Adult outcome of social function in adolescent-onset schizophrenia and affective psychosis

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title = "Adult outcome of social function in adolescent-onset schizophrenia and affective psychosis",
abstract = "Objective: To examine and compare the adult outcome in a representative sample of hospitalized adolescent-onset psychoses including occupational and social aspects. Method: A total of 81 patients with a first episode of early-onset psychosis (before age 19 years) presenting to the University Hospital of Lund, Sweden, between 1982 and 1993 were followed up an average of 10.5 years (range 5.1-18.2) after admission. Initial diagnosis was assessed from records and consisted of DSM-IVschizophrenia (n = 32), schizoaffective disorder (n = 7), bipolar disorder (n = 25), and major depressive disorder with psychotic features (n = 17). All could be traced and assigned a major outcome group. Results: Early-onset schizophrenia spectrum disorder suffered a chronic course with a poor outcome in 79{\%} of the cases, while early-onset affective psychosis in 74{\%} showed a good or intermediate outcome. The poor outcome (26{\%}) in the affective group was connected to mental retardation in 7{\%} and to progression to a schizoaffective disorder in 12{\%}. A particularly severe outcome was seen for schizophrenia spectrum patients with a family history of nonaffective psychosis. Conclusions: Early-onset schizophrenia spectrum disorder showed a severe course while affective psychoses had a much more benign functional outcome.",
keywords = "affective disorder, schizophrenia, adolescence, psychosis, outcome",
author = "H{\aa}kan Jarbin and Yngve Ott and {Von Knorring}, Anne-Liis",
year = "2003",
doi = "10.1097/01.CHI.0000024917.60748.54",
language = "English",
volume = "42",
pages = "176--183",
journal = "Journal of the American Academy of Child Psychiatry",
issn = "0890-8567",
publisher = "Lippincott Williams and Wilkins",
number = "2",