Summary
In a prospectively designed follow-up study of 258 first admitted psychiatric patients, 1 year after discharge 224 patients and 175 significant others were asked about the social adjustment of these patients and some predictors for this aspect of outcome could be identified. The sample consisted of five different diagnostic groups: organically caused psychiatric diseases, schizophrenic psychoses, affective psychoses, neurotic or personality disorders and alcohol or drug dependency. The study shows that statements about the social adjustment of psychiatric patients largely depend on the diagnostic group, both with respect to degree of adjustment and the predictors. Schizophrenic patients were found to be less well socially adjusted than the other patients, with the exception of the alcohol- and drug-addicted patients. For schizophrenic patients, post-hospital social adjustment was primarily determined by indicators of mental illness, such as psychopathological symptoms and length of hospitalization. The social adjustment of addicted patients was primary influenced by vocational variables. For the patients with organic psychiatric disorders, affective psychoses or neurotic/personality disorders, prediction by pre-hospital or hospital variables did not prove to be very useful.
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Bell V, Aschoff-Pluta R, Blumenthal ST, Lungershausen E, Vogel R (1983) Das Nachsorgeverhalten ersteingewiesener psychiatrischer Patienten im Jahr nach ihrer Entlassung. Psychiatr Prax 10:24–27
Bell V, Aschoff-Pluta R, Blumenthal ST, Lungershausen E, Vogel R (1984) Die ambulante and stationdre Nachbehandlung ersteingewiesener depressiver Patienten. In: Wolfersdorf M, Straub R, Hole G (Hrsg) Der depressiv Kranke in der psychiatrischen Klinik. Roderer Verlag, Regensburg, S 104–111
Bell V, Aschoff-Pluta R, Blumenthal ST, Lungershausen E, Vogel R (1985a) The prognostic value of psychopathological symptoms for vocational and social reintegration. In: Pichot P, Berner P, Wolf R, Thau K (eds) Psychiatry: The state of the art, vol 7. Plenum Press, New York London, pp 591–596
Bell V, Aschoff-Pluta R, Blumenthal ST, Lungershausen E, Vogel R (1985b) Zur Behinderung durch die psychopathologische Symptomatik bei erstmals stationer behandelten psychiatrischen Patienten. In: Berufsverband Deutscher Psychologen (Hrsg) Psychologische Hilfen für Behinderte, Bd 2. Weissenhof-Verlag, Weinsberg, S 135–145
Bell V, Blumenthal ST, Neumann N-U, Schüttler R, Vogel R (1985c) Problemdarstellung und Ergebnisse einer Kontinuitätseinschäetzung in der posthospitalen Versorgung ersteingewiesener psychiatrischer Patienten. ZUMA-Nachrichten 16:4–15
Biehl H, Schubart C (1984) Werden die Weichen früh gestellt? Zur Entwicklung von Behinderung bei neuerkrankten schizophrenen Patienten — Definition, Mcßmethode und Verlauf über 2 Jahre. Spektrum 4:172–180
Blumenthal ST, Aschoff-Pluta R, Bell V, Lungershausen E, Vogel R (1985) The problem of readmission. In: Pichot P, Berner P, Wolf R, Thau K (eds) Psychiatry: The state of the art, vol 7. Plenum Press, New York, pp 597–602
Brown GW (1960) Length of hospital stay and schizophrenia: A review of statistical studies. Acta Psychiatr Neurol Scand 35:414–430
Hogarty G (1975) Informant ratings of community adjustment. In: Waskow I, Parloff M (eds) Psychotherapy change measures. DHEW Pub. No. (ADM) 74–120, Rockville, Maryland
Katz M, Lyerly SB (1963) Methods of measuring adjustment and social behavior in the community. Psychol Rep 13:503–535
McGuire RJ (1973) Classification and the problem of diagnosis. In: Eysenck HJ (ed) Handbook of abnormal psychology. Pitman, London
Michaux WW, Katz MM, Kurland AA, Gansereit KH (1969) The first year out. The Johns Hopkins Press, Baltimore
Möller HJ, Werner-Eilert K, Zerssen D v, Wünschner-Stockheim M (1982) Relevante Merkmale für die 5-Jahres-Prognose von Patienten mit schizophrenen und verwandten paranoiden Psychosen. Arch Psychiatr Nervenkr 213:305–322
Möller HJ, Scharl W, Zerssen D v (1984) Störungen der präemorbiden sozialen Adaptation als Prädiktor für die Fünfjahresprognose schizophrener Psychosen. Nervenarzt 55:358–364
Platt S, Weyman A, Hirsch S, Hewitt S (1980) The social behaviour assessment schedule (SBAS): Rationale, contents, scoring and reliability of a new interview schedule. Soc Psychiatry 15:43–55
Platt S (1981) Social adjustment as a criterion of treatment success — just what are we measuring. Psychiatry 44:95–112
Strauss JS, Carpenter WT (1972) The prediction of outcome in schizophrenia. I. Characteristics of outcome. Arch Gen Psychiatry 27:739–746
Strauss JS, Carpenter WT (1974) The prediction of outcome in schizophrenia: II. Relationships between predictor and outcome variables: A report from the WHO International Pilot Study of Schizophrenia. Arch Gen Psychiatry 31:37–42
Strauss JS, Carpenter WT (1978) The prognosis of schizophrenia: Rationale for multidimensional concept. Schizophr Bull 4:56–67
Treiman DJ (1979) Probleme der Begriffsbildung und Operationalisierung in der international vergleichenden Mobilitätsforschung. In: Pappi FU (Hrsg) Sozialstrukturanalysen mit Umfragedaten. ZUMA, Athendum Verlag, Königstein
Weissman MM, Paykel ES (1974) The depressed woman: A study of social relationships. University of Chicago Press, Chicago
Weissman MM, Prusoff BA, Thompson WD, Harding PS, Myers JK (1978) Social adjustment by self-report in a community sample and in psychiatric outpatients. J Nerv Ment Dis 166:317–326
Weissman MM, Sholomskas D (1982) The assessment of social adjustment by the clinician, the patient, and the family. In: Burdock EI, Sudilovska A, Gershon S (eds) The behavior of psychiatric patients quantitative techniques for evaluation. Marcel Dekker, Basel
Welz R, Klug J (1980) Soziale Schicht und Berufsprestige als Skalierungsproblem in der psychiatrischen Epidemiologie. In: Heinrich H, Rüker K (Hrsg) Psychiatrische Soziologie. Beltz, Weinheim
Wing JK, Cooper JE, Sartorius N (1978) Present State Examination. (Deutsche Bearbeitung: M v Cranach) Beltz, Weinheim
Wing JK, Cooper JE, Sartorius N (1982) Die Erfassung und Klassifikation psychiatrischer Symptome. Beschreibung and Glossar des PSE. Beltz, Weinheim
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This work was supported by the research grants from the “Deutsche Forschungsgemeinschaft” alloted to the “Sonderforschungsbereich 129” at Ulm University, Federal Republic of Germany
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Bell, V., Blumenthal, S., Neumann, NU. et al. Predictors for the social adjustment of first admitted psychiatric patients. Eur Arch Psychiatr Neurol Sci 236, 174–178 (1986). https://doi.org/10.1007/BF00380946
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DOI: https://doi.org/10.1007/BF00380946