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The Suffolk County Mental Health Project: demographic, pre-morbid and clinical correlates of 6-month outcome

Published online by Cambridge University Press:  09 July 2009

E. J. Bromet*
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
L. Jandorf
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
S. Fennig
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
J. Lavelle
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
B. Kovasznay
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
R. Ram
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
M. Tanenberg-Karant
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
T. Craig
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, NY, USA
*
1Address for correspondence: Dr Evelyn J. Bromet Department of PsychiatryPutnam Hall-South CampusState University of New YorkStony BrookNY 11794–8790USA.

Synopsis

The diagnostic specificity and predictive utility of the classical prognostic indicators in schizophrenia were examined in psychotic patients enrolled in the Suffolk County Mental Health Project. First-admission psychotic patients with schizophrenia (N = 96), major depression (N = 42), and bipolar disorder (N = 64) drawn from 10 facilities in Suffolk County, New York, were assessed during their initial hospitalization and at 6–month follow-up. Longitudinal consensus diagnoses were determined after the 6-month interview. The diagnostic groups shared similar background characteristics, but schizophrenics had poorer pre-morbid adjustment, longer periods of psychosis before hospitalization and more negative symptoms initially. Except for rehospitalization, schizophrenics had the worst and bipolars the best functioning at follow-up. Among the classical prognostic indicators, the best predictor of 6-month outcome for each diagnostic group was premorbid functioning.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1996

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