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The Scottish First Episode Schizophrenia Study

VIII. Five-Year Follow-Up: Clinical and Psychosocial Findings

Published online by Cambridge University Press:  02 January 2018

Robin G. McCreadie ,
David H. Wiles ,
Martin G. Livingston ,
James A. G. Watt ,
J. G. Greene ,
Peter W. Kershaw ,
Norman A. Todd ,
Angus M. Scott ,
George T. Crocket  and
Zahid Mahmood
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Robin G. McCreadie*
Affiliation:
Crichton Royal Hospital, Dumfries DG1 4TG
David H. Wiles
Affiliation:
Crichton Royal Hospital, Dumfries DG1 4TG
Martin G. Livingston
Affiliation:
Gartnavel Royal Hospital, Glasgow G12 0YN
James A. G. Watt
Affiliation:
Gartnavel Royal Hospital, Glasgow G12 0YN
J. G. Greene
Affiliation:
Gartnavel Royal Hospital, Glasgow G12 0YN
Peter W. Kershaw
Affiliation:
Gartnavel Royal Hospital, Glasgow G12 0YN
Norman A. Todd
Affiliation:
Leverndale Hospital, Glasgow G53 7TU
Angus M. Scott
Affiliation:
Leverndale Hospital, Glasgow G53 7TU
George T. Crocket
Affiliation:
Parkhead Hospital, Glasgow G31 5BA
Zahid Mahmood
Affiliation:
Parkhead Hospital, Glasgow G31 5BA
John Loudon
Affiliation:
Royal Edinburgh Hospital, Edinburgh EH10 5HF
James A. T. Dyer
Affiliation:
Royal Edinburgh Hospital, Edinburgh EH10 5HF
Alistair E. Philip
Affiliation:
Royal Edinburgh Hospital, Edinburgh EH10 5HF
David Batchelor
Affiliation:
Janssen Pharmaceutical Limited, Grove, Wantage, Oxon
*
∗Correspondence
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Abstract

Forty-four schizophrenic patients were followed up for five years after their first admission to hospital for a first episode of illness. Thirteen (30%) of 43 patients had not relapsed; 28 of the 30 patients who did relapse did so within the first 42 months. The relapses occurred despite antipsychotic drug therapy. Also, 24% of patients had at least one course of ECT. Only 19% of the patients at five years were in open employment; unemployment was strongly associated with relapse. Eighteen per cent had neither relapses nor schizophrenic symptoms at follow-up. Poor outcome at five years was associated with greater psychological distress among relatives at first admission. At five years 43% of relatives continued to show case level psychological stress.

Type
Papers
Information
The British Journal of Psychiatry , Volume 161 , Issue 4 , October 1992 , pp. 496 - 500
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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