Prognostic factors in schizophrenia.

Abstract
The author compares the present study to a study done by Hathaway, Hastings, and Bell (1954), that attempted to identify some of the prognostic factors in schizophrenia. Schofield obtained followup data on schizophrenic patients and compared good and poor outcome groups in terms of 200 items pertaining to their general history, previous personality, and presenting illness. Using the items which discriminated best, they devised an eight-point prognostic scale which, when applied to the same subjects (Ss), identified 59% whose posthospital adjustment had been good and 82% whose adjustment had been poor. Since this did not constitute adequate validation, an attempt was made in the present study to cross-validate their scale. The ßs were patients admitted to the Iowa State Psychopathic Hospital with a diagnosis of schizophrenia during the years 1929-1933. Even though Ss of the present study were hospitalized some 5 to 15 years earlier than Schofield's Ss, the treatment of both groups was quite similar, neither group having received electroshock, insulin, or metrazol therapy. Both groups were followed up at least five years after their hospital admission. On the basis of the same five-step scale which Schofield et al. used, each S was assigned a rating in regard to his posthospital adjustment. Since most of the case histories contained no information regarding the patient's school deportment, it was necessary to omit Item 1 of the prognostic scale in the final analysis of the data. In view of this alteration of the scale, the present study is not a complete cross-validation. (PsycINFO Database Record (c) 2006 APA, all rights reserved)