Social Competence and Posthospital Outcome

Rosen, Bernard; Klein, Donald F.; Levenstein, Sidney; Shanian, Siroon P.

doi:10.1001/archpsyc.1968.01740080037007

Cited by 17 publications

(4 citation statements)

References 9 publications

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“…In contrast, other investigators suggest such factors may be consequences of the early morbid process (Rosen et al 1968). It is possible that an early onset in schizophrenia indicates a more severe type of mental disturbance rather than a premorbid developmental level.…”

Section: Table 4 Comparison Between Dsm-iii and Dsm-ii Schizophrenic ...mentioning

confidence: 95%

Prognosis and Outcome Using Broad (DSM-II) and Narrow (DSM-III) Concepts of Schizophrenia

Westermeyer¹,

Harrow²

1984

Schizophrenia Bulletin

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The classical prognostic indicators of Vaillant and Stephens, the acute onset of psychotic symptoms, and key demographic factors were investigated as predictors of outcome in a prospective study of 153 schizophrenic patients defined using broad (DSM-II) and narrow (DSM-III) concepts of schizophrenia. Findings indicate: Several established prognostic items did not show strong predictive utility in DSM-II or DSM-III schizophrenia when young, nonchronic patients were studied. For both DSM-II and DSM-III schizophrenic patients, longitudinal assessments of psychotic symptoms, work history, and social functioning predicted their respective assessments at followup. However, the predictive utility of some key prognostic indicators shifted for narrow vs. broad concepts of schizophrenia. Most importantly, sex, which was the most powerful predictor of overall outcome among patients with DSM-II schizophrenia, failed to predict outcome among patients with DSM-III schizophrenia, primarily because many women with favorable outcome did not meet the DSM-III criteria for schizophrenia. DSM-III schizophrenia comprises a more homogeneous group of poor prognosis patients in comparison to DSM-II schizophrenia. Educational level, age at first hospitalization, and work history were successful predictors of outcome (p less than .01) when a new, narrow concept of schizophrenia was used.

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Section: Table 4 Comparison Between Dsm-iii and Dsm-ii Schizophrenic ...mentioning

confidence: 95%

Prognosis and Outcome Using Broad (DSM-II) and Narrow (DSM-III) Concepts of Schizophrenia

Westermeyer¹,

Harrow²

1984

Schizophrenia Bulletin

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show abstract

“…Indicators of pre-morbid functioning were also examined in the analyses, since they have been found to be significantly related to gender and predictive of outcomes. Schizophrenic patients with good pre-morbid histories have been found to have better outcomes than patients with poor pre-morbid histories (Gittelman-Klein & Klein, 1969;Goldstein et al 1977;Stoffelmayr et al 1983), and schizophrenic women have been found to have better premorbid histories than schizophrenic men (Gittelman-Klein & Klein, 1969;Goldstein, 1988;Nyman & Jonsson, 1983;Rosen et al 1968).…”

Section: Covariatesmentioning

confidence: 99%

Gender differences in schizophrenia: rehospitalization and community survival

1989

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SynopsisThis study tested the hypothesis that schizophrenic men experience a poorer course than schizophrenic women. A representative sample from Hannover, FRG, including 278 first admission DSM-III schizophrenics, were followed for three years. Findings demonstrated that schizophrenic women experience fewer rehospitalizations, shorter lengths of stay, and survive longer in the community than schizophrenic men. Implications of the role of gender for schizophrenia are discussed.

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“…However, in this study the alcoholic group had a rate of "staying out" so much higher than the schizophrenic group-94% compared with 69%-that it may well be that the absence of relationship between marital status and the ability to stay out is attributable to this. In a study by Rosen, Klein, Levenstein, and Shahinian (1968), age at first hospitalization and the level of social competence were found related to rehospitalization. When diagnosis was used as a moderator variable, however, these two predictor variables were found related to rehospitalization in the schizophrenic subgroup only.…”

Section: Moderator Variables In Prognostic Studiesmentioning

confidence: 94%

Intrapsychic variables and the patient's environment as factors in prognosis.

Clum¹

1975

Psychological Bulletin

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Social Competence and Posthospital Outcome

Cited by 17 publications

References 9 publications

Prognosis and Outcome Using Broad (DSM-II) and Narrow (DSM-III) Concepts of Schizophrenia

Prognosis and Outcome Using Broad (DSM-II) and Narrow (DSM-III) Concepts of Schizophrenia

Gender differences in schizophrenia: rehospitalization and community survival

Intrapsychic variables and the patient's environment as factors in prognosis.

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