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European versus U.S. data on the course of schizophrenia

1991; American Psychiatric Association; Volume: 148; Issue: 5 Linguagem: Inglês

10.1176/ajp.148.5.606

1535-7228

J Marengo, M. Harrow, James R. Sands, Charles Edwin Galloway,

Schizophrenia research and treatment

Back to table of contents Previous article Next article No AccessEuropean versus U.S. data on the course of schizophreniaPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.148.5.606AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: The present research attempts to add to the existing body of data on the course of schizophrenia by comparing the findings of a prospective study of a group of U.S. schizophrenic patients with data from two European studies. METHOD: Seventy-four U.S. patients given the diagnosis of schizophrenia according to Research Diagnostic Criteria were longitudinally assessed at hospitalization and at three intervals up to 10 years after illness onset. The longitudinal criteria for type of onset, course of illness, and outcome were derived from the European studies of Manfred Bleuler and Luc Ciompi. The type of onset, course of illness, and outcome of the U.S. patients were compared with those of the patients in the two European studies. RESULTS: A lower rate of acute onset and of episodic illness was found in the U.S. patients, but the relative frequency of a number of major overall course patterns was similar across studies. CONCLUSIONS: Despite many potential threats to comparability, the results of the European and U.S. longitudinal studies of the course of schizophrenia were fairly congruent in terms of the relative rate with which patients fell into the categories established by Bleuler and Ciompi. These results are encouraging in that they point to the possibility of estimating the rate of occurrence of particular expressions of the overall course of schizophrenia. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byThe Concept of Schizophrenia: From Unity to DiversityAdvances in Psychiatry, Vol. 2014Early Intervention in Psychiatry, Vol. 7, No. 2Improving Reliability of the Assessment of the Life Course of Schizophrenia1 November 2010 | The Canadian Journal of Psychiatry, Vol. 55, No. 11BMC Health Services Research, Vol. 9, No. 1International Journal of Nursing Studies, Vol. 45, No. 8Psychopathology, Vol. 41, No. 5European Child & Adolescent Psychiatry, Vol. 14, No. 2The Profiling of Ego Defenses in Clinical Material to Assess Recovery from Schizoaffective DisorderHarvard Review of Psychiatry, Vol. 12, No. 1Expert Review of Neurotherapeutics, Vol. 2, No. 1Psychiatry Research, Vol. 97, No. 1Acta Psychiatrica Scandinavica, Vol. 98, No. 3Journal of Traumatic Stress, Vol. 9, No. 4Acta Psychiatrica Scandinavica, Vol. 90, No. 5Outcome in untreated schizophrenia: a search for symptoms and traits with prognostic meaning in patients admitted to a mental hospital in the preneuroleptic eraActa Psychiatrica Scandinavica, Vol. 85, No. 4Dr. Berlin and Associates ReplyFRED S. BERLIN, H. MARTIN MALIN, and SHARON DEAN1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 3Outcome of SchizophreniaALEX KOPELOWICZ, and T. GEORGE BIDDER1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 3Dr. Marengo and Associates ReplyJOANNE MARENGO, MARTIN HARROW, and JAMES SANDS1 April 2006 | American Journal of Psychiatry, Vol. 149, No. 3Outcome of schizophrenia23 January 2015 | American Journal of Psychiatry, Vol. 149, No. 3 Volume 148Issue 5 May 1991Pages 606-611 Metrics PDF download History Published online 1 April 2006 Published in print 1 May 1991