The American Psychiatric Association (APA) has updated its Privacy Policy and Terms of Use, including with new information specifically addressed to individuals in the European Economic Area. As described in the Privacy Policy and Terms of Use, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences.

Please read the entire Privacy Policy and Terms of Use. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies.

×
ArticleNo Access

LONG-TERM PROGNOSIS IN MENTAL ILLNESS

A Thirty-Year Follow-Up of 141 Mental Patients
Published Online:https://doi.org/10.1176/ajp.108.10.735

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.

Access content

To read the fulltext, please use one of the options below to sign in or purchase access.