Age-group differences in treatment outcomes for male veterans with severe schizophrenia: a three-year longitudinal study

TitleAge-group differences in treatment outcomes for male veterans with severe schizophrenia: a three-year longitudinal study
Publication TypeJournal Article
Year of Publication2000
AuthorsRoberts, J. S., Blow, F. C., Copeland, L. A., Barry, K. L., & Van Stone, W.
JournalJournal of geriatric psychiatry and neurology
Volume13
Issue2
Pagination78-86
Date Published2000 Summer
ISSN0891-9887
KeywordsAdult, Age Factors, Aged, Aged, 80 and over, Geriatric Psychiatry, Humans, Longitudinal Studies, Male, Middle Aged, Prognosis, Schizophrenia, Treatment Outcome, Veterans
Abstract

Treatment outcomes in later-life schizophrenia are poorly understood and of serious concern for clinicians and mental health policy makers. Age-group differences were examined for 499 male veterans with severe schizophrenia enrolled in enhanced treatment programs at 12 Veterans Affairs hospitals. Participants were separated into three age groups (20-39 years, 40-59 years, 60 years and above), with the following outcomes assessed at enrolment and 1 and 3 years afterwards: psychiatric symptomatology, global functioning, impairment in Instrumental Activities of Daily Living (IADL), and hospital use. All three age groups experienced significant improvement in psychiatric symptoms over time. The oldest group fared worse than younger patients in terms of global functioning and generally required more inpatient services and assistance with IADL. Innovative programming is needed to meet the special needs of the growing population of older adults with schizophrenia.

Alternate JournalJ Geriatr Psychiatry Neurol