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A Long-term Follow-up Study of Schizophrenia in Japan -with Special Reference to the Course of Social Adjustment

Published online by Cambridge University Press:  02 January 2018

Kazuo Ogawa ,
Mahito Miya ,
Akio Wataral ,
Masao Nakazawa ,
Shuichi Yuasa  and
Hiroshi Utena
Kazuo Ogawa*
Affiliation:
Department of Neuropsychiatry, Gunma University School of Medicine
Mahito Miya
Affiliation:
Department of Neuropsychiatry, Gunma University School of Medicine
Akio Wataral
Affiliation:
Tone Chuo Hospital, Numata Shi
Masao Nakazawa
Affiliation:
Yoyogi Hospital, Tokyo
Shuichi Yuasa
Affiliation:
Haruna Hospital, Shibukawa Shi
Hiroshi Utena
Affiliation:
Sakamoto Clinic, Niiza Shi
*
Department of Neuropsychiatry, Gunma University School of Medicine, Maebashi Shi, Gunma Ken, 371, Japan
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Abstract

A 21–27-year follow-up was conducted on 140 schizophrenic patients consecutively discharged from the Department of Neuropsychiatry, Gunma University Hospital, between 1958 and 1962, and 130 patients (93%) were successfully evaluated. Of these patients, 105 were still living, and the longitudinal courses could be fully observed in 98. With regard to the social outcome of the 105 patients, 47% were assessed as 'self-supportive’ whereas 31% were ‘hospitalised‘. As for psychopathological outcome, 31% were ‘recovered’, 46% were ‘improvead’, and 23% were ‘unimproved‘. In the studies of the longitudinal courses of the 98 patients, fluctuating courses of social adjustment were the most numerous in the early stages, whereas in the later stages many of the patients showed differentiation in one of two directions, namely the 'stable self-supportive’ state and the ‘chronic institutionalised’ state. However, this form of differentiation was not revealed in the distribution of psychopathological ‘end states'.

Type
Papers
Information
The British Journal of Psychiatry , Volume 151 , Issue 6 , December 1987 , pp. 758 - 765
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Aritome, T. (1978) A study on the long-term prognosis of schizophrenia under psychotropic drug medication. Jikeikai Medical Journal, 25, 269–286.Google Scholar
Bleuler, M. (1972) Die schizophrenen Geistesstorungen im Lichte langjahnger Kranker-und Familiengeschichten. Stuttgart: Thieme.Google Scholar
Translated (1978) as The Schizophrenic Disorders: Long-term Patient and Family Studies, by S. M. Clemens Newhaven and London: Yale University Press.Google Scholar
Ciompi, L. (1980) The natural history of schizophrenia in the long term. British Journal of Psychiatry, 136, 413–420.Google Scholar
Ciompi, L. & Müller, C. (1976) Lebensweg und Alter der Schizophrenen: Eine katamnestische Langzeitstudie bis ins Senium. Berlin: Springer.CrossRefGoogle Scholar
Eguma, Y. (1962) The prevention of failure in the rehabilitation of discharged schizophrenic patients (in Japanese). Psychiatria et Neurologia Japonica, 64, 921–927.Google Scholar
Gotoh, A. (1971) Studies on changes in symptomatology and course of schizophrenia following introduction of psychopharmacotherapy: with the discharged patients (in Japanese). Clinical Psychiatry, 13, 1067–1076.Google Scholar
Huber, G., Gross, G. & Schuttler, R. (1979) Schizophrenic: Eine verlaufs-und sozialpsychiatrische Langzeitstudie. Berlin: Springer.Google Scholar
Huber, G., Gross, G., Schuttler, R. & Linz, M. (1980) Longitudinal studies of schizophrenic patients. Schizophrenia Bulletin, 6, 592–605.Google Scholar
Katoh, T., Tajima, A., Yuasa, S. & Eguma, Y. (1966) Characteristics of the social life of discharged schizophrenic patients (in Japanese). Psychiatria ef Neurologia Japonica, 68, 1076–1088.Google Scholar
Miya, M., Watarai, A., Ogawa, K. & Nakazawa, M. (1984) Course of the social life of discharged schizophrenic patients: catamnestic results of long-term study (in Japanese). Psychiatria et Neurologia Japonica, 86, 736–767.Google Scholar
Murakami, K. (1971) Changes in clinical course and symptomatology of schizophrenia following introduction of pharmacotherapy (in Japanese). Psychiatria et Neurologia Japonica, 73, 635–649.Google Scholar
Shimazono, Y. (1974) Prognosis of the functional psychosis. In Biological Mechanisms of Schizophrenia and Schizophrenia-like Psychosis (eds H. Mitsuda & T. Fukuda). Tokyo: Igaku Shoin Ltd.Google Scholar
Tajima, A., Katoh, T., Yuasa, S. & Eguma, Y. (1967) Psychiatric guidance of discharged schizophrenic patients in the social environment, with special reference to their occupational activities (in Japanese). Psychiatria et Neurologia Japonica, 69, 323–351.Google Scholar
Tsuang, M. T., Woolson, R. F. & Fleming, J. A. (1979) Longterm outcome of major psychosis: I. Schizophrenia and affective disorders compared with psychiatrically symptom-free surgical conditions. Archives of General Psychiatry, 36, 1295–1301.CrossRefGoogle Scholar
Utena, H. (1965) Changing features in treatment and care for schizophrenics (in Japanese). The Kitakanto Medical Journal, 15, 327–333.Google Scholar
World Health Organisation (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
Yuasa, S. (1984) Long-term prognosis of schizophrenic patients (in Japanese). Japanese Journal of Clinical Psychiatry, 13, 499–509.Google Scholar
Yuasa, S., Kunitomo, S., Maruyama, H., Ishikawa, T. & Sekiguchi, A. (1969) Social environment and adjustment of schizophrenic patients: based on the fact-finding survey of patients under financial aid with medical care (in Japanese). Chiiki Seishin-igaku (Community Psychiatry), 4, 1–19.Google Scholar
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