Psychiatric chronicity and diagnosis

F. Summers, Stephen I Hersh

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The relationship between psychiatric chronicity and schizophrenia in the postacute phase was examined by comparing posthospitalized chronic schizophrenics and chronic nonschizophrenics on symptoms, social functioning, and recidivism. No differences were found between the groups on any of these variables, indicating a general similarity of clinical picture for chronic schizophrenics and chronic nonschizophrenics in the postacute phase. These results were contrasted with two other comparisons made irrespective of diagnosis: Patients with better social functioning were compared to patients performing less well socially; patients living with others were compared with patients living in isolated settings. In both these comparisons, significant differences in the clinical picture were found between the two groups. Thus, living situation and degree of social functioning both appear to have more relevance for the postacute phase than does diagnosis. These results were related to the genetic and outcome literature on chronic psychiatric disorder to advance the view that the diagnosis of chronicity is more crucial for the understanding of severe emotional disorders than the traditional symptom-based DSM-III classifation system.

Original languageEnglish (US)
Pages (from-to)122-133
Number of pages12
JournalSchizophrenia bulletin
Volume9
Issue number1
DOIs
StatePublished - Jan 1 1983

ASJC Scopus subject areas

  • Psychiatry and Mental health

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