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Crises and Life Changes preceding the Onset or Relapse of Acute Schizophrenia: Clinical Aspects

Published online by Cambridge University Press:  29 January 2018

J. L. T. Birley  and
G. W. Brown
J. L. T. Birley
Affiliation:
M.R.C. Social Psychiatry Research Unit, Institute of Psychiatry. Bethlem Royal Hospital and Maudsley Hospital, London, S.E.5
G. W. Brown
Affiliation:
Bedford College, Regent's Park, London, N.W.1
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Extract

In a previous publication (Brown and Birley, 1968) we have presented some findings which suggest that life changes and crises frequently precipitate the acute onset, relapse or exacerbation of schizophrenic states. To summarize : consecutively admitted patients diagnosed as suffering from schizophrenia were seen at mental hospitals serving a known catchment area. The first fifty whose onsets occurred within three months of admission and could be accurately dated within a week were included. Both the patient and at least one other informant were interviewed about the occurrence of certain previously defined and datable events occurring to the patient or to close relatives. These included such events as moving house, starting or leaving a job, admission to hospital, birth, marriage or death during the twelve weeks prior to onset. These were classified, according to their apparent independence of the patient's control, as ‘independent’ or ‘possibly independent’. The former were those which could be regarded as outside his control, e.g. discovering a burglary or hearing of a brother's serious illness. ‘Possibly independent’ events were those which were considered to have been within the patient's control but which had not been brought about by any unusual behaviour on the patient's part. They were chiefly changes of job, or of opposite sex friends. (Loss of job would, under certain circumstances, be rated as ‘independent’, e.g. when a whole firm closed down).

Information

Type
Research Article
Information
The British Journal of Psychiatry , Volume 116 , Issue 532 , March 1970 , pp. 327 - 333
Copyright
Copyright © Royal College of Psychiatrists, 1970 

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References

Brown, G. W., Birley, J. L. T., (1968). ‘Crises and life changes and the onset of schizophrenia.’ J. Hlth. soc. Behav., 9, 203–14.Google Scholar
Brown, G. W., Birley, J. L. T., Wing, J. K. (1962). ‘A comparative clinical and social survey of three mental hospitals.’ The Sociological Review Monogr. 5. Sociology and Medicine : studies within the framework of the British National Health Service,' Ed. Halmos, P. Google Scholar
Brown, G. W., Monck, E. M., Carstairs, G. M., Wing, J. K. (1962). ‘Influence of family life on the course of schizophrenic illness.’ Brit. J. prev. soc. Med. 16, 55–68.Google Scholar
Caffey, E. M., Diamond, L. S., Frank, T. V., Grasberger, J. C., Herman, L., Klett, C. J., Rothstein, G. (1964). ‘Discontinuation or reduction of chemotherapy in chronic schizophrenia.’ J. chron., 17, 347–58.Google Scholar
Faergeman, P. (1946). ‘Early differential diagnosis between psychogenic psychosis and schizophrenia.’ Acta Psychiat. neurol. Scand., 21, 275–9.Google Scholar
Faergeman, P. (1963). Psychogenic Psychosis, London: Butterworths.Google Scholar
Forrest, A. D., Fraser, R. H., Priest, R. G. (1965). Environmental factors in depressive illness. Brit. J. Psychiat., III, 243–53.Google Scholar
Good, W. W., Sterling, M., Holtzman, W. H. (1958). ‘Termination of chlorpromazine with schizophrenic patients.’ Amer. J. Psychiat., 115, 443–8.CrossRefGoogle ScholarPubMed
Holmboe, R., Astrup, C. (1957). ‘A follow-up study of 255 patients with acute schizophrenia and schizophreniform psychoses.’ Acta psychiat. neurol. Scand., Suppl. 115.Google Scholar
Hudgens, R. W., Morroon, J. R., Barchha, R. G. (1967). ‘Life events and the onset of primary affective symptoms.’ Arch. gen. Psychiat., 16, 134–45.Google Scholar
Langfeldt, G. (1939). The Schizophreniform States. Copenhagen.Google Scholar
Pugh, T. F., Jerath, B. K., Schmidt, T. W. M., Reed, R. B., (1963). ‘Rates of mental disease related to child-bearing.’ New. Eng. J. Med., 1224–8.Google Scholar
Rosenbaum, C. P. (1968). ‘Metabolic, physiological, anatomic and genetic studies in the schizophrenias: a review and analysis.’ J. nerv. ment. Dis., 146, 103–26.CrossRefGoogle Scholar
Schneider, K. (1959). Clinical Psychopathology. (5th edn.) Grune and Stratton.Google Scholar
Steinberg, H. R., Durell, J. (1968). ‘A stressful situation as a precipitant of schizophrenic symptoms.’ Brit. J. Psychiat., 114, 1097–105.CrossRefGoogle ScholarPubMed
Strecker, E. A. (1922). ‘A preliminary study of the precipitating situation in two hundred cases of mental disease.’ Amer. J. Psychiat., i, 503–36.Google Scholar
Stromgren, E. (1965). ‘Schizophreniform psychoses.’ Acta Psychiat. Scand. 41, 483–9.CrossRefGoogle ScholarPubMed
Vabllant, G. E. (1964). ‘Prospective prediction of schizophrenic remission.’ Arch. gen. Psychiat., 11, 509–18.Google Scholar
Wallis, G. G. (1965). ‘An epidemiological and follow-up study of schizophrenia in the Royal Navy.’ M.D. Thesis. University of London.Google Scholar
Welmer, J., Strömgren, E. (1958). ‘Clinical and genetic studies on benign schizophreniform psychoses based on follow-up.’ Acta psychiat. Neurol. Scand., 33, 377–99.Google Scholar
Wing, J. K., Brown, G. W. (1961). ‘Social treatment of chronic schizophrenia: a comparative study of three mental hospitals.’ J. ment. Sci., 107, 847–861.Google Scholar
Wing, J. K., Brown, G. W., Birley, J. L. T., Cooper, J. E., Graham, P. Isaacs, A. (1967). ‘Reliability of procedure for measuring and classifying “present psychiatric state.’” Brit. J. Psychiat., 113, 499–515.CrossRefGoogle ScholarPubMed
Wold, P. E. (1960). ‘A long term evaluation of chlorpromazine in six chronic schizophrenic patients.’ J. nerv. ment. Dis., 130, 151–4.Google Scholar
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