Abstract
Objective:
To explore the differential outcome of schizophrenia in developed and developing countries. The 15–year outcome of patients with schizophrenia in Hong Kong is reported.
Method:
In a 15-year retrospective outcome study, 100 patients with first-onset schizophrenia in 1977–1978 were randomly selected for outcome assessment from a pool of 797 patient files. The patterns of outcome were assessed by the same set of instruments and methodology as in other centres, since Hong Kong is 1 of the World Health Organization (WHO) centres for the International Study of Schizophrenia (ISoS).
Results:
Nineteen subjects were untraceable, and 10 subjects committed suicide. More than one-half of the subjects had a good symptomatic outcome, while about 20% of the subjects were rated as having a good psychosocial adjustment. Over the entire 15-year period, 96% of the subjects were maintained on medications, and 79% were living with family members.
Conclusion:
Despite Hong Kong's developed economy, its schizophrenia outcome is similar to that in developing countries. The existence of good family support and active follow-up treatment may be important contributory factors to better outcome.