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The British Journal of Psychiatry 158: 171-176 (1991)
© 1991 The Royal College of Psychiatrists

Pre-morbid adjustment and personality in psychosis. Effects of sex and diagnosis

A Foerster, S Lewis, M Owen and R Murray
National Institutes of Mental Health, Bethesda, Maryland.

Pre-morbid schizoid and schizotypal traits and social adjustment were assessed blind to diagnosis by interviewing the mothers of 73 consecutively admitted patients with DSM-III schizophrenia or affective psychosis. Analysis of factors associated with pre-morbid deficits showed a highly significant interaction of diagnosis with sex, such that schizophrenic men showed much greater pre-morbid impairment than either schizophrenic women or men with affective disorder. Poor pre- morbid adjustment predicted an early age at first admission. The results can be explained by a neurodevelopmental disorder in some schizophrenic males.


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Copyright © 1991 The Royal College of Psychiatrists.