Pre-admission adaptive functioning as a measure of prognosis in psychiatric inpatients
| Autor: | Graham Mellsop, Kathryn Peace, Thakshan Fernando |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Male medicine.medical_specialty Social adjustment Leisure time Psychiatric Department Hospital Hospitals General Outcome (game theory) Personality Disorders Adaptive functioning 03 medical and health sciences Interpersonal relationship 0302 clinical medicine Adaptation Psychological medicine Humans 030212 general & internal medicine Psychiatry Prospective cohort study Depressive Disorder Psychological Tests Mental Disorders General Medicine medicine.disease Prognosis 030227 psychiatry Psychiatry and Mental health Schizophrenia Female General Health Questionnaire Psychology Social Adjustment |
| Zdroj: | The Australian and New Zealand journal of psychiatry. 21(4) |
| ISSN: | 0004-8674 |
| Popis: | This prospective study examined the concept of pre-admission adaptive functioning and its relationship with outcome. Pre-admission adaptive functioning was assessed by the self-report Social Adjustment Scale and the therapist rated Axis V of DSM-III. In addition, an instrument designed to look separately at the areas of interpersonal relationships, occupational functioning and use of leisure time was given to a subgroup. These measures were compared with outcome at six months as assessed by the General Health Questionnaire. Adaptive functioning proved to be a significant predictor of outcome, with the Social Adjustment Scale being a better predictor than Axis V for the whole group. In contrast, for patients with schizophrenia, the initial Axis V rating was the best predictor of the outcome score. Statistically significant correlations were found between the three areas of adaptive functioning for the group as a whole but, when examined by diagnosis, they proved to be statistically significant only in the schizophrenia sub-group, suggesting that it would be invaluable to rate the three areas separately in non-psychotic patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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