This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (92)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

The First Follow-Up

James Morrison, MD; George Winokur, MD; Raymond Crowe, MD; John Clancy, MD

Arch Gen Psychiatry. 1973;29(5):678-682.

Abstract
Of 840 patients diagnosed as having bipolar and unipolar affective disorder, schizophrenia, or a schizophreniform psychosis, follow-up information was available for 94%. Followed long enough (ten years), nearly all affective disorder patients appeared to recover. Only 8% of schizophrenic patients ever recovered, compared to 22% of those with schizophreniform psychoses; most recoveries were seen to occur within the first two or three years posthospitalization. No patient with affective disorder followed ten years or more remained continuously hospitalized, whereas 20% of schizophrenic patients and 5% of patients with schizophreniform psychosis had never been released from the hospital; these percentages remained constant after five years. Strict criteria can predict those likely to recover and those to require chronic care; cases which contradict the prediction do so within the first few years after index admission.

Author Affiliations
Iowa City

From the Department of Psychiatry, University of Iowa College of Medicine, Iowa City. Dr. Morrison is currently with the Department of Psychiatry, University of California, San Diego.

Footnotes
Accepted for publication April 30, 1973.

Reprint requests to Department of Psychiatry, University of Iowa College of Medicine, 500 Newton Rd, Iowa City, IA 52240 (Dr. Winokur).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Long-Term Course of Schizophrenic Illness: Bleuler's Study Reconsidered
Modestin et al.
Am. J. Psychiatry 2003;160:2202-2208.
ABSTRACT | FULL TEXT  

Clinical Practice Guidelines for Depression in Primary Care: What Social Workers Need to Know
Littrell
Research on Social Work Practice 1995;5:131-151.
ABSTRACT  

Outcome and Familial Psychopathology in Schizophrenia
Kendler and Tsuang
Arch Gen Psychiatry 1988;45:338-346.
ABSTRACT  

Comparative Studies of Thought Disorders: II. Schizoaffective Disorder
Shenton et al.
Arch Gen Psychiatry 1987;44:21-30.
ABSTRACT  

Outcome After 40 Years in DSM-III Schizophreniform Disorder
Coryell and Tsuang
Arch Gen Psychiatry 1986;43:324-328.
ABSTRACT  

The Chestnut Lodge Follow-up Study: I. Follow-up Methodology and Study Sample
McGlashan
Arch Gen Psychiatry 1984;41:573-585.
ABSTRACT  

Outcome of Schizophrenic Subtypes Defined by Four Diagnostic Systems
Kendler et al.
Arch Gen Psychiatry 1984;41:149-154.
ABSTRACT  

Primary Unipolar Depression and the Prognostic Importance of Delusions
Coryell and Tsuang
Arch Gen Psychiatry 1982;39:1181-1184.
ABSTRACT  

DSM-III Schizophreniformm Disorder: Comparisons With Schizophrenia and Affective Disorder
Coryell and Tsuang
Arch Gen Psychiatry 1982;39:66-69.
ABSTRACT  

Predictive Validity of DSM-III and Feighner Definitions of Schizophrenia: A Comparison With Research Diagnostic Criteria and CATEGO
Helzer et al.
Arch Gen Psychiatry 1981;38:791-797.
ABSTRACT  

Early- and Late-Onset Bipolar Illness
Taylor and Abrams
Arch Gen Psychiatry 1981;38:58-61.
ABSTRACT  

Long-term Outcome of Major Psychoses: I. Schizophrenia and Affective Disorders Compared With Psychiatrically Symptom-Free Surgical Conditions
Tsuang et al.
Arch Gen Psychiatry 1979;36:1295-1301.
ABSTRACT  

Long-term Outcome of Major Psychoses: II. Schizoaffective Disorder Compared With Schizophrenia, Affective Disorders, and a Surgical Control Group
Tsuang and Dempsey
Arch Gen Psychiatry 1979;36:1302-1304.
ABSTRACT  

Concurrent Diagnostic Validity of a Structured Psychiatric Interview
Helzer et al.
Arch Gen Psychiatry 1978;35:849-853.
ABSTRACT  

A Study of "Atypical Schizophrenia" Comparison With Schizophrenia and Affective Disorder by Sex, Age of Admission, Precipitant, Outcome, and Family History
Tsuang et al.
Arch Gen Psychiatry 1976;33:1157-1160.
ABSTRACT  

Schizo-affective Psychosis: Fact or Fiction? A Survey of the Literature
Procci
Arch Gen Psychiatry 1976;33:1167-1178.
ABSTRACT  

Criteria for Subtyping Schizophrenia: Clinical Differentiation of Hebephrenic and Paranoid Schizophrenia
Tsuang and Winokur
Arch Gen Psychiatry 1974;31:43-47.
ABSTRACT  

Validity of the Diagnosis of Primary Affective Disorder: A Prospective Study With a Five-Year Follow-up
Murphy et al.
Arch Gen Psychiatry 1974;30:751-756.
ABSTRACT  

Community Mental Health and the Seriously Disturbed Patient: First Admission Outcomes
Smith et al.
Arch Gen Psychiatry 1974;30:693-696.
ABSTRACT