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The Significance of Stupor in the Long-Term Outcome of Chronic Schizophrenia

Published online by Cambridge University Press:  02 January 2018

J. C. Rigby*
Affiliation:
Tone Vale Hospital, Taunton, and Tutor in Mental Health, University of Bristol, Greaves Hall Hospital
S. M. Wood
Affiliation:
Rampton Hospital, Retford, Nottinghamshire
R. H. S. Mindham
Affiliation:
University of Leeds
*
Greaves Hall Hospital, Southport, Merseyside PR9 8BL

Abstract

The admission records of 271 long-stay chronic schizophrenic patients, resident in a large psychiatric hospital, were examined in order to identify those who had presented in stupor at the onset of their illness. Twelve patients were found (ten men and two women). When compared, in terms of current mental state and behaviour, with a similar sample of schizophrenics in whom stupor had been absent, significant differences between the two groups were detected, with those presenting in stupor demonstrating a less favourable outcome.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

Abrams, R. & Taylor, M. A. (1976) Catatonia: a prospective clinical study. Archives of General Psychiatry, 33, 579581.Google Scholar
Achte, K. A. (1961) The course of schizophrenia and schizophreniform psychosis. Acta Psychiatrica et Neurologica Scandinavica, 36, 165; 220–245.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Bellinger, C. H. (1932) Prognosis in schizophrenia-catatonic form. Psychiatric Quarterly, 6, 475487.Google Scholar
Berrios, G. E. (1981) Stupor revisited. Comprehensive Psychiatry, 22, 446478.Google Scholar
Bleuler, E. (1966) Dementia Praecox, or the Group of Schizophrenias (trans Zinkin J.). New York: International Universities Press.Google Scholar
Espir, M. L. E. & Spalding, J. M. K. (1956) Three recent cases of encephalitis lethargica. British Medical Journal, i, 11411144.Google Scholar
Fraser, M. (1982) ECT, A Clinical Guide. Chichester: Wiley.Google Scholar
Goldberg, D., Benjamin, S. & Creed, F. (1987) Psychiatry in Medical Practice. London: Tavistock.Google Scholar
Hinsie, L. E. (1934) The catatonic syndrome in dementia praecox. Psychiatric Quarterly, 8, 457468.Google Scholar
Hunter, R. & Jones, M. (1966) Acute lethargica type encephalitis. Lancet, ii, 10231024.Google Scholar
Johnson, J. (1982) Stupor: its diagnosis and management. British Journal of Hospital Medicine, 27, 530532.Google ScholarPubMed
Johnstone, E. C., Owens, D. G. C., Frith, C. D., et al (1985) Institutionalisation and the outcome of functional psychosis. British Journal of Psychiatry, 146, 3644.Google Scholar
Joyston-Bechal, H. P. (1966) The clinical features and outcome of stupor. British Journal of Psychiatry, 112, 967981.Google Scholar
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia (trans Barclay R. M.). Edinburgh: Livingstone.Google Scholar
Krawiecka, M., Goldberg, D. & Vaugn, M. (1977) A standardised psychiatric assessment for rating chronic psychotic patients. Acta Psychiatrica Scandinavica, 55, 299308.Google Scholar
Lancet, (1966) Encephalitis of lethargica type in a mental hospital. Leading article. Lancet, ii, 1014.Google Scholar
Lancet, (1981) Encephalitis lethargica. Leading article. Lancet, ii, 1396.Google Scholar
Leigh, A. D. (1946) Infections of the nervous system occurring during an epidemic of influenza. British Medical Journal, ii, 936938.CrossRefGoogle Scholar
Lishman, W. A. (1987) Organic Psychiatry (2nd edn). Oxford: Blackwell.Google Scholar
Mahendra, B. (1981) Where have all the catatonics gone? Psychological Medicine, 11, 669671.Google Scholar
Marsden, C. D. (1982) Motor disorders in schizophrenia. Psychological Medicine, 12, 1315.Google Scholar
Morrison, J. R. (1974a) Catatonia: prediction of outcome. Comprehensive Psychiatry, 15, 317325.Google Scholar
Morrison, J. R. (1974b) Changes in subtype diagnosis of schizophrenia: 1920–1966. American Journal of Psychiatry, 131, 674677.CrossRefGoogle ScholarPubMed
Murray, R. (1986) Schizophrenia In Essentials of Postgraduate Psychiatry (eds P. Hill, R. Murray & A. Thorley). London: Grune & Stratton.Google Scholar
Owens, D. G. C. & Johnstone, E. C. (1980) The disabilities of chronic schizophrenia-their nature and the factors contributing to their development. British Journal of Psychiatry, 136, 384395.Google Scholar
Rupp, C. & Fletcher, E. D. (1940) A five to ten year follow up study of 641 schizophrenic cases. American Journal of Psychiatry, 96, 877888.Google Scholar
Sainsbury, M. J. (1980) Key to Psychiatry (3rd edn). Aylesbury: HM & M.Google Scholar
Wender, P. H. (1963) Dementia praecox, the development of the concept. American Journal of Psychiatry, 119, 11431151.CrossRefGoogle ScholarPubMed
Wortis, J. (1975) Catatonia. Biological Psychiatry, 10, 243.Google Scholar
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