Einleitung

Schubart, Claudia; Schwarz, Rainer; Krumm, Bertram; Biehl, Hugo

doi:10.1007/978-3-642-82779-2_1

Cited by 2 publications

(4 citation statements)

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“…For this purpose, a new Disability Assessment Schedule (DAS) and a Psychologic Impairments Rating Schedule (PIRS) were developed. Disability and schizophrenic symptoms at followup after 2 years were significantly associated with sex (females did better) and with social class independently (Schubart et al 1986). Another study of Möller and von Zerssen (1986 b ) clearly showed that it makes sense to assess outcome with different instruments because different aspects of outcome are associated with different predictors.…”

Section: Methodological Developmentsmentioning

confidence: 97%

“…Prospective studies, by their nature, comprise shorter followup periods, up to now usually 5 years (Möller and von Zerssen 1986 b ; Schubart et al 1986). In association with this type of study, more sophisticated methods have been developed and applied.…”

Section: Methodological Developmentsmentioning

confidence: 99%

“…In studies of the long-term course, it is important to apply multivariate methods—for example, multiple regression models (Astrup and Noreik 1966), loglinear models (Schubart et al 1986), and multidimensional scaling linked with cluster analysis. The last method was used for the analysis of symptom change over several episodes of illness (Angst et al 1981, 1983).…”

Section: Methodological Developmentsmentioning

confidence: 99%

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European Long-term Followup Studies of Schizophrenia

Angst

1988

Schizophrenia Bulletin

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This article focuses on the variability of diagnostic concepts and their impact on the results of European followup studies. Continental European and Scandinavian definitions of schizophrenia are considered along with other factors such as age of onset, change of symptoms with time, development of defects, the effects of aging, treatment, and study methodology. The concepts of schizophrenia are regarded as too diverse to allow meaningful comparisons of course and outcome among studies. Multiaxial or multidimensional description of patients offers a solution to this conundrum.

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Section: Methodological Developmentsmentioning

confidence: 97%

Section: Methodological Developmentsmentioning

confidence: 99%

Section: Methodological Developmentsmentioning

confidence: 99%

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European Long-term Followup Studies of Schizophrenia

Angst

1988

Schizophrenia Bulletin

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“…Mason et al (1995) echo this point, "the status of symptoms may have little relevance to every-day social functioning". Schubart et al (1986) and the linked study of Biehl et al (1986) examine the course of social disability over the first five years using the World Health Organization Disability Assessment Schedule (WHODAS;WHO, 1992). Neither baseline clinical symptoms nor age or gender predicted social outcome at five years; only WHODAS scores at six months predicted outcome at one, two, three and five years.…”

Section: Critical Periodsmentioning

confidence: 99%

Early intervention in psychosis

1998

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Background We consider the evidence for the proposition that the early phase of psychosis (including the period of untreated psychosis) is a critical period' in which (a) long-term outcome is predictable, and (b) biological, psychological and psychosocial influences are developing and show maximum plasticity.Method First-episode prospective studies, predictors of outcome and the genesis of patients' key appraisals of their psychosis are reviewed.Results The data support the notion of the ‘plateau effect’, first coined by Tom McGlashan, which suggested that where deterioration occurs, it does so aggressively in the first 2-3 years; and that critical psychosocial influences, including family and psychological reactions to psychosis and psychiatric services, develop during this period.Conclusions The early phase of psychosis presents important opportunities for secondary prevention. We outline a prototype of intervention appropriate to the critical period. The data challenge the widely held assumption that first-episode psychosis is a benign illness posing little risk.

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Einleitung

Cited by 2 publications

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European Long-term Followup Studies of Schizophrenia

European Long-term Followup Studies of Schizophrenia

Early intervention in psychosis

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