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Eleven-year clinical outcome of schizophrenia in Bali

T Kurihara¹, M Kato, R Reverger

¹Komagino Hospital, Tokyo, Japan. kurihara@sj8.so-net.ne.jp

Acta Psychiatrica Scandinavica

|November 11, 2005

Abstract

Objective:

To contrast the short-term and long-term outcome of schizophrenia in Bali.

Method:

The clinical outcomes of 46 schizophrenic patients (DSM-IV-TR) consecutively admitted to Bangli Mental Hospital were evaluated by Positive and Negative Syndrome Scale (PANSS) and Eguma's Social Adjustment Scale (ESAS) at a 11-year follow-up, which was subsequent to a 5-year follow-up.

Results:

Neither the PANSS score nor the ESAS score were significantly different, and there was a significant correlation between the two follow-up data. Subjects categorized into either the best or worst outcome group at the 5-year follow-up tended to be classified into the same category at the 11-year follow-up more often than those who were categorized into the medium outcome groups at the 5-year follow-up.

Conclusion:

The 5-year outcome of schizophrenia strongly predicted the 11-year outcome, especially for subjects who had gone into either a remissive or severe deterioration state within 5 years.

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