Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-25T11:01:43.281Z Has data issue: false hasContentIssue false
  • English
  • Français

Social Disability and Outcome in Schizophrenic Patients

Published online by Cambridge University Press:  29 January 2018

A. de Jong ,
R. Giel ,
C. J. Slooff  and
D. Wiersma
A. de Jong*
Affiliation:
Department of Social Psychiatry
R. Giel
Affiliation:
Head of the Department of Social Psychiatry
C. J. Slooff
Affiliation:
Department of Clinical Psychiatry
D. Wiersma
Affiliation:
Department of Social Psychiatry, Academisch Ziekenhuis, Oostersingel 59, 9713 EZ Groningen, the Netherlands
*
∗Correspondence
Get access Rights & Permissions [Opens in a new window]

Abstract

To gain more insight into the social (as opposed to clinical) outcome of schizophrenia, a unidimensional, hierarchical scale was constructed. Items were selected from the Disability Assessment Schedule (DAS)–a new instrument, used in the WHO Collaborative Study on the Assessment and Reduction of Psychiatric Disability. Data were derived from the Dutch cohort participating in this study, which consisted of patients with a first life-time episode of a non-affective, functional psychosis. Patients were followed-up during the first three years of their illness, and analyses of the stability and reliability of the scale proved to be satisfactory. It was subsequently used to characterise the course of social disability.

Type
Papers
Information
The British Journal of Psychiatry , Volume 147 , Issue 6 , December 1985 , pp. 631 - 636
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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

Bleuler, M. (1972) Die schizophrenen Geistesstörungen im Lichte langjähriger Kranken–und Familiengeschichte. Stuttgart: Georg Thieme Verlag.Google Scholar
Ciompi, L. & Müller, C. (1976) Lebensweg und Alter der Schizophrenen. Ein katamnestische Langzeitstudie bis ins Senium. Berlin: Springer Verlag.CrossRefGoogle Scholar
Clark, A. W. (1968) The Personality and Social Network Adjustment Scale: its use in the evaluation of treatment in a therapeutic community. Human Relations, 21, 85–96.CrossRefGoogle Scholar
Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37–46.Google Scholar
Cohen, J. (1968) Weighted kappa. Nominal scale agreement with provision for scaled disagreement or partial credit. Psychological Bulletin, 70, 213–220.CrossRefGoogle ScholarPubMed
Cooper, J. (1980) The description and classification of social disability by means of a taxonomic hierarchy. Acta Psychiatrica Scan-dinavica, Supplement 285, 62, 140–146.Google Scholar
Glazer, W. M., Aaronson, H. S., Prusoff, B. A. & Williams, D. H. (1980) Assessment of social adjustment in chronic ambulatory schizoohrenics. Journal of Nervous and Mental Diseases, 168, 493–497.CrossRefGoogle Scholar
Giel, R., Sauer, H. C., Slooff, C. J. & Wlersma, D. (1980) Over de epidemiologic van functionele psychosen en invaliditeit (On the epidemiology of functional psychosis and disablement). Tijdschrift voor Psychiatric, 22, 710–722.Google Scholar
Huber, G., Gross, G. & SCHüttler, R. (1979) Schizophrenie. Verlaufs und Sozial-psychiatrische-Langzeituntersuchungen und den 1945–1959 in Bonn hospitalisierten schizophrenen-Kranken. Berlin: Springer Verlag.Google Scholar
Jablensky, A., Schwarz, R. & Tomov, T. (1980) WHO collaborative study on impairments and disabilities associated with schizophrenic disorders. A preliminary communication: objectives and methods. Acta Psychiatrica Scandinavica, Supplement 285.Google Scholar
Jong, A. DE (1984) Over psychiatrische invaliditeit. Een theoretische en empirische verkenning naar het verband tussen psychiatrische ziekte en sociaal gedrag (On psychiatric disablement. A theoretical and empirical exploration into the relation between psychiatric illness and social behaviour). Thesis, State University Groningen, the Netherlands.Google Scholar
Jong, A. DE, Giel, R., Lindeboom, E. G., Slooff, C. J. & Wiersma, D. (1984) Foulds' hierarchical model of psychiatric illness in a Dutch cohørt: a re-evaluation. Psychological Medicine, 14, 247–254.Google Scholar
Mokken, R. J. (1971) A theory and procedure of scale analysis. The Hague: Mouton.Google Scholar
Niemöller, B. & Schuur, W. H. Van (1983) Stochastic models for unidimensional scaling: Mokken and Rasch. In Data analysis and the social sciences (eds. McKay, D., Schofield, N. & Whiteley, P.) London: Frances Pinter.Google Scholar
Ruesch, J. & Brodsky, C. M. (1968) The concept of social disability. Archives of General Psychiatry, 19, 394–403.Google Scholar
Serban, G. (1980) Adjustment of schizophrenics in the community. Lancaster: MTP Press.Google Scholar
Slooff, C. J. (1984) De kassifikatie en hel beloop van schizofrene en reactieve psychosen. (Classification and course of schizophrenic and reactive psychoses). Thesis, State University Groningen, the Netherlands.Google Scholar
Strauss, J. & Carpenter, W. T. (1972) The prediction of outcome in schizophrenia. I. Characteristics of outcome. Archives of General Psychiatry, 27, 739–746.Google Scholar
Strauss, J. & Carpenter, W. T. (1974) The prediction of outcome in schizophrenia. II. Relationships between predictor and outcome variables. Archives of General Psychiatry, 34, 37–42.Google Scholar
Strauss, J. & Carpenter, W. T. (1977) The prediction of outcome in schizophrenia. III. Five-year outcome and its predictors. Archives of General Psychiatry, 34, 159–163.Google Scholar
Weissman, M. M. (1975) The assessment of social adjustment. A review of techniques. Archives of General Psychiatry, 32, 357–365.CrossRefGoogle ScholarPubMed
Weissman, M. M., Sholomskas, D. & John, K. (1981) The assessment of social adjustment. An update. Archives of General Psychiatry, 38, 1249–1258.Google Scholar
Wiersma, D., Giel, R. Jong, De, A. & Slooff, C. J. (1983) Social class and schizophrenia in a Dutch cohort. Psychological Medicine, 13, 141–150.CrossRefGoogle Scholar
World Health Organisation (1979) Schizophrenia: an international follow up study. New York: John Wiley and Sons.Google Scholar
World Health Organisation (1984) A procedure and schedule for the assessment of disability in patients with severe psychiatric disorders (WHO Disability Assessment Schedule). In preparation.Google Scholar
Zubin, J., Magaziner, J. & Steinhauer, S. R. (1983) The metamorphosis of schizophrenia: from chronicity to vulnerability. Psychological Medicine, 13, 551–571.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.