Ogawa K, Miya M, Watarai A, Nakazawa M, Yuasa S, Utena H
Department of Neuropsychiatry, Gunma University School of Medicine, Japan.
Br J Psychiatry. 1987 Dec;151:758-65. doi: 10.1192/bjp.151.6.758.
A 21-27-year follow-up was conducted on 140 schizophrenic patients consecutively discharged from the Department of Neuropsychiatry, Gunma University Hospital, between 1958 and 1962, and 130 patients (93%) were successfully evaluated. Of these patients, 105 were still living, and the longitudinal courses could be fully observed in 98. With regard to the social outcome of the 105 patients, 47% were assessed as 'self-supportive' whereas 31% were 'hospitalised'. As for psychopathological outcome, 31% were 'recovered', 46% were 'improved', and 23% were 'unimproved'. In the studies of the longitudinal courses of the 98 patients, fluctuating courses of social adjustment were the most numerous in the early stages, whereas in the later stages many of the patients showed differentiation in one of two directions, namely the 'stable self-supportive' state and the 'chronic institutionalised' state. However, this form of differentiation was not revealed in the distribution of psychopathological 'end states'.
对1958年至1962年间从群马大学医院神经精神科连续出院的140例精神分裂症患者进行了为期21至27年的随访，成功评估了130例患者（93%）。在这些患者中，105例仍然在世，98例患者的病程能够得到全面观察。关于这105例患者的社会结局，47%被评估为“能够自我维持生计”，而31%为“住院状态”。至于精神病理学结局，31%“康复”，46%“改善”，23%“未改善”。在对98例患者病程的研究中，社会适应波动病程在早期最为常见，而在后期，许多患者呈现出两种分化趋势，即“稳定的自我维持生计”状态和“长期住院”状态。然而，这种分化形式在精神病理学“最终状态”的分布中并未体现出来。
