• Stephen J. Bartels
  • Kim T. Mueser
  • Keith M. Miles
Part of the The Springer Series in Adult Development and Aging book series (SSAD)


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.


Negative Symptom Schizophrenic Patient Antipsychotic Medication Severe Mental Illness Tardive Dyskinesia 
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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Stephen J. Bartels
    • 1
  • Kim T. Mueser
    • 1
  • Keith M. Miles
    • 1
  1. 1.Department of Psychiatry and Community and Family Medicine, New Hampshire-Dartmouth Psychiatric Research CenterDartmouth Medical SchoolConcordUSA

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