Paranoid Schizophrenia

DIAGNOSTIC CRITERIA FOR PARANOID SCHIZOPHRENIA

A type of Schizophrenia in which the following criteria are met:

A. Preoccupation with one or more delusions or frequent auditory hallucinationsB. None of the following is prominent: disorganized speech, disorganized or catatonic

behavior or flat or inappropriate affect.

GOOD PROGNOSIS` BAD PROGNOSIS

Late Onset Obvious precipitating factors Acute onset Good premorbid social, sexual and

work histories Mood Disorder symptoms (especially

depressive disorders)

Married Family history off= mood disorders Good support systems Positive symptoms

Young onset No precipitating factors Insidious onset Poor premorbid social, sexual and work

histories Withdrawn, autistic behavior

Single, divorced, widowed Family history of schizophrenia Poor support system Negative symptoms Neurological signs and symptoms History of perinatal trauma No remissions in 3 years Many relapses History of assaultiveness.

The table above shows the features weighting toward good to poor prognosis in Schizophrenia

Several studies have shown the 5 to 10 year period after first psychiatric hospitalization for schizophrenia, only about 10 to 20 percent of patient can be described as having a good outcome. More than 50 percent of patient can be described as having poor outcome, with repeated hospitalizations, exacerbations of symptoms, episodes of major mood disorders and suicide attempts.

Reported remission rates range from 10 to 60 percent and a reasonable estimate is that 20 to 30 percents of all Schizophrenia patients are able to lead somewhere normal lives. About 20 to 30 percent of patients continue to experience moderate symptoms, and 40 to 60 percent of patients remain significantly impaired by their disorder for their entire lives. Patients with Schizophrenia do much poorer than patients with mood disorders, although 20 to 25 percent of mood disorder patients are severely disturbed at long term follow up