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Nonregressive schizophrenia ‐ a long‐term comparative follow‐up investigation
Author(s) -
Nyman A. K.
Publication year - 1989
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1989.tb09235.x
Subject(s) - schizophrenia (object oriented programming) , nosology , psychiatry , psychology , psychosis , decompensation , clinical psychology , psychoanalysis
A 14–17 year follow‐up study of a first admission sample of nonregressive schizophrenic cases revealed a phenomenological and diagnostic consistency over time. Some improved and adapted well in society but a considerable proportion developed into chronic schizophrenic syndromes. Schizophrenic deterioration was also manifested among those who adhered to a nonregressive course without ever revealing frank psychotic decompensation. Treatment consumption and disability were high. Prognosis and outcome were, in the main, similar to a parallel series of regressive schizophrenic first‐admission cases of similar set and age composition. The set difference noted in the intermediate‐term outcome study in 1973, with a more favourable outcome among the women, was no longer present. The findings added further support to the validity of the concept of nonregressive schizophrenia and to the hypothesis of a joint nosology with classical schizophrenia.