Occurrence of Sex and Social Class Differences in Premorbid Competence, Symptom and Outcome Measures in Acute Schizophrenics

Abstract

An investigation was made of the occurrence of sex and social class differences in 15 premorbid competence, 14 symptom and two outcome measures. The sample comprised 138 newly admitted schizophrenics from nine hospitals. Middle-class patients evinced greater pre-adolescent psychic disturbance, greater premorbid interest and involvement in interpersonal, social and recreational activities, and were more emotionally unrestrained on admission than working-class patients. Female patients were older, more often married, higher on premorbid social achievement, and lower on symptoms characterizing grandiosity. The implications of these essentially negative findings for the process-reactive distinction in schizophrenia, and Zigler and Phillips' reported relationship between premorbid competence and symptoms, are discussed.