Premorbid!? And Comparing Social functioning- Lily

The article is called Premorbid Social Functioning in Schizophrenia and Bipolar Disorder: Similarities and Differences. (I found it through ProQuest but then found it on Google, so people who might want to open it do not need Westtown’s database) So first, I did not know what premorbid meant. I thought it had something to do with death, but it actually means the preceding symptoms of a given disease. Well, this article examined social functioning in children with schizophrenia and patients with bipolar in comparison to children who are constituted as healthy. Then they analyzed the relationship of the premorbid adjustment and likeliness for psychosis (a mental disorder that affects thoughts and emotions so that one loses connection with reality).

The method for this lab used maternal recall to measure a patient’s premorbid adjustment. I do not know what maternal recall means. There is no definition in the article and there were no helpful Google results (shocking). Though from my little understanding from reading the article, it includes scores that indicate the patient’s adjustment level. There were one hundred patients with schizophrenia and forty nine patients with bipolar disorder. (I wonder why there was only half the amount of patients with bipolar tested than patients with schizophrenia). The subjects ranged in sex, social class, ethnicity, age, education, and premorbid IQ levels. The article later included graphs and a lot of details explaining how the social demographics were taken into account, but I found it more interesting comparing a group of schizophrenia patients, a group of bipolar disorder, and a healthy group. Though I found it interesting that the subjects’ premorbid IQ’s were tested—the bipolar group proved to have higher scores than schizophrenic patients but did not have scores as high as the healthy subjects.

The results proved the schizophrenia patients had poorer premorbid adjustment in young patients and were more severely affected by sociability and school adjustment. The subjects with bipolar disorder represented that they have poorer social impairment than all of the other tested children, but functioned well at school. The trends and analyses of the patients with schizophrenia showed that they were at a higher risk of psychosis because of their lower premorbid functioning. Though the impaired premorbid social functioning does not only target people affected with schizophrenia because it is also observed in bipolar patients.

At the end of this article, it included an appendix of the premorbid social adjustment scale. It was interesting to read the questions. I plan to look at this with Brandon and we could possibly even score ourselves to find and analyze our own premorbid social adjustment results. I found a lot of new information in this article. I had never heard of premorbid functioning, so I feel that I gained a new layer of understanding of bipolar disorder through this article. I am excited to read about Brandon’s week of learning about bipolar disorder.

Photo: [Schizophrenia]. (n.d.). Retrieved from


Cannon, Mary, Peter Jones, Catherine Gilvarry, and Larry Rifkin. “Premorbid Social Functioning in Schizophrenia and Bipolar Disorder: Similarities and Differences.” : American Journal of Psychiatry: Vol 154, No 11. The American Journal of Psychiatry, n.d. Web. 12 Oct. 2015.

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