Social class and psychiatric outcome

Am J Psychiatry. 1986 Feb;143(2):222-5. doi: 10.1176/ajp.143.2.222.


Although social status has been shown to relate to rates of certain types of psychiatric disorder and to treatment received, little information is available regarding social class and clinical improvement over time. This report presents findings from a prospective follow-up study of a representative sample of first-admission psychiatric patients. A variety of clinical characteristics were analyzed at hospital admission and 2-year follow-up. The social status of the individual patient, the social status of the patient's parents, and the social status associated with the patient's residential area were found to be correlated with improvement over the 2-year follow-up period.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Follow-Up Studies
  • Health Status Indicators
  • Hospitalization
  • Humans
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / psychology
  • Mental Disorders / therapy
  • Middle Aged
  • Neurotic Disorders / diagnosis
  • Neurotic Disorders / psychology
  • Neurotic Disorders / therapy
  • Outcome and Process Assessment, Health Care*
  • Parents
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy
  • Residence Characteristics
  • Social Class*