Abstract
Schizophrenic children admitted as inpatients to a child psychiatric unit over a 10-year period were reviewed in terms of demographic characteristics, clinical features, and social adaptation using the DSM-III as a frame of reference. Ten children who were first seen at least 1 year previously were followed up and reassessed as regards clinical status and level of adaptive functioning. As in other studies, outcome was related to age at onset, premorbid level of adaptation, rapidly of onset, clinical subtype, and presence of affective symptoms. However, deterioration following the active phase of the illness occurred in only four cases. The outcome in childhood schizophrenia may be more favorable than generally assumed, but there is a need for longer and larger studies of carefully diagnosed groups.
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References
American Psychiatric Association.Diagnostic and statistical manual of mental disorders (DSM-III). (3rd ed.) Washington, D.C.: American Psychiatric Association, 1980.
Annell, A. The prognosis of psychotic syndromes in children.Acta Psychiatrica Scandinavica, 1963,39, 235–241.
Bender, L. Childhood schizophrenia: Clinical study of one hundred schizophrenic children.American Journal of Orthopsychiatry, 1947,17, 40–55.
Bender, L. Schizophrenia in childhood: Its recognition, description and treatment.American Journal of Orthopsychiatry, 1956,26, 499–506.
Bettelheim, B.The empty fortress. New York: Free Press, 1967.
Bradley, C., & Bowen, M. Behavior characteristics of schizophrenic children.Psychiatric Quarterly, 1941,15, 298–315.
Carter, A. B. Prognostic factors of adolescent psychoses.Journal of Mental Science, 1942,88, 31–81.
Creak, M., Cameron, K., Cowie, V., Ini, S., Mackeith, R., Mitchell, G., O'Gorman, G., Orford, F., Rogers, W., Shapiro, A., Stone, F., Stroh, G., & Yudkin, S. Schizophrenic syndrome in childhood.British Medical Journal, 1961,2, 889–890.
Eggers, C. Course and prognosis of childhood schizophrenia.Journal of Autism and Childhood Schizophrenia, 1978,1, 21–35.
Eisenberg, L. The course of childhood schizophrenia.Archives of Neurology and Psychiatry, 1957,78, 69–83.
Elley, W. B., & Irving, J. C. A socioeconomic index for New Zealand based on levels of education and income from the 1966 census.New Zealand Journal of Educational Studies, 1972,7, 153–167.
Fish, B. The detection of schizophrenia in infancy.Journal of Nervous and Mental Disease, 1957,125, 1–24.
Fish, B., & Shapiro, T. A typology of children's psychiatric disorders. Its application to a controlled evaluation of treatment.Journal of the American Academy of Child Psychiatry, 1965,4, 436.
Fish, B., Shapiro, T., & Campbell, M. Long term prognosis and the response of schizophrenic children to drug therapy: A controlled study of trifluoperazine.American Journal of Psychiatry, 1966,123, 29–32.
Group for the Advancement of Psychiatry.Psychopathological disorders in childhood: Theoretical considerations and a proposed classification. New York: Group for the Advancement of Psychiatry, 1966.
Hollister, L. H.Clinical pharmacology of psychotherapeutic drugs. Edinburgh: Churchill Livingstone, 1978.
International Classification of Diseases (8th rev.). Geneva: World Health Organization, 1969.
International Classification of Diseases (9th rev.). Geneva: World Health Organization, 1979.
Johnstone, E. C., Crow, T. J., Frith, C. D., Carnery, M. W. P., & Price, J. S. Mechanism of the antipsychotic effect in the treatment of acute schizophrenia.Lancet, 1978,1, 848–851.
Kanner, L. Autistic disturbances of affective contact.Nervous Child, 1943,2, 217–250.
Kanner, L.Child psychiatry (3rd ed.). Springfield, Illinois: Charles C Thomas, 1957.
King, L. J., & Pitman, S. D. A followup of 65 adolescent schizophrenic patients.Diseases of the Nervous System, 1971,32, 328–334.
Kolvin, I. Psychoses in childhood — A comparative study. In M. Rutter (Ed.),Infantile autism: Concepts, characteristics and treatment. Edinburgh: Churchill Livingstone, 1971.
Mahler, M. On child psychosis in schizophrenia: Autistic and symbiotic infantile psychosis. InPsychoanalytic study of the child (Vol. 7). New York: International Universities Press, 1952.
Masterton, J. F. Prognosis in adolescent disorders: Schizophrenia.Journal of Nervous and Mental Disease, 1956,124, 219–232.
May, P. R. A., & Goldberg, S. C. Prediction of schizophrenic patients' response to pharmacotherapy. In M. A. Lipton, A. Dimascio, & K. F. Killam,Psychopharmacology: A generation of progress. New York: Raven Press, 1978. Pp. 1139–1154.
New Zealand Health Statistics Report.Mental health data, 1971–1976. National Health Statistics Centre, Department of Health.
Pope, H. G., & Lipinski, J. F. A reassessment of the specificity of schizophrenic symptoms in the light of current research.Archives of General Psychiatry, 1978,35, 811–827.
Potter, H. Schizophrenia in children.American Journal of Psychiatry, 1933,12, 1253–1268.
Procci, W. R. Schizoaffective psychosis: Fact or fiction?Archives of General Psychiatry, 1976,33, 1167–1178.
Rutter, M. Childhood schizophrenia reconsidered.Journal of Autism and Childhood Schizophrenia, 1972,2, 315–337.
Rutter, M., Greenfeld, D., & Lockyer, L. A five to fifteen year study of infantile psychosis. II. Social behavioural outcome.British Journal of Psychiatry, 1967,113, 1183–1199.
Stephens, J. H. Longterm prognosis and followup in schizophrenia.Schizophrenia Bulletin, 1978,4, 1.
Strauss, J. S., & Carpenter, W. T. The prediction of outcome in schizophrenia. II: Relationships between prediction and outcome variables.Archives of General Psychiatry, 1974,31, 37–42.
Strauss, J., Klorman, R., Kokes, R., & Sacksteder, J. Premorbid adjustment in schizophrenia: Concepts, measures and implications. Part V. Directions for research and application.Schizophrenia Bulletin, 1977,3(2), 240–244.
Szurek, S. Psychotic episodes and psychotic maldevelopment.American Journal of Orthopsychiatry, 1956,26, 519–543.
Warren, W. A study of adolescent psychiatric inpatients and the outcome six or more years later. II: The followup study.Journal of Child Psychology and Psychiatry, 1965,6, 141–160.
Werry, J. S. The childhood psychoses. In H. C. Quay & J. S. Werry (Eds.),Psychopathological disorders of childhood (2nd ed.), New York: Wiley, 1979. Pp. 41–89.
Winsberg, B., & Yepes, L. Antipsychotics. In J. S. Werry (Ed.),Paediatric psychopharmacology. New York: Brunner/Mazel, 1978. Pp. 234–273.
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This study was supported in part by the Medical Research Council of New Zealand.
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Kydd, R.R., Werry, J.S. Schizophrenia in children under 16 years. J Autism Dev Disord 12, 343–357 (1982). https://doi.org/10.1007/BF01538322
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DOI: https://doi.org/10.1007/BF01538322