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Early response to treatment predicts remission and recovery at 3 years in people with schizophrenia

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QUESTION

Question:

What are the remission and recovery rates in people with schizophrenia, and what predicts these rates?

Population:

392 people (mean age 37.9 years, 50% male) with schizophrenia (DSM-IV), aged 18 years or older, who had never received antipsychotic treatment. Participants were moderately ill with a mean Clinical Global Impressions-Severity of Illness scale (CGI-Schizophrenia; CGI-SCH) score of 4.4, and had a short history of illness (median 0.6 years). Initial treatment was with atypical antipsychotics for 92% and with conventional antipsychotics for the remaining 8%.

Setting:

Outpatient setting, Germany; recruitment January–December 2001.

Prognostic factors:

Predictors at baseline: duration of illness, age, gender, symptomatic status (CGI-SCH); functional variables, quality of life/subjective wellbeing (Subjective Wellbeing under Neuroleptic Treatment Scale, SWN-K). Predictors in the early course of treatment: (first 3 months) subjective wellbeing, symptomatic remission and functional remission. Predictors during the course of treatment: substance use disorder (SUD) during follow-up (not present at baseline); remitted SUD (SUD at baseline but not during follow-up) and persistent SUD (SUD reported at any visit after …

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