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Outcome studies in schizophrenia

Published online by Cambridge University Press:  13 June 2014

Stephen Browne ,
Conall Larkin  and
Eadbhard O'Callaghan
Stephen Browne
Affiliation:
Department of Psychiatry, Waterford Regional Hospital, Dunmore Road, Waterford, Ireland.
Conall Larkin
Affiliation:
St John of God Hospital, Stillorgan, Co Dublin, Ireland.
Eadbhard O'Callaghan
Affiliation:
Cluain Mhuire Family Centre, Newtownpark Avenue, Blackrock, Co Dublin, Ireland.
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Abstract

Objectives: To outline the limitations of traditional studies of outcome in schizophrenia and to review the findings arising from ‘first episode’ psychosis studies.

Method: An extensive literature search was performed and relevant papers were examined and analysed.

Results: Current knowledge regarding outcome predictors in schizophrenia has primarily been derived from a series of ‘consecutive admission’ and ‘long-term follow-back’ studies. However, methodological considerations may limit the generalisability of these studies' findings. The prospective evaluation of first episode cohorts has advanced our knowledge regarding the relative importance of premorbid and intercurrent factors in determining outcome in schizophrenia.

Conclusions: To date, the ‘first episode’ strategy has highlighted some potentially clinically modifiable outcome predictors. These findings may open the way for targeted introduction of measures aimed at preventing poor outcomes in schizophrenia.

Keywords

SchizophreniaOutcome studiesMethodological limitationsFirst episode
Type
Reviews
Information
Irish Journal of Psychological Medicine , Volume 16 , Issue 4 , December 1999 , pp. 140 - 144
Copyright
Copyright © Cambridge University Press 1999

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