0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
INSULIN COMA THERAPY IN SCHIZOPHRENIA A Fourteen-Year Follow-up Study
FRANKLIN H. WEST; EARL D. BOND; JAY T. SHURLEY; C. DIXON MEYERS
Am J Psychiatry 1955;111:583-589.
View Author and Article Information

The Pennsylvania Hospital, Department for Mental and Nervous Diseases, Philadelphia, Pa.

text A A A
PDF of the full text article.
Abstract

1. Insulin coma therapy at the Pennsylvania Hospital produced an immediate improvement or remission in 67.7% of 780 patients treated between 1936 and 1951.2. At least 334 patients, or 63.3% of all patients who originally improved, had a relapse; 44% of all these relapses occurred within 30 days, and 78% within 1 year of treatment. A second insulin course brought about an improvement or remission in 52% of 122 patients who had relapsed.3. Factors associated with the most favorable prognosis include: age over 16, psychosis of less than 6 months' duration, with a clinical picture of paranoid, catatonic, or undifferentiated schizophrenia; and if during treatment the patient receives at least 30 to 60 coma hours and gains more than 30 pounds in weight.4. We conclude that insulin coma therapy is effective in restoring the schizophrenic patient to his prepsychotic adjustment. This restoration to health is not accompanied by a permanent correction of the factors that predispose the patient to regress to schizophrenia.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 17

Related Content
Articles
Books
DSM-5™ Clinical Cases > Chapter 2.  >
DSM-5™ Clinical Cases > Chapter 2.  >
DSM-5™ Clinical Cases > Chapter 3.  >
DSM-5™ Clinical Cases > Chapter 2.  >
DSM-5™ Clinical Cases > Chapter 3.  >
Topic Collections
Psychiatric News
Read more at Psychiatric News >>
APA Guidelines