Long-term course in schizophrenia: concepts, methods and research strategies.
OBJECTIVE
This paper summarizes current knowledge about course and outcome in schizophrenia by selecting particular information and by drawing conclusions in the light of theoretical and methodological considerations, in order to illustrate future research strategies, as well as to consider novel targets of treatment.


METHODS
Based on examples from the literature the concepts of course and outcome as well as intervening factors of course and outcome are discussed by considering study results within their methodological and theoretical framework restrictions.


RESULTS
The heterogeneity of the disorder, manifest in its variable phenomenology, illness course, treatment response and outcome, complicates research but at the same time offers clues to elucidate the heterogeneity of aetiology and pathogenesis. The search for intervening factors and predictors is of particular interest in order to explore the illness mechanisms.


CONCLUSIONS
Future research should focus on the biopsychosocial determinants of course and outcome in methodologically improved long-term studies.
Department of Psychiatry, University of Düsseldorf, Germany.
W
W
Gaebel
N
N
Frommann
D006801:Humans; D017063:Outcome Assessment, Health Care; D012107:Research Design; D012307:Risk Factors; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D012720:Severity of Illness Index