[The prognostic value of psychopathometric data about the psychopathological state of schizophrenic patients on admission and discharge (author's transl)].
A psychopathometric study on the course of schizophrenic patients was carried out in order to analyse the long-term prognostic value of the psychopathological state on clinical admission and discharge. Eighty-one patients with schizophrenic or similar psychoses were rate three times using well-validated psychopathological scales ("Inpatient Multidimensional Psychiatric Scale", "Clinical Selfrating Scales"): in the beginning, at the end of clinical treatment and 5-6 years after discharge. As for differentiated or global outcome-criteria, the psychopathological state on discharge was of more prognostic importance than the psychopathological state on admission. There existed syndrome-specific relationships between discharge and follow-up, i.e., in general each syndrome correlated most closely with itself between the two times of measurement. As for global outcome criteria, depressive-apathetic symptoms were of more special importance than productive schizophrenic symptoms indicating a poor outcome. The stepwise multiple regression analysis gave prognostically optimal combinations of IMPS-syndromes at admission and discharge which were different for each outcome criterium. Nevertheless, some syndromes were repeatedly among the best predictors. The combination of best predictors explained a greater part of outcome-variance than one predictor alone. The prognostic value of the combination could be optimated by including the factors of the self-rating scales.
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000523:psychology; D011379:Prognosis; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D012559:Schizophrenia / Q000534:rehabilitation*; D012560:Schizophrenia, Catatonic / Q000523:psychology; D012563:Schizophrenia, Paranoid / Q000523:psychology; D012565:Schizophrenic Psychology
Die prognostische Bedeutung psychopathometrischer Aufnahme- und Entlassungsbefunddaten schizophrener Patienten.