Adult outcome of social function in adolescent-onset schizophrenia and affective psychosis
(2003) In Journal of the American Academy of Child and Adolescent Psychiatry 42(2). p.176-183- Abstract
- Objective: To examine and compare the adult outcome in a representative sample of hospitalized adolescent-onset psychoses including occupational and social aspects. Method: A total of 81 patients with a first episode of early-onset psychosis (before age 19 years) presenting to the University Hospital of Lund, Sweden, between 1982 and 1993 were followed up an average of 10.5 years (range 5.1-18.2) after admission. Initial diagnosis was assessed from records and consisted of DSM-IVschizophrenia (n = 32), schizoaffective disorder (n = 7), bipolar disorder (n = 25), and major depressive disorder with psychotic features (n = 17). All could be traced and assigned a major outcome group. Results: Early-onset schizophrenia spectrum disorder... (More)
- Objective: To examine and compare the adult outcome in a representative sample of hospitalized adolescent-onset psychoses including occupational and social aspects. Method: A total of 81 patients with a first episode of early-onset psychosis (before age 19 years) presenting to the University Hospital of Lund, Sweden, between 1982 and 1993 were followed up an average of 10.5 years (range 5.1-18.2) after admission. Initial diagnosis was assessed from records and consisted of DSM-IVschizophrenia (n = 32), schizoaffective disorder (n = 7), bipolar disorder (n = 25), and major depressive disorder with psychotic features (n = 17). All could be traced and assigned a major outcome group. Results: Early-onset schizophrenia spectrum disorder suffered a chronic course with a poor outcome in 79% of the cases, while early-onset affective psychosis in 74% showed a good or intermediate outcome. The poor outcome (26%) in the affective group was connected to mental retardation in 7% and to progression to a schizoaffective disorder in 12%. A particularly severe outcome was seen for schizophrenia spectrum patients with a family history of nonaffective psychosis. Conclusions: Early-onset schizophrenia spectrum disorder showed a severe course while affective psychoses had a much more benign functional outcome. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/319516
- author
- Jarbin, Håkan LU ; Ott, Yngve and Von Knorring, Anne-Liis
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- affective disorder, schizophrenia, adolescence, psychosis, outcome
- in
- Journal of the American Academy of Child and Adolescent Psychiatry
- volume
- 42
- issue
- 2
- pages
- 176 - 183
- publisher
- Elsevier
- external identifiers
-
- wos:000180539300011
- pmid:12544177
- scopus:0037313228
- ISSN
- 0890-8567
- DOI
- 10.1097/01.CHI.0000024917.60748.54
- language
- English
- LU publication?
- yes
- id
- 8b7b71f2-519f-459e-841c-3b65c2e3f82c (old id 319516)
- date added to LUP
- 2016-04-01 16:25:23
- date last changed
- 2022-02-05 08:05:14
@article{8b7b71f2-519f-459e-841c-3b65c2e3f82c,
abstract = {{Objective: To examine and compare the adult outcome in a representative sample of hospitalized adolescent-onset psychoses including occupational and social aspects. Method: A total of 81 patients with a first episode of early-onset psychosis (before age 19 years) presenting to the University Hospital of Lund, Sweden, between 1982 and 1993 were followed up an average of 10.5 years (range 5.1-18.2) after admission. Initial diagnosis was assessed from records and consisted of DSM-IVschizophrenia (n = 32), schizoaffective disorder (n = 7), bipolar disorder (n = 25), and major depressive disorder with psychotic features (n = 17). All could be traced and assigned a major outcome group. Results: Early-onset schizophrenia spectrum disorder suffered a chronic course with a poor outcome in 79% of the cases, while early-onset affective psychosis in 74% showed a good or intermediate outcome. The poor outcome (26%) in the affective group was connected to mental retardation in 7% and to progression to a schizoaffective disorder in 12%. A particularly severe outcome was seen for schizophrenia spectrum patients with a family history of nonaffective psychosis. Conclusions: Early-onset schizophrenia spectrum disorder showed a severe course while affective psychoses had a much more benign functional outcome.}},
author = {{Jarbin, Håkan and Ott, Yngve and Von Knorring, Anne-Liis}},
issn = {{0890-8567}},
keywords = {{affective disorder; schizophrenia; adolescence; psychosis; outcome}},
language = {{eng}},
number = {{2}},
pages = {{176--183}},
publisher = {{Elsevier}},
series = {{Journal of the American Academy of Child and Adolescent Psychiatry}},
title = {{Adult outcome of social function in adolescent-onset schizophrenia and affective psychosis}},
url = {{http://dx.doi.org/10.1097/01.CHI.0000024917.60748.54}},
doi = {{10.1097/01.CHI.0000024917.60748.54}},
volume = {{42}},
year = {{2003}},
}