The Suffolk County Mental Health Project: demographic, pre-morbid and clinical correlates of 6-month outcome.
The diagnostic specificity and predictive utility of the classical prognostic indicators in schizophrenia were examined in psychotic patients enrolled in the Suffolk County Mental Health Project. First-admission psychotic patients with schizophrenia (N = 96), major depression (N = 42), and bipolar disorder (N = 64) drawn from 10 facilities in Suffolk County, New York, were assessed during their initial hospitalization and at 6-month follow-up. Longitudinal consensus diagnoses were determined after the 6-month interview. The diagnostic groups shared similar background characteristics, but schizophrenics had poorer pre-morbid adjustment, longer periods of psychosis before hospitalization and more negative symptoms initially. Except for rehospitalization, schizophrenics had the worst and bipolars the best functioning at follow-up. Among the classical prognostic indicators, the best predictor of 6-month outcome for each diagnostic group was premorbid functioning.
Bromet
E J
EJ
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook 11794-8790, USA.
Jandorf
L
L
Fennig
S
S
Lavelle
J
J
Kovasznay
B
B
Ram
R
R
Tanenberg-Karant
M
M
Craig
T
T
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001714:Bipolar Disorder / Q000175:diagnosis; D016009:Chi-Square Distribution; D003866:Depressive Disorder / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011618:Psychotic Disorders / Q000175:diagnosis*; D012494:Sampling Studies; D012559:Schizophrenia / Q000175:diagnosis; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D013997:Time Factors