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The Disabilities of Chronic Schizophrenia—their Nature and the Factors Contributing to their Development

Published online by Cambridge University Press:  29 January 2018

D. G. Cunningham Owens  and
Eve C. Johnstone
D. G. Cunningham Owens
Affiliation:
Division of Psychiatry, Clinical Research Centre, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ
Eve C. Johnstone
Affiliation:
Division of Psychiatry, Clinical Research Centre, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ
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Summary

Five hundred and ten patients receiving long-term in-patient care for schizophrenia were examined in terms of their current mental state, cognitive functioning, neurological status and behavioural performance. The abnormalities of these areas of their present state were related to historical factors, personal details, the features of the illness at its worst and physical treatment received. Significant associations between the present state and historical factors were few and mainly concerned time and the features of the illness at its worst. Current abnormalities were not related to past physical treatment, but highly significant correlations were found between the impairments of the four areas of the present state. It is concluded that these impairments are likely to be an integral part of the disease.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 136 , Issue 4 , April 1980 , pp. 384 - 395
Copyright
Copyright © Royal College of Psychiatrists, 1980 

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References

American College of Neuropsychopharmacology—F.D.A. Task Force (1973) Neurological syndromes associated with antipsychotic drug use—a special report. Archives of General Psychiatry, 28, 463–7.Google Scholar
Brandon, S., McClelland, H. A. & Protheroe, C. (1971) Study of facial dyskinesia in a mental hospital population. British Journal of Psychiatry, 118, 171–84.CrossRefGoogle Scholar
Crane, G. E., Naranjo, E. R. & Chase, C. (1971) Motor disorders induced by neuroleptics—a proposed new classification. Archives of General Psychiatry, 24, 179–84.CrossRefGoogle Scholar
Crane, G. E. & Paulson, G. (1966) Involuntary movements in a sample of chronic mental patients and their relation to the treatment with neuroleptics. International Journal of Neuropsychiatry, 3, 286–91.Google Scholar
Edwards, H. (1970) Significance of brain damage in persistent oral dyskinesia. British Journal of Psychiatry, 116, 271–5.CrossRefGoogle ScholarPubMed
Feighner, J. P., Robins, E., Guze, S., Woodruff, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 57–62.CrossRefGoogle ScholarPubMed
Friedberg, J. (1977) Shock treatment, brain damage and memory loss: a neurological perspective. American Journal of Psychiatry, 134, 1014–19.Google ScholarPubMed
Frith, C. D. (1977) Two kinds of cognitive deficit associated with chronic schizophrenia. Psychological Medicine, 7, 171–3.CrossRefGoogle ScholarPubMed
Hunter, R. (1973) Psychiatry and neurology—psychosyndrome or brain disease. Proceedings of the Royal Society of Medicine, 66, 359–64.Google ScholarPubMed
Johnstone, E. C., Crow, T. J., Frith, C. D., Husband, J. & Kreel, L. (1976) Cerebral ventricular size and cognitive impairment in chronic schizophrenia. Lancet, 1976, ii, 924–6.Google Scholar
Johnstone, E. C., Crow, T. J., Frith, C. D., Stevens, M., Kreel, L. & Husband, J. (1978) Dementia of dementia praecox. Acta Psychiatrica Scandinavica, 57, 305–24.CrossRefGoogle ScholarPubMed
Johnstone, E. C., Frith, C. D., Gold, A. & Stevens, M. (1979) Outcome of severe acute schizophrenic illnesses after one year. British Journal of Psychiatry, 134, 28–33.CrossRefGoogle ScholarPubMed
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia. New York: R. E. Krieger. (Translated by Barclay, R. M. and Robertson, G. M.).Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977) Standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica, 55, 299–308.Google Scholar
Mann, S. & Cree, W. (1975) The ‘new long-stay’ in mental hospitals. British Journal of Hospital Medicine, 14, 56–63.Google Scholar
Mann, S. & Cree, W. (1976) ‘New’ long-stay psychiatric patients: a national survey of fifteen mental hospitals in England and Wales, 1972/3. Psychological Medicine, 6, 603–16.Google ScholarPubMed
Marks, V. & Rose, F. C. (1965) Hypoglycaemia. Oxford: Blackwell Scientific Publications.Google ScholarPubMed
Marsden, C. D. (1976) Cerebral atrophy and cognitive impairment in chronic schizophrenia. Lancet, ii, 1079.CrossRefGoogle Scholar
May, P. R. A. (1974) Treatment of schizophrenia: (iii) a survey of the literature on prefrontal leucotomy. Comprehensive Psychiatry, 15, 375–88.CrossRefGoogle Scholar
Mettler, F. A. & Crandell, A. (1959) Neurologic disorders in psychiatric institutions. Journal of Nervous and Mental Disease, 128, 148–59.CrossRefGoogle ScholarPubMed
Reiter, P. J. (1926) Extrapyramidal motor disturbances in dementia praecox. Acta Psychiatrica et Neurologica Scandinavica, 1, 287–309.CrossRefGoogle Scholar
Renfrew, S. (1967) An Introduction to Diagnostic Neurology—a Course of Instruction for Students. Vols. I/II (second edition). Edinburgh: Livingstone.Google Scholar
Todd, N. A., Bennie, E. H. & Carlisle, J. M. (1976) Some features of ‘new long-stay’ male schizophrenics. British Journal of Psychiatry, 129, 424–7.CrossRefGoogle ScholarPubMed
Tooth, G. C. & Brooke, E. M. (1961) Trends in the mental hospital population and their effect on future planning. Lancet, i, 710–13.Google Scholar
Walton, John N. (1977) Brain's Diseases of the Nervous System. Eighth edition. London: Oxford University Press.Google Scholar
Wing, J. K. (1962) Institutionalism in mental hospitals. British Journal of Social and Clinical Psychology, 1, 38–51.CrossRefGoogle ScholarPubMed
Wing, J. K. & Brown, G. W. (1961) Social treatment of chronic schizophrenia: a comparative survey of three mental hospitals. Journal of Mental Sciences, 107, 847–61.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Wing, J. K. & Freudenberg, R. K. (1961) Response of severely ill chronic schizophrenic patients to social stimulation. American Journal of Psychiatry, 118, 311–22.CrossRefGoogle ScholarPubMed
Withers, E. & Hinton, J. (1971) Three forms of the clinical tests of the sensorium and their reliability. British Journal of Psychiatry, 119, 1–8.CrossRefGoogle ScholarPubMed
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