Hostname: page-component-745bb68f8f-b95js Total loading time: 0 Render date: 2025-01-27T11:05:13.032Z Has data issue: false hasContentIssue false
  • English
  • Français

The Evolution of Symptoms in Institutionalized Hebephrenic/Catatonic Schizophrenics

Published online by Cambridge University Press:  29 January 2018

Bruce Pfohl  and
George Winokur
Bruce Pfohl
Affiliation:
Department of Psychiatry, University of Iowa College of Medicine, Iowa City, Iowa 52242, U.S.A.
George Winokur
Affiliation:
Department of Psychiatry, University of Iowa College of Medicine, Iowa City, Iowa 52242, U.S.A.
Get access Rights & Permissions [Opens in a new window]

Summary

The charts of 52 hebephrenic/catatonic schizophrenics requiring long-term institutionalization were selected from the Iowa 500 study and reviewed. The presence or absence of 28 different symptoms was noted on a year by year basis over a span of 35 years. Symptoms usually classified as positive symptoms of schizophrenia, such as hallucinations and delusions, were found to have earlier onset and greater tendency to resolve over time than symptoms usually classified as negative such as flat affect, decreased social interaction and sensorium defects.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 141 , Issue 6 , December 1982 , pp. 567 - 572
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders, Ed. 3 (DSM–III). Washington, D.C.: American Psychiatric Association.Google Scholar
Andreason, N. C., Olsen, S. A. & Dennert, J. W. (1982) Ventricular enlargement in schizophrenia: Relationship to positive and negative symptoms. American Journal of Psychiatry, 139, 297–302.Google Scholar
Bridge, T. P., Cannon, H. E. & Wyatt, R. J. (1978) Burned-out schizophrenia: Evidence for age effects on schizophrenic symptomatology. Journal of Gerontology, 33, 835–9.Google Scholar
Ciompi, L. J. (1980) The natural history of schizophrenia in the long term. British Journal of Psychiatry, 136, 413–20.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B. et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–63.CrossRefGoogle ScholarPubMed
Johnstone, E. C., Crowe, T. J., Frith, C. D., Stevens, M., Kreel, L. & Husband, J. (1978) The dementia of praecox. Acta Psychiatrica Scandinavica, 57, 305–24.Google Scholar
Knight, R. A., Roff, J. D., Barrnett, J. & Moss, J. L. (1979) Concurrent and predictive validity of thought disorder and affectivity: A 22-year follow-up of acute schizophrenics. Journal of Abnormal Psychology, 88, 1–12.Google Scholar
Morrison, J., Clancy, J., Crowe, R. et al (1972) The Iowa 500: I. Diagnostic validity in mania, depression, and schizophrenia. Archives of General Psychiatry, 27, 457–61.Google Scholar
Pfohl, B. & Winokur, G. (in press) Schizophrenia: Course and outcome. In Schizophrenia as a Brain Disease (eds. Henn, F. and Nasrallah, H.). London: Oxford University Press.Google Scholar
Strauss, J. S. & Carpenter, W. T. (1974) The prediction of outcome in schizophrenia. Archives of General Psychiatry, 30, 429–34.Google Scholar
Strauss, J. S. & Bartko, J. J. (1974) The diagnosis and understanding of schizophrenia. Schizophrenia Bulletin, 11, 61–73.Google Scholar
Tsuang, M. T. & Winokur, G. (1974) Criteria for sub-typing schizophrenia. Archives of General Psychiatry, 31, 43–7.Google Scholar
Tsuang, M. T. & Winokur, G. (1975) The Iowa 500: Field work in a 35-year follow-up of depression, mania, and schizophrenia. Canadian Psychiatric Association Journal, 20, 359–65.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge University Press.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.