrenia: Nosology, Epidemiology and Genetics, vol. 3 (ed. Tsuang, M. T. and Simpson, J. C.), pp. 205–244. Elsevier: Amsterdam.Google Scholar
Woerner, M., Manuzza, S. & Kane, J. (1988). Anchoring the BPRS: an aid to improved reliability. Psychopharmacology Bulletin 24, 112–124.Google ScholarPubMed