Stability of Diagnoses in a Cohort of Long-Term Mentally Ill Patients in Sweden

DiagnosesIndex diagnoses (1984) nChanges in % 1984–98MenWomenTotalSchizophrenia37243327Other psychoses psychosis NOS17100100100 affective psychoses9336744 organic psychoses3100100100 reactive psychoses3100100100Personality disorders117510082Neurotic disorders61006783Substance-relates disorders433025Mental retardation*633–33Other*20–0Total98516355*There were no women in these categories.

Index diagnosisIndex diagnoses nSCHUSPAFPORGREAPERNEUSRDMEROTHChanges nSchizophrenia (SCH)37717–34––1–23Unspecified psychoses (USP)1719251443––139Affective psychoses (AFP)93–1–––1–––5Organic psychoses (ORG)32––1–1––116Reactive psychoses (REA)331313–1–––12Personality disorders (PER)11112––2232114Neurotic disorders (NEU)61–2––245––14Substance-related disorders (SRD)41–––––––––1Mental retardation (MER)61–1––––32–7Other (OTH)2–––––––––––Total983852131013111163121

VariableTotal (n=98)Changes nChanges %p-valueSexNS Women301963 Men683551Housing conditionsNS Independent housing502856 Other housing482654Living with someoneNS Yes10770 No884753Sees relatives/friendsNS Yes764458 No221046Work/occupationNS Yes341956 No643555Substance abuse (dual diagnosis)<0.05 Yes342471 No643047Criminality<0.05 Yes382874 No602643Out-patient careNS Yes603762 No381745Type of out-patient care (60 patients)NS Specialist teams12758.3 Psychosis teams211047.6 General teams181477.8 Teams in the community9666.7Care in the communityNS Yes532649 No452862Number of admissionsNS 19556 2–526727 6–10231774 11–20161169 21–50191158 ≥515360Total time of in-patient care (days)NS ≤20015853 201–550171059 551–750171059 751–140016850 1401–2500171269 ≥250116638Age<0.001 30–39201680 40–49402563 50–59231044 60–699222 ≥706117Duration of illness (years)<0.001 ≤16121083 17–20251872 21–25181161 26–3015853 31–4019631 ≥419111

198419851986198719881989199019911992199319941995199619971998Changes (n)689129568778699Diagnostic categories Schizophrenia373839434448474646474749465153 Psychoses NOS17181495–––––––––1 Affective psychoses9911121211131415151617161415 Organic psychoses33234412111––11 Reactive psychoses322–3444522232– Personality disorders111011111078891076756 Neurotic disorders665646542453443 Substance-related disorders456778910109101110119 Mental retardation655466655555755 Other223334555555555