HOW THE ONSET OF SCHIZOPHRENIA BREAKS INT O THE SOCIAL-DEVELOPMENT - IMPACT ON SOCIAL DISABILITY VERSUS SOCIAL READAPTATION

Citation
B. Nowotny et al., HOW THE ONSET OF SCHIZOPHRENIA BREAKS INT O THE SOCIAL-DEVELOPMENT - IMPACT ON SOCIAL DISABILITY VERSUS SOCIAL READAPTATION, Zeitschrift fur klinische Psychologie, 25(3), 1996, pp. 208-220
Citations number
55
Categorie Soggetti
Psycology, Clinical
ISSN journal
00845345
Volume
25
Issue
3
Year of publication
1996
Pages
208 - 220
Database
ISI
SICI code
0084-5345(1996)25:3<208:HTOOSB>2.0.ZU;2-3
Abstract
A subsample of first hospitalized schizophrenics (n = 133; 66 m, 64 f) was taken from the Mannheim ABC Schizophrenia Study (Age, Beginning a nd Course). Ar first admission these patients were retrospectively ass essed back to their first symptom and prospectively assessed up to thr ee years after wards. The instrument we used was the Interview for the Retrospective Assessment of the Onset of Schizophrenia (IRAOS). This instrument assesses the social biography of the patient as well as the symptom development up to the time of first admission. We found that men were younger than women at every definition of onset (at first adm ission men are 27.6 and women are 32.2 years old). Ar the time of onse t men have fulfilled few social roles. We tested by means of logistic regression a model which hypothesized that the following factors influ enced social disability: age at onset, level of social development, op erationalized with the variables educational level, employment, income , living situation and partnership, type of onset (acute, subacute or insiduous), degree of psychopathological disorder in the course and ge nder. The social development at. onset of psychotic symptomatology pro ved to be a useful predictor of later social disability as was to a le sser degree ape at onset and gender.