Nonregressive schizophrenia--a long-term comparative follow-up investigation.
A 14-17 year follow-up study of a first admission sample of nonregressive schizophrenic cases revealed a phenomenological and diagnostic consistency over time. Some improved and adapted well in society but a considerable proportion developed into chronic schizophrenic syndromes. Schizophrenic deterioration was also manifested among those who adhered to a nonregressive course without ever revealing frank psychotic decompensation. Treatment consumption and disability were high. Prognosis and outcome were, in the main, similar to a parallel series of regressive schizophrenic first-admission cases of similar sex and age composition. The sex difference noted in the intermediate-term outcome study in 1973, with a more favourable outcome among the women, was no longer present. The findings added further support to the validity of the concept of nonregressive schizophrenia and to the hypothesis of a joint nosology with classical schizophrenia.
Nyman
A K
AK
Department of Psychiatry and Neurochemistry, University of Lund, Sweden.
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D001883:Borderline Personality Disorder / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009497:Neurotic Disorders / Q000523:psychology; D012043:Regression, Psychology; D012559:Schizophrenia / Q000534:rehabilitation; D012565:Schizophrenic Psychology; D012917:Social Adjustment