Table 2.
Predictors of poor outcomes in schizophrenia in the Northern Finland Birth Cohort 1966.
| Definition of poor outcome | Predictor of poor outcome |
|---|---|
| Poor clinical outcomes | |
| (i) More hospitalizations, rehospitalization after first episode [25–30] | Family history of psychosis Sociodemographic factors: father's high social class Childhood development: earlier age of learning to stand or walk Illness-related factors: insidious mode of illness onset, suicidal ideations at first episode, short first hospitalization, long DUP in short-term, and short DUP in long-term Brain morphology: reduced density of the left limbic area |
| (ii) More symptoms, lack of remission [27, 29, 31, 32] | Adolescence factors: smoking at age 14 years, poorer school performance at high school Illness-related factors: earlier age at onset, poor work adjustment at illness onset, single at illness onset, psychosocial stressor before illness onset, and more symptoms at first episode Temperament traits: lower reward dependence and persistence Brain morphology: decreased white matter volume |
| (iii) Treatment resistance [33] | Higher birth length and weight |
|
| |
| Poor social outcomes | |
| (i) Poor occupational functioning (ii) Disability pension (iii) Low score on SOFAS [25, 29, 32, 34, 35] |
Childhood and adolescence factors: lack of friends at childhood, poorer school performance at high school Illness-related factors: earlier age of illness onset, single at illness onset Temperament traits: lower persistence and higher harm avoidance Brain morphology: reduced density of the grey matter in left frontal lobe and left limbic area |
DUP = duration of untreated psychosis, SOFAS = Social and Occupational Functioning Assessment Scale.