[Clinical course and social outcome in XXXX . Results from a retrospective study].

@entity1 @entity146 @entity161 @entity717 @entity221
OBJECTIVE: The aim of the present study is to investigate the possible clinical and symptomatological determinants of social outcome in @entity161 @entity1 . METHOD: 40 @entity161 @entity1 (DSMIII-R), 21 males and 19 females, mean age 4 +/- 5 years, have been evaluated in the present retrospective study. All of them had first undergone @entity146 hospitalization between 1978 and 1981. The following data have been collected: socio-anagraphic features and course of the @entity221 (AMDP), contacts with community health centre and pharmacological compliance. @entity717 has been investigated by means of a semi-structured interview developed from the "Disability Assessment Schedule" named "Accertamento Disabilit   e Carico Familiare" (ADC), which has been administered to the main carer, usually a cohabitant relative. Presence and level of social support have also been evaluated. One Way Analysis of Variance (ANOVA), "t" test with Bonferroni correction and Pearson Correlation test have been used for data analysis. RESULTS: @entity1 with less severe @entity717 (lower scores at ADC) were mainly those with recurrent @entity221 without residual symptoms or remitted ones (p = 0.0001), better pharmacological compliance (p = 0.004), more frequent and regular contacts with community health centres (p = 0.0001) and better social support (p = 0.01). On the contrary, score at ADC resulted positively correlated with number of hospitalizations (r = 0.57, p = 0.01), number of compulsory admission (r = 0.32, p = 0.01) and length of @entity221 (r = 0.40, p = 0.01). CONCLUSIONS: Although in our study the influence of severity of @entity221 on @entity717 has been confirmed, suggestive evidence about importance of other factors, such as compliance or social support, may be drawn.
