Social outcome of schizophrenics in Tunisia: a transversal study of 60 patients

Author: Rafrafi R, Zaghdoudi L, Mahbouli M, Bouzid R, Labbane R, El Hechmi Z

Source:
L'Encephale, 35(3), 234-240
Abstract INTRODUCTION: Transcultural studies suggest that the social outcome of schizophrenia might be better in developing countries than in industrialized ones. This study aims to check this hypothesis and attempted to identify prognostic indicators of schizophrenia among Tunisian patients. METHODS: This study included all the outpatients responding to DSM IV criteria of schizophrenia for at least five years, during the study period. The assessment tools were: an interview with the patients and their families, data from medical records and the Global Assessment of Functioning scale (GAF) applied for the premorbid period, at two years after onset, at five years, and during the interview (current assessment). The social outcome was assessed by marital and labour market status, social network, sexuality and the GAF score. The outcome was considered to be good, if the current GAF >60, intermediate if GAF was between 31 and 60 and severe if GAF