Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-22T17:34:00.228Z Has data issue: false hasContentIssue false
  • English
  • Français

Symptomatic and diagnostic stability in schizophrenia: a one-year follow-up study

Published online by Cambridge University Press:  16 April 2020

S Dollfus ,
M Petit ,
JF Menard  and
P Lesieur
S Dollfus
Affiliation:
University of Rouen, Department of Psychiatry, CHS du Rouvray, Sotteville Les Rouen 76301
M Petit
Affiliation:
University of Rouen, Department of Psychiatry, CHS du Rouvray, Sotteville Les Rouen 76301
JF Menard
Affiliation:
University of Rouen, Department of Biophysics, Hospital Charles Nicolle, Rouen76000
P Lesieur
Affiliation:
Department of Research, CHS du Rouvray, 4 rue Paul Eluard, Sotteville Les Rouen 76301, France
Get access

Summary

The stability of symptomatology and of eleven schizophrenic diagnostic systems was studied in patients initially in an acute phase (group 1) compared to patients in a residual phase (group 2). The patients were evaluated over a period of 1 year with a standardized checklist and PANSS in both groups. The number of patients included by the Carpenter, Calego, 1CD9, New-Haven, Schneider and Vienne systems decreased significantly between admission and discharge in group 1, whereas no variation was observed in group 1 between discharge and one year later, or in group 2 over a period of 1 year. The instability of schizophrenic diagnostic systems such as New-Haven, Schneider and Vienne could be due to the variation of positive or general symptomatology. The number of patients included by Feighner or Langfeldt did not vary significantly between admission and discbarge in group 1, in spite of a significant decrease in symptomatology, probably because certain criteria, such as duration of illness, hindered the systems from changing. The results showed the importance of specifying in every study on schizophrenia the time of inclusion (admission, discharge) or the phase of illness (acute or residual phase).

Keywords

schizophreniadiagnosisstability
Type
Original article
Information
European Psychiatry , Volume 8 , Issue 3 , 1993 , pp. 131 - 137
Copyright
Copyright © Elsevier, Paris 1993

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

Astrachan, BMHarrow, MAdler, DBrauer, LSchwartz, ASchwartz, C (1972) A checklist for the diagnosis of schizophrenia. Br J Psychiatry 121, 529–539CrossRefGoogle Scholar
Berner, P (1965) Das paranoische syndrom. Monographie aus dem gesamtgebiete det neurologie und psychitrie. Spring Verlag, Berlin, 110Google Scholar
Berner, P (1969) Der lebensabend der paranoiker. Wien Z Nerv Heilk, 27, 115–161Google Scholar
Berner, PGabriel, EKatsching, HKieffet, WKoehler, KLenz, GSimhandl, CHPull, CBPull, MCBerner, C (1987) Critères diagnostiques pour les psychoses schizophrèniques et affectives. Expansion Scientifique française, Paris, 191 pGoogle Scholar
Berner, PKatschnig, HLenz, G (1986) First-Rank symptoms and Bleuler's basic symptoms. Psychopathol 19, 244–252CrossRefGoogle ScholarPubMed
Brockington, IFKendell, RELeff, JP (1978) Definitions of schizophrenia: concordance and prediction of outcome. Psychol Med 8, 387–398CrossRefGoogle ScholarPubMed
Carpenter, WTStephens, JHBartko, JJ (1973) Flexible system for diagnosis of schizophrenia: report from the WHO international pilot study of schizophrenia. Science 192, 1275CrossRefGoogle Scholar
Cohen, J (1960) A coefficient of agreement for nominal scales. Ed Psychol Meas 10, 37–46CrossRefGoogle Scholar
Dollfus, SPetit, MMenard, JFBrazo, PBesse-Assouly, FPreterre, PHLesieur, PH Polydiagnostic approach of schizophrenia: validity of a computer checklist (LIDE). Encephale (in press)Google Scholar
DSM III-R Diagnostic and Statistical Manual of Mental Disorders (1987) 3rd edn, revised. American Psychiatric Association. Washington DCGoogle Scholar
Feighner, JRRobins, EGuze, SBWoodruff, RAWinokur, GSimon, R (1982) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 26, 57–63CrossRefGoogle Scholar
Fenton, WSMosher, LRMatthews, SM (1981) Diagnosis of schizophrenia: a critical review of current diagnostic systems. Schizophren Bull 7, 3, 452–476CrossRefGoogle ScholarPubMed
Fenton, WSMcGlashan, THHeinssen, RK (1988) A comparison of DSM III and DSM III-R schizophrenia. Am J Psychiatry 145, 1446-1449Google ScholarPubMed
Helzer, JEBrockington, IFKendell, RE (1981) Predictive validity of DSM III and Feighner definitions of schizophrenia. Arch Gen Psychiatry 38, 791–797CrossRefGoogle ScholarPubMed
Helzer, JEClayton, PJPambakian, RReich, TWoodruff, RARevely, MA (1977) Reliability of psychiatric diagnosis. Arch Gen Psychiatry 34, 136–141CrossRefGoogle ScholarPubMed
Hwu, HGChen, CCStrauss, JSTan, KLTsuang, MTTseng, WS (1988) A comparative study on schizophrenia diagnosed by ICD9 and DSM III: course, family, history and stability of diagnosis. Acta Psychiatr Scand 77, 87–97CrossRefGoogle Scholar
Kay, SROpler, LAFiszbein, A (1986) Positive and negative syndrome scale. Department of psychiatry. Albert Einstein-college of medecine. Monfefiore medical center and schizophrenia research unit. Bronx Psychiatric center. 1500 waters place. Bronx. NY-10461Google Scholar
Kazanetz, EP (1979) Differentiating exogenous psychiatric illness from schizophrenia. Arch Gen Psychiatry 36, 740–745CrossRefGoogle ScholarPubMed
Kendler, KSGruenberg, AMTsuang, MT (1985) Subtype stability in schizophrenia. Am J Psychiatry 142, 827–832Google Scholar
Langfeldt, G (1960) Diagnosis and prognosis of schizophrenia. Proc Roy Soc Med 53, 1047–1052CrossRefGoogle ScholarPubMed
Langfeldt, G (1969) Schizophrenia: diagnosis and prognosis. Behav Sci 14, 173–182CrossRefGoogle ScholarPubMed
Lenz, GSimhandl, CThau, KBerner, PGabriel, E (1991) Temporal stability of diagnostic criteria for functional psychoses. Psychopathology 24, 328–335CrossRefGoogle ScholarPubMed
Mazure, CGershon, ES (1979) Blindness and reliability in lifetime psychiatric diagnosis. Arch Gen Psychiatry 36, 521–525CrossRefGoogle ScholarPubMed
McGlashan, TH (1984) Testing four diagnostic systems for schizophrenia. Arch Gen Psychiatry 41, 141–144CrossRefGoogle Scholar
Mellor, CS (1970) First rank symptoms of schizophrenia: 1. The frequency in schizophrenia on admission to hospital; 2. Differences between individual first rank symptoms. Br J Psychiatry 117, 15–23CrossRefGoogle Scholar
Organisation Mondiale de la Santé (1979) Troubles mentaux: glossaire et guide de la classification en concordance avec la neuvième révision de la classification des maladies. Genève.OMSGoogle Scholar
Overall, JEGorham, DR (1962) Brief Psychiatric Rating Scale. Psychol Rep 10, 799CrossRefGoogle Scholar
Pull, CBPull, MCPichot, P (1981) LICET-S: une liste intégrée de critères d'évaluation taxinomiques pour les psychoses non affectives. J Psychol Biol Ther 1, 1, 33–37Google Scholar
Pull, MCPull, CBPichot, P (1987) Des critères empiriques français pour les psychoses. II. Consensus des psychiatres français et définitions provisoires. Encéphale XIII, 53–57Google Scholar
Pull, MCPull, CBPichot, P (1987) Des critères empiriques français pour les psychoses. III. Algorithmes et arbre de décision. Encéphale 59–66Google Scholar
Schneider, K (1959) Clinical psychopathology. Grune and Stratton. New YorkGoogle Scholar
Silverstein, MLHarrow, M (1978) First rank symptoms in the post-acute schizophrenic: a follow-up study. Am J Psychiatry 135, 1481–1486Google Scholar
Singh, MMKay, SR (1975) A comparative study of haloperidol and chlorpromazine in terms of clinical effects and therapeutic reversal with benztrapine in schizophrenia: theoratical implications for potency differences among neuroleptics. Psychopharmacol Bull 43, 103–113CrossRefGoogle Scholar
Spitzer, RLEndicott, JRobins, E (1978) Research diagnostic criteria. Arch Gen Psychiatry 35, 773–782CrossRefGoogle ScholarPubMed
Taylor, MAAbrams, R (1978) The prevalence of schizophrenia: a reassessment using modern diagnostic criteria. Am J Psychiatry 135, 8, 945–948Google ScholarPubMed
Trainor, D (1979) 35-year follow up finds diagnoses accurate. Psychiatr News 283–293Google Scholar
Tsuang, MTWoolson, RFWinokur, GCrowe, RR (1981) Stability of psychiatric diagnosis. Arch Gen Psychiatry 38, 535–539CrossRefGoogle ScholarPubMed
Wing, JKCooper, JESartorius, N (1974) The measurement and classification of psychiatric symptoms. Cambridge university press. LondonGoogle Scholar
Winokur, G (1974) Diagnostic stability over time in schizophrenia, mania, and depression. N Engl J Med 290, 1027Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.