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LONG-TERM PROGNOSIS IN MENTAL ILLNESS A Thirty-Year Follow-Up of 141 Mental Patients
WILLIAM L. HOLT; WINIFRED M. HOLT
Am J Psychiatry 1952;108:735-739.
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The Boston Psychopathic Hospital and the Department of Psychiatry, Harvard Medical School.
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Abstract
All of the 141 patients admitted in 1921 to Westborough State Hospital soon after study at the Boston Psychopathic Hospital were investigated 30 years later. Only 7% of the group could not be traced.The study included age, diagnoses, time spent in hospital, condition on discharge, community adjustment, age at death, and cause of death.In this cross-section sample, 26% of all admissions traced were recovered before death or when seen after 30 years. It was noteworthy that the dementia præcox patients, constituting 42% of the group, accounted for 39% of the surviving patients in the community and 35% of all recovered patients. Where no significant diagnostic disagreement occurred throughout successive hospitalizations, only 13% of dementia præcox patients were recovered. Where the last hospital diagnosis was accepted as valid, 23% of dementia præcox patients were recovered at death or when seen after 30 years and an additional 6% were much improved.Abstract Teaser
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