Format

Send to:

Choose Destination
See comment in PubMed Commons below
Am J Psychiatry. 1993 May;150(5):752-7.

Comorbidity in psychosis at first hospitalization.

Author information

  • 1Epidemiology Laboratory, McLean Hospital, Belmont, Mass.

Abstract

OBJECTIVE:

The authors sought to determine the prevalence and effects of medical and psychiatric comorbidity on initial outcome in a group of patients experiencing a first episode of psychosis.

METHOD:

Patients with a first episode of psychosis who were consecutively admitted to a hospital (N = 102) were examined for the presence of psychiatric and medical disorders. Patients were given psychiatric diagnoses with the use of the Structured Clinical Interview for DSM-III-R and were rated weekly on symptom rating scales. Outcome variables at discharge were final symptom rating scale scores, length of hospitalization, and recovery on the basis of operationalized criteria.

RESULTS:

Comorbid diagnoses were present in 52.0% (N = 53) of the patients, and 37.7% (N = 20) had multiple comorbid diagnoses. The most common comorbid diagnosis was substance abuse. Patients with affected psychoses were significantly more likely than those with nonaffective psychoses to have a comorbid substance abuse diagnosis. Patients with psychiatric comorbidity had poorer initial outcomes, while those with medical comorbidity had fewer symptoms at discharge.

CONCLUSIONS:

Comorbidity is common and may be a useful predictor of the outcome of a first episode of psychosis.

PMID:
8480821
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Write to the Help Desk