The Maryland Vocational Rehabilitation Service.
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Altogether 193 patients with prolonged periodical schizophrenia (duration more than 20 years) living at different regions of the country (Moscow and Andijan) were examined. Prognostic significance of the clinical features, excluding psychopathological peculiarities of the manifest attack itself was determined. Prognostically favourable factors were: the acute attack of short duration (less than 3 months) at the beginning of the disease; no delirious disorders in the course of the first remission, the remission duration exceeding 10 years; less than 3 attacks endured; transition of stable regressive or progressive forms to regressive ones. Unfavourable factors for social-labour prognosis were: the initial disorders at the beginning of the disease; more than 3-month duration of the first manifest attack; delirious disorders in the course of the first remission lasting less than 2 years; 4 or more attacks endured (more than 6 for Andijan population); transition of stable progressive or regressive disease varieties to progressive ones.
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