Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-24T01:29:53.768Z Has data issue: false hasContentIssue false
  • English
  • Français

Relationship Between Cognitive Defect, Affect Response and Community Adjustment in Chronic Schizophrenics

Published online by Cambridge University Press:  29 January 2018

George Serban  and
Christina B. Gidynski
George Serban
Affiliation:
Community Research Study, New York University Medical Center, School of Medicine, 550 First Avenue, New York, N. Y. 10016
Get access Rights & Permissions [Opens in a new window]

Summary

The relationship between mental status and community adjustment has been examined in 100 outpatient chronic schizophrenics. Sixty-six per cent presented at least one of the signs of Schneiderian First Rank Symptoms, which, however, failed to discriminate the diagnostic subgroups. Total adjustment correlated with total mental status and appeared to differentiate the diagnostic subclassifications of schizophrenia. From the major components of mental status, anxiety and depression appear to be significantly correlated with the functioning and stress of the individual in community adjustment while primary symptoms are only peripherally correlated with adjustment.

Type
Papers
Information
The British Journal of Psychiatry , Volume 134 , Issue 6 , June 1979 , pp. 602 - 608
Copyright
Copyright © Royal College of Psychiatrists, 1979 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrams, R. & Taylor, M. (1973) First rank symptoms, severity of illness and treatment response in schizophrenia. Comprehensive Psychiatry, 14, 353–5.Google Scholar
American Psychiatric Association (1968) Diagnostic and Statistical Manual of Mental Disorders. 3rd Ed., DSM II. Washington D.C. Google Scholar
Angst, J. (1966) Zur Atiologie und Nosologie Endogener Depressiven Psychosen. Berlin-Heidelberg: Springer-Verlag.Google Scholar
Astrachan, B. M., Brauer, L., Harrow, M. & Swartz, C. (1974) Symptomatic outcome in schizophrenia. Archives of General Psychiatry, 31, 155–60.Google Scholar
Astrup, C., Fossum, A. & Holmbee, R. (1962) Prognosis in Functional Psychosis. Springfield, Ill.: Charles C. Thomas.Google Scholar
Bleuler, E. (1911) Dementia Praecox or the Group of Schizophrenias. New York: International Universities Press, 1950.Google Scholar
Carpenter, W. T., Strauss, J. S. & Bartko, J. J. (1974) The diagnosis and understanding of schizophrenia. Part I. Use of signs and symptoms for the identification of schizophrenic patients. Schizophrenia Bulletin, Issue No. II, Winter.Google Scholar
Carpenter, W. T., Sacks, M. H., Strauss, J. S., Bartko, J. J. & Rayner, J. (1976) Evaluating signs and symptoms: comparison of structured interview and clinical approaches. British Journal of Psychiatry, 128, 397–403.Google Scholar
Fish, F. (1962) Schizophrenia. Bristol: John Wright.Google Scholar
Gurland, B. J., Yorkston, N. J., Stone, A. R., Frank, J. D. & Fleiss, J. L. (1972a) The Structured and Scaled Interview to Assess Maladjustment (SSIAM). I. Description, rationale and development. Archives of General Psychiatry, 27, 259–63.Google Scholar
Gurland, B. J., Yorkston, N. J., Goldberg, K., Fleiss, J. L., Sloane, R. B. & Cristol, A. H. (1972b) The Structured and Scaled Interview to Assess Maladjustment (SSIAM). II. Factor analysis, reliability and validity. Archives of General Psychiatry, 27, 264–7.Google Scholar
Hay, A. J. & Forrest, A. D. (1972) The diagnosis of schizophrenia and paranoid psychosis; an attempt at clarification. British Journal of Medical Psychology, 45, 233–41.Google Scholar
Harrow, M., Harkavy, K., Bromet, E. & Tucker, G. J. (1973) A longitudinal study of schizophrenic thinking. Archives of General Psychiatry, 28, 179–82.Google Scholar
Harrow, M. & Quinlan, D. (1977) Is disordered thinking unique to schizophrenia? Archives of General Psychiatry, 34, 15–21.Google Scholar
Huber, G., Gross, G. & Schuttler, R. (1975) A long-term follow-up study of schizophrenia: Psychiatric course of illness and prognosis. Acta Psychiatrica Scandinavica, 52, 49–57.Google Scholar
Kayton, L. (1973) Good outcome in young adult schizophrenia. Archives of General Psychiatry, 29, 103–10.Google Scholar
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia. Translated by Barclay, R. M. Edinburgh: Livingstone.Google Scholar
Kuriansky, J. B., Deming, W. E. & Gurland, B. J. (1974) On trends in the diagnosis of schizophrenia. American Journal of Psychiatry, 131, 402–7.CrossRefGoogle ScholarPubMed
Langfeldt, G. (1937) The prognosis in schizophrenia and the factors influencing the course of the disease. Acta Psychiatrica Scandinavica, Supplement 13.Google Scholar
McGlashan, T. H. & Carpenter, W. T. (1976a) Post-psychotic depression in schizophrenia. Archives of General Psychiatry, 33, 231–9.Google Scholar
McGlashan, T. H. & Carpenter, W. T. (1976b) An investigation of the postpsychotic depressive syndrome. American Journal of Psychiatry, 133, 14–18.Google Scholar
Mellor, S. C. (1970) First rank symptoms of schizophrenia. British Journal of Psychiatry, 117, 15–23.Google Scholar
Robins, E. & Guze, S. B. (1970) Establishment of diagnostic validity in psychiatric illness: its applications to schizophrenia. American Journal of Psychiatry, 126, 983–987.Google Scholar
Roth, S. (1970) The seemingly ubicuitous depression following acute schizophrenic episodes, a neglected area of clinical discussion. American Journal of Psychiatry, 127, 51–8.Google Scholar
Schneider, C. (1942) Die Schizophrenen Symptomverbande. Berlin: Springer.Google Scholar
Schneider, K. (1959) Clinical Psychopathology. Translated by Hamilton, M. W. New York: Grune & Stratton Inc.Google Scholar
Serban, G. (1975a) Functioning ability in schizophrenics and ‘normal’ subjects: short-term prediction for rehospitalization of schizophrenics. Comprehensive Psychiatry, 16, 447–55.Google Scholar
Serban, G. (1975b) Stress in schizophrenics and normals. British Journal of Psychiatry, 126, 397–407.Google Scholar
Serban, G. (1975c) Relationship of mental status, functioning and stress to readmission of schizophrenics. British Journal of Social Clinical Psychology, 14, 291–301.Google Scholar
Serban, G. (1978) Social Stress and Functioning Inventory for Psychotic Disorders (SSFIPD): measurement and prediction of schizophrenics' community adjustment. Comprehensive Psychiatry, 19, 337–47.Google Scholar
World Health Organization (Eds.) (1973) International Pilot Study of Schizophrenia. Vol. I. Geneva: World Health Organization.Google Scholar
Zigler, E. & Levine, J. (1973) Premorbid adjustment and paranoid-nonparanoid status in schizophrenia: a further investigation. Journal of Abnormal Psychology, 82, 189–99.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.