Diagnosis, treatment, and six-month outcome status in first-admission psychosis

Thomas J. Craig, Evelyn J. Bromet, Lina Jandorf, Shmuel Fennig, Marsha Tanenberg-Karant, Ranganathan Ram, Bruce Rosen

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Six-month outcome status was examined in 202 first-admission inpatients with DSM-III-R schizophrenia spectrum (N = 96), psychotic bipolar disorder (N = 64), and psychotic depression (N = 42) drawn from 10 facilities in Suffolk County, New York. Schizophrenics fared significantly worse on all outcome variables except rehospitalization, which ranged from 17.7 to 23.4%. Bipolars had good psychosocial outcomes regardless of clinical outcome, while the two outcome domains were uncorrelated among schizophrenics and psychotic depressed. Schizophreniform patients had significantly better outcome than those with schizophrenia or schizoaffective disorder. Posthospital treatment was generally unrelated to outcome except that fewer rehospitalized schizophrenics received continuous treatment, and patients with psychotic depression with poorer psychosocial outcome received medication less frequently. These findings highlight the different treatment needs of these diagnostic groups, especially as regards the provision of more intensive rehabilitation for schizophrenic patients and the 'poor-outcome' psychotic depressed.

Original languageEnglish
Pages (from-to)89-97
Number of pages9
JournalAnnals of Clinical Psychiatry
Issue number2
StatePublished - 1997
Externally publishedYes


  • Bipolar
  • Depression
  • Epidemiology
  • Outcome
  • Psychosis
  • Schizophrenia


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