الفهرس 
A Glance at schizophreniaOnly 14 pages are availabe for public view
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Abstract
Schizophrenia constitutes one of the highest disease burdens globally. The disorder causes profound disruptions in individuals’ functioning including independent living skills, social relationship, scholastic and occupational domains. Definitions of outcome include both maintained symptomatic remission and appropriate functioning in a conceptual framework that targets patient’s recovery as the ultimate goal.
Aim of the Work:
• To find out clinical outcome in a group of Egyptian patients with schizophrenia.
• To find out functional outcome in a group of Egyptian patients with schizophrenia.
• To give highlight on cognitive functions in a group of Egyptian patients with schizophrenia.
• To search for factors affecting outcome of schizophrenia in this group of patients.
Methods:
This is an observational, cross sectional and retrospective study. A total number of 93 Egyptian patients diagnosed with schizophrenia according to DSM-IV diagnostic criteria; and who were previously admitted at the Institute of Psychiatry, Ain Shams University Hospitals and were following at the general adult outpatient clinics, were recruited through one year duration where their clinical records were examined to provide a reliable retrospective data about their previous hospitalization and a cross-sectional assessment was done to determine their symptomatic and functional remission as well as their cognitive functions and quality of life with emphasis on possible predictors of outcome.
Results:
Lower score on lack of judgment or insight item of PANSS, greater categories completed on WCST were found to be significant predictors of good outcome. On the other hand substance use, previous suicidal attempts, lesser symptom severity on previous hospitalization and conceptual level response on WCST were not considered as significant predictors of good outcome.
Conclusion:
We concluded that patients with better insight and better cognitive functions were able to develop and maintain both symptomatic and functional recovery compared to those having lack of insight and cognitive affection that were less likely to have a good outcome at both the symptomatic and functional level.