Social environment and longevity in schizophrenia

AJ Christensen, R Dornink, SL Ehlers… - Psychosomatic …, 1999 - journals.lww.com
Psychosomatic Medicine, 1999journals.lww.com
Objective The role of social support as a predictor of long-term survival among patients with
schizophrenia was examined. Methods Social histories were abstracted from the medical
records of a cohort of 133 deceased schizophrenic patients admitted for inpatient treatment
between 1934 and 1944. Two independent raters assessed the quantity and quality of
support available in each patient's social environment. Results Cox regression analysis
revealed that higher quantity of social support was significantly related to survival time (p< …
Abstract
Objective
The role of social support as a predictor of long-term survival among patients with schizophrenia was examined.
Methods
Social histories were abstracted from the medical records of a cohort of 133 deceased schizophrenic patients admitted for inpatient treatment between 1934 and 1944. Two independent raters assessed the quantity and quality of support available in each patient's social environment.
Results
Cox regression analysis revealed that higher quantity of social support was significantly related to survival time (p<. 05) after controlling for marital status and quality of support. The Cox model indicated that a 1-point increase in the support quantity rating was associated with a proportional 25% decrease in the hazard rate.
Conclusions
The present findings suggest that social environment, specifically the quantity of social support available to the patient, may impact longevity in psychiatric populations.
Lippincott Williams & Wilkins
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