Document Detail

Cross-cultural differences in the short-term prognosis of schizophrenic psychoses.
MedLine Citation:
PMID:  746359     Owner:  NLM     Status:  MEDLINE    
Results of the 2-year followup of the patients included in the International Pilot Study of Schizophrenia (World Health Organization 1973) indicate that patients diagnosed schizophrenic on the basis of standardized assessments and clearly specified criteria demonstrated very marked variations of course and outcome over a 2-year period. Schizophrenic patients in the centers in developing countries had, on the average, considerably better course and outcome than schizophrenic patients in the centers in developed countries. Part of the variation of course and outcome was related to sociodemographic (e.g., social isolation and marital status) and clinical (e.g., type of onset and precipitating factors) predictors, but another larger part remained statistically unexplained. This suggests that variables usually used to describe psychopathology, the environment, and history of psychiatric patients in European and North American cultures may not account for cross-cultural differences. Clinical diagnosis on initial evaluation appeared to be a good predictor of subsequent symptomatology, but not of the length of the episodes, the total time during which the patient would be psychotic, pattern of course, or the degree of social impairment. A 5-year followup of the IPSS patients has also been completed, and the collected data are being analyzed.
N Sartorius; A Jablensky; R Shapiro
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Schizophrenia bulletin     Volume:  4     ISSN:  0586-7614     ISO Abbreviation:  Schizophr Bull     Publication Date:  1978  
Date Detail:
Created Date:  1979-05-16     Completed Date:  1979-05-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0236760     Medline TA:  Schizophr Bull     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  102-13     Citation Subset:  IM    
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MeSH Terms
Cross-Cultural Comparison*
Developing Countries
Follow-Up Studies
Pilot Projects
Schizophrenia / rehabilitation*
Schizophrenic Psychology
Social Adjustment
Social Isolation
Socioeconomic Factors
World Health Organization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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