Defining and predicting functional outcome in schizophrenia and schizophrenia spectrum disorders.
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Defining and predicting functional outcome in schizophrenia and schizophrenia spectrum disorders. / Schennach-Wolff, Rebecca; Jäger, Markus; Seemüller, Florian; Obermeier, Michael; Messer, Thomas; Laux, Gerd; Pfeiffer, Herbert; Naber, Dieter; Schmidt, Lutz G; Gaebel, Wolfgang; Huff, Wolfgang; Heuser, Isabella; Maier, Wolfgang; Lemke, Matthias R; Rüther, Eckart; Buchkremer, Gerd; Gastpar, Markus; Möller, Hans-Jürgen; Riedel, Michael.
In: SCHIZOPHR RES, 2009.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Defining and predicting functional outcome in schizophrenia and schizophrenia spectrum disorders.
AU - Schennach-Wolff, Rebecca
AU - Jäger, Markus
AU - Seemüller, Florian
AU - Obermeier, Michael
AU - Messer, Thomas
AU - Laux, Gerd
AU - Pfeiffer, Herbert
AU - Naber, Dieter
AU - Schmidt, Lutz G
AU - Gaebel, Wolfgang
AU - Huff, Wolfgang
AU - Heuser, Isabella
AU - Maier, Wolfgang
AU - Lemke, Matthias R
AU - Rüther, Eckart
AU - Buchkremer, Gerd
AU - Gastpar, Markus
AU - Möller, Hans-Jürgen
AU - Riedel, Michael
PY - 2009
Y1 - 2009
N2 - BACKGROUND: To assess criteria and to identify predictive factors for functional outcome. The criteria should cover all domains proposed by the Remission in Schizophrenia Working Group. METHOD: PANSS ratings were used to evaluate the symptomatic treatment outcome of 262 inpatients with schizophrenia spectrum disorders within a naturalistic multicenter trial. Functional remission was defined as a GAF score >61 (Global Assessment of Functioning Scale), SOFAS score >61 (Social and Occupational Functioning Scale) and a SF-36 mental health subscore >40 (Medical Outcomes Study-Short Form Health Survey). Multivariate logistic regression and CART analyses were used to determine valid clinical and sociodemographic predictors. RESULTS: In total, 52 patients (20%) fulfilled the criteria for functional remission, 125 patients (48%) achieved symptomatic resolution and when criteria for functional remission and symptomatic resolution were combined 33 patients (13%) achieved complete remission. Younger age, employment, a shorter duration of illness, a shorter length of current episode, less suicidality, and a lower PANSS negative and global subscore at admission were predictive of functional remission. The regression model showed a predictive value of more than 80%. CONCLUSIONS: A significant association was found between functional remission and symptomatic resolution, indicating reasonable validity of the proposed definition for functional outcome. The revealed predictors for functional treatment outcome emphasize the need for psychosocial and vocational rehabilitation in schizophrenic patients.
AB - BACKGROUND: To assess criteria and to identify predictive factors for functional outcome. The criteria should cover all domains proposed by the Remission in Schizophrenia Working Group. METHOD: PANSS ratings were used to evaluate the symptomatic treatment outcome of 262 inpatients with schizophrenia spectrum disorders within a naturalistic multicenter trial. Functional remission was defined as a GAF score >61 (Global Assessment of Functioning Scale), SOFAS score >61 (Social and Occupational Functioning Scale) and a SF-36 mental health subscore >40 (Medical Outcomes Study-Short Form Health Survey). Multivariate logistic regression and CART analyses were used to determine valid clinical and sociodemographic predictors. RESULTS: In total, 52 patients (20%) fulfilled the criteria for functional remission, 125 patients (48%) achieved symptomatic resolution and when criteria for functional remission and symptomatic resolution were combined 33 patients (13%) achieved complete remission. Younger age, employment, a shorter duration of illness, a shorter length of current episode, less suicidality, and a lower PANSS negative and global subscore at admission were predictive of functional remission. The regression model showed a predictive value of more than 80%. CONCLUSIONS: A significant association was found between functional remission and symptomatic resolution, indicating reasonable validity of the proposed definition for functional outcome. The revealed predictors for functional treatment outcome emphasize the need for psychosocial and vocational rehabilitation in schizophrenic patients.
M3 - SCORING: Zeitschriftenaufsatz
JO - SCHIZOPHR RES
JF - SCHIZOPHR RES
SN - 0920-9964
ER -