Goldstein (1988)

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  • Created by: eirablue
  • Created on: 10-05-16 19:10
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  • Goldstein (1988)
    • Aim
      • To compare the reliability of diagnosis  of DSMII to DSMIII
      • To comparing the experiences of schizophrenia in men and women.
    • Procedure
      • Longitudinal Case Study
      • Sample was aged 18-45
        • No other health issues
          • Had been hospitalised for less than 6 months
      • 199 originally underwent  re-diagnosis using DSM3
        • 90 patients followed for 10 years
      • Details about the patient obtained using hospital records = social function data
      • pre- morbid function data came from questionnaire  - self report data      about their  relationship & how they cope.
      • interviews by trained interviewers was used to find the symptoms of schizophrenia
      • counting the number of re-hospitalisation
        • Duration  of stay
      • 8  participants are re diagnosed for reliability by experts using single- blind technique
    • Results/ Findings
      • 1/8  cases were disagreed with  by the experts 0.8
      • 169/199        re-diagnosed with schizophrenia
      • 0-5 years
        • NUMBER OF RE-HOSPITALISATIONS
        • LENGTH OF STAY (DAYS)
          • MALE= 267
          • FEMALE= 130
      • 0-10 years
        • NUMBER OF RE-HOSPITALISATIONS
          • MALE = 2.24
          • FEMALE = 1.12
        • LENGTH OF STAY
          • MALE= 418
          • FEMALE = 207
      • 13% of gender effect on re-hospitalisation due to pre-morbid function
        • 4.3% was down to social functioning
      • 11.3% gender effect on length was due to social functioning
        • 4.2% was due  to pre-morbid functioning
    • Conclusion
      • women had a less severe experience with schizophrenia than men
      • men had been hospitalised more and stayed for longer periods (50%)
      • DSM 3 was reliable for diagnosis but noted for its difference  169/199
      • social and premorbid functioning are important factors in the development of schizophrenia

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