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[Prognostic factors in schizophrenic patients]
A de Dios Francos1, A I Goñi Labat, M A Medina Fernández
1Sección de psiquiatría, Hospital General Yagüe, Burgos.
Introduction:
A series of factors have been identified, linked to the prognosis of the schizophrenia, such as the form of the starting point, the existence of the causing factors, time of evolution, personal and familiar psychiatric antecedents, the civil state, the working situation, the sex, the social class, age of onset and kind of symptomatology.
Methodology:
T look into such factors in a sample of 65 schizophrenic patients, it was collected some information about all the variables and relative data in the clinic history, in a formal way, during the admission of the patient in the year 1987/88. In February, 1993, all the cases have been revised and have been qualified as "the best prognosis" or "the worst prognosis", according to some points, such as number of re-admissions, actual symptomatology, level of social and laboural operation. The total sample of patients was dichotomied according to the prognosis variable and the two sub-samples were compared in respect to all the variables related to the prognosis.
Results:
The factors associated with a "best prognosis", include the situation of the laboural activity and the biggest level of adaptation in the previous year to the admission. The presence of self-reference delusion, hallucinations and insomnia, have been associated with a "worst prognosis".
Conclusions:
It hasn't been possible to reply, in this study, with the prognosis of the schizophrenia, giving evidence of the methodological difficulties and the heterogeneous results in this kind of studies.