Abstract
Schizophrenia is a severe and frequently debilitating illness that affects one percent of the population (Gurland & Cross, 1982). Not surprisingly, there is a substantial literature of the phenomenology, course, biology, and treatment of schizophrenia in young adults. However, there is a remarkable lack of data on this disorder in late life. In this chapter we provide an overview of the clinical features of schizophrenia and aging. First, we will discuss changing views on the onset and outcome of schizophrenia, including features of early- and late-onset schizophrenia in the elderly. Next, we will discuss factors that appear to be important in the long-term outcome of schizophrenia, including the role of age cohorts, family resources, antipsychotic medication, and medical comorbidity. Finally, we will outline the elements of a strategy for the treatment of schizophrenia in the elderly based on the application of a comprehensive biopsychosocial model.
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Bartels, S.J., Mueser, K.T., Miles, K.M. (1998). Schizophrenia. In: Hersen, M., Van Hasselt, V.B. (eds) Handbook of Clinical Geropsychology. The Springer Series in Adult Development and Aging. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0130-9_9
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