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Scholastic and academic difficulties one year after the first episode of schizophrenia, depending on gender, age, family history of schizophrenia, duration of untreated psychosis, severity of symptoms prior to treatment and degree of improvement of mental state under treatment

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Aim of the study: Determination of prevalence of scholastic and academic problems one year after the first episode of schizophrenia and their correlation with duration of untreated psychosis, severity of symptoms prior to institution of treatment, degree of improvement obtained, age and gender of patients and positive family history of schizophrenia. Method: One hundred and fourteen patients aged 14-23 years after the first episode of schizophrenia (acc. to ICD-10) were enrolled. These persons were treated at the Department of Psychiatry and Affective and Psychotic Disorders for Adolescents, at the Outpatient Consultation Unit of the Medical University in Lodz and at a private psychiatric practice. Information concerning type and duration of neuroleptics administration, scholastic and academic curriculum, interruption or cessation thereof, learning problems and notes obtained 1 year after the first episode of schizophrenia, duration of untreated psychosis, severity of psychosis according to the CGI-S scale, degree of improvement according to the CGI-I scale and family history of schizophrenia, was obtained based on medical documentation and custom-made questionnaire. Results: A large majority (90% and 80% acc. to subjective and objective assessment, respectively) of patients after the first episode of schizophrenia experience academic problems upon resuming their education. Overall, 80% of the patients resumed education, thereof 60% in normal mode and 30% in individual mode. Twenty percent of patients interrupted temporarily their education and had to repeat classes. Twenty percent of patients interrupted education permanently. No statistically significant correlations were found between parameters analyzed. Conclusions: Our results indicate that patients after the first episode of schizophrenia require a comprehensive and effective support if they are to continue their education.

Słowa kluczowe
first episode of schizophrenia, scholastic/academic problems, gender, age, family history of schizophrenia, duration of untreated psychosis, severity of symptoms prior to treatment, degree of improvement of mental state