Short vs Long Hospitalization: A Prospective Controlled Study

Hargreaves, William A.; Glick, Ira D.; Drues, J; Showstack, Jonathan; Feigenbaum, Elliott

doi:10.1001/archpsyc.1977.01770150063007

Cited by 64 publications

(4 citation statements)

References 15 publications

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“…(The degree of recovery present in the CMHC patients at discharge is unclear.) Hargreaves et al (1977) performed another study indicating that longer hospitalizations might have been useful for the CMHC patients. When the relative benefits of 21–28 days (short-term) and 90–120 days (long-term) hospitalization were compared for schizophrenic patients, long-term treatment was found to produce a better outcome in patients who had had good functioning in the 2 years before their hospitalization.…”

Section: Commentsmentioning

confidence: 99%

Neuroleptics and the Natural Course of Schizophrenia

Wyatt

1991

Schizophrenia Bulletin

674

353

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To determine if neuroleptic treatment changes the natural course of schizophrenia, 22 studies were reviewed in which relatively similar patients were or were not given neuroleptics at specific times during the course of their illness. Nineteen of the studies were from first- or predominantly first-break populations. While there was little consensus among the authors of the studies reviewed, a reanalysis of the data indicates that early intervention with neuroleptics in first-break schizophrenic patients increases the likelihood of an improved long-term course. This finding is similar to that of earlier investigators who indicated there was a decrease in patients with the more severe forms of the illness following the introduction of convulsive therapies. Furthermore, there is evidence that stable schizophrenic patients whose neuroleptics are discontinued and have relapses may have a difficult time returning to their previous level of function. The findings describe in this paper have implications for both the treatment of schizophrenia and for understanding the pathophysiological processes that determine the course of the disorder.

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Section: Commentsmentioning

confidence: 99%

Neuroleptics and the Natural Course of Schizophrenia

Wyatt

1991

Schizophrenia Bulletin

674

353

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“…The KAS has been used extensively to compare the effectiveness of various treatments, and it has been recommended by Waskow and Parloff (1975) for inclusion in the National Institute of Mental Health (NIMH) core battery of psychotherapy outcome measures. Not only have the six symptom patterns been associated with differential responsiveness to antipsychotic medication (Katz 1966; Katz, Lowery, and Cole 1967), but scores on the R forms have demonstrated the expected outcomes of day and hospital treatment of various diagnostic groups, with and without medication (Hogarty, Guy, and Gross 1969; Michaux et al 1969; Caffey, Galbrecht, and Klett 1971; Hogarty, Goldberg, and Schooler 1974; Goldberg et al 1977; Hargreaves et al 1977).…”

Section: Katz Adjustment Scale (Kas)mentioning

confidence: 99%

Functional Assessment in Rehabilitation

Wallace

1986

Schizophrenia Bulletin

160

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The instruments that assess the functional living skills of chronically mentally ill individuals are reviewed. The instruments range from those that provide relatively global assessments of major life roles such as wage earner and student, to those that provide relatively specific assessments of behaviors such as personal hygiene and money management skills. The content, format, psychometric characteristics, advantages, and disadvantages of each instrument are presented in detail so that the reader can select the instrument that best suits the purposes of the assessment.

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“…Those who met the following criteria were defined as LSIS in the present study: (1) first diagnosis was schizophrenia according to the criteria of the International Classification of Diseases, 10th Revision (ICD-10) [ 24 ]; (2) aged 18–65 years old; and (3) hospitalized for no less than 12 successive months. For comparisons, inpatients who met the following criteria were defined as having SSIS: (1) diagnosed with schizophrenia according to ICD-10; (2) aged 18–65 years old; and (3) discharged with psychiatrist approval and a length of stay (LOS) of no more than 3 months [ 25 , 26 ]. We excluded those subjects whose information needed was unavailable or could not be verified (e.g.…”

Section: Methodsmentioning

confidence: 99%