Journal of the American Academy of Child & Adolescent Psychiatry
ArticlesAdult Outcome of Social Function in Adolescent-Onset Schizophrenia and Affective Psychosis
Section snippets
Subjects
All patients admitted to the inpatient unit at the Department of Child and Adolescent Psychiatry, University Hospital of Lund, Sweden, between 1982 and 1993 with a first episode of a psychotic disorder were included in the study. All hospitalizations were checked in the registers. Cases with a facility diagnosis of a psychotic disorder, depression, personality disorder, or any inpatient stay of more than 2 months were reviewed according to DSM-IV criteria. All patients (n = 88) with a DSM-IV
Descriptive Characteristics of the Sample
Pertinent background and first-episode data are reported in Table 1. The first psychotic symptom emerged at age 15.6 (SD 1.5) years, and the 78 subjects in the followed-up sample excluding the three suicides were followed up 10.5 (SD 3.6) years later at age 26.3 (SD 3.6) years. Social class of parents according to the Swedish Bureau of Statistics was 26% professionals, 46% skilled workers, and 28% unskilled workers. Most patients (94%) were white. There were not any differences in ethnicity,
DISCUSSION
The functional outcome of adolescent-onset schizophrenia and schizoaffective disorder was significantly and considerably worse across all major measures compared with the outcomes of the affective psychoses.
REFERENCES (25)
- et al.
Childhood-onset schizophrenia: rare but worth studying
Biol Psychiatry
(1999) - et al.
Childhood and adolescent schizophrenic, bipolar and schizoaffective disorders: a clinical and outcome study
J Am Acad Child Adolesc Psychiatry
(1991) Diagnostic and Statistic Manual of Mental Disorders
(1994)- et al.
Childhood-onset schizophrenia: a follow-up study
Eur Child Adolesc Psychiatry
(1999) - et al.
A comparison of outcome in adolescent- and late-onset bipolar manic-depressive illness
Am J Psychiatry
(1977) - et al.
Adolescent onset psychosis: a clinical and outcome study
J Child Psychol Psychiatry
(1994) - et al.
The long-term course of childhood-onset schizophrenia
Schizophr Bull
(1997) - et al.
Psychotic disorders diagnosed in adolescence: outcome at age 30 years
J Child Psychol Psychiatry
(1993) - et al.
Course and outcome in bipolar affective disorder: a longitudinal follow-up study
Am J Psychiatry
(1995) - et al.
One hundred years of schizophrenia: a meta-analysis of the outcome literature
Am J Psychiatry
(1994)
Adult outcomes of child- and adolescent-onset schizophrenia: diagnostic stability and predictive validity
Am J Psychiatry
A longitudinal study of schizophrenia in adolescence, I: the one- to three-year outcome
Jpn J Psychiatry Neurol
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From the Department of Child and Adolescent Psychiatry, University Hospital, Uppsala, Sweden (Drs. Jarbin and von Knorring), and the Department of Child and Adolescent Psychiatry, University Hospital, Lund, Sweden (Dr. Ott).
This study was supported by a grant from the Gadelius Foundation and from the University Hospital of Lund. The authors are indebted to Hans Eriksson, M.D., and Associate Professor Katarina Nyman, M.D., for assessing records.