Premorbid Social Competence and Outcome among Schizophrenic and Nonschizophrenic Patients

Abstract
The relation between premorbid social competence and outcome was examined with 381 male state hospital patients in 4 diagnostic categories: schizophrenia, affective reaction, psychoneutrotic disorder and personality disorder. Outcome was assessed using the measures of length of initial hospitalization, total length of rehospitalization and number of readmissions. The follow-up period was 3 yr after discharge from the 1st hospitalization. On all outcome measures, higher social competence was significantly related to favorable outcome. The 4 diagnostic groups differed significantly in social competence level, but no evidence indicated that the social competence-outcome relation was influenced by diagnosis. Results were consistent with a developmental formulation and as indicated that the relation between premorbid social competence and outcome is not unique to schizophrenia but obtains over a broad range of diagnoses.

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