Abstract.
Background:
Subjects in treatment for affective disorders are usually less satisfied with life compared to subjects with schizophrenia.
Aims:
The aims of this study were to compare subjective quality of life (QoL) at adult age of adolescent onset psychotic disorders and analyse associated factors.
Method:
Fifty-three patients with adolescent onset psychotic disorders were followed up at age 25, diagnostically re-evaluated according to the DSM-IV and assessed with the Positive and Negative Symptoms Scale, the Strauss-Carpenter Scale and the Lancashire Quality of Life Profile.
Results:
Subjects diagnosed with schizophrenia or schizoaffective disorder (n = 27) experienced significantly lower overall QoL than subjects with psychotic mood disorders (n = 26). Overall QoL was strongly associated to depressed mood (R2 = 0.49) in the schizophrenia group and to degree of employment (R2 = 0.39) in the mood disordered group.
Conclusions:
Depression is a major concern in the evaluation and treatment of patients with schizophrenia, while vocational support seems particularly important after an episode of psychotic mood disorder.
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Jarbin, H., Hansson, L. Adult quality of life and associated factors in adolescent onset schizophrenia and affective psychotic disorders. Soc Psychiatry Psychiatr Epidemiol 39, 725–729 (2004). https://doi.org/10.1007/s00127-004-0804-y
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DOI: https://doi.org/10.1007/s00127-004-0804-y