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The British Journal of Psychiatry (2000) 177: 26-32
© 2000 The Royal College of Psychiatrists

Cognitive and behavioural functioning in men with schizophrenia both before and shortly after first admission to hospital

Cross-sectional analysis

JONATHAN RABINOWITZ, PhD

Bar Ilan University, Israel, and State University of New York at Stony Brook, USA

AVI REICHENBERG, PhD

Hebrew University, Israel

MARK WEISER, MD and MORDECHAI MARK, MD

Tel Aviv University

ZEEV KAPLAN, MD

Beersheba University

MICHAEL DAVIDSON, MD

Tel Aviv University and Mount Sinai School of Medicine, Israel

Correspondence: Professor Jonathan Rabinowitz, Bar Ilan University, Ramat Gan, Israel. e-mail:rabinowz{at}mail.biu.ac.il

Declaration of interest None.

Background The extent of premorbid changes associated with the onset of schizophrenia are debated.

Aims The study examined cognitive and behavioural functioning prior to, and after, first hospitalisation for schizophrenia.

Method Data from the Israeli Draft Board Register of intelligence, social functioning and behaviour testing for all Israeli males aged 16-17 was linked with data from the National Psychiatric Hospitalisation Case Register. This identified 692 men who had been admitted to hospital for schizophrenia. Cases and non-cases matched on age and school were compared, as were cases aggregated by the time that had elapsed between testing and first admission to hospital.

Results Cases performed worse than non-cases on all measures. On Social Functioning and on Raven's Progressive Matrices—R, differences between cases and non-cases were progressively greater for cases admitted closer to the time of testing. These differences were greatest for persons tested after first psychiatric hospitalisation.

Conclusions The results confirm premorbid deficits associated with schizophrenia and support the hypothesis that decline is progressive.




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