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First-contact incidence rates of schizophrenia in Trinidad and one-year follow-up.
Bhugra, D; Hilwig, M; Hossein, B; Marceau, H; Neehall, J; Leff, J; Mallett, R; Der, G.
Afiliação
  • Bhugra D; Institute of Psychiatry, De Crespigny Park, London.
Br J Psychiatry ; 169(5): 587-92, 1996 Nov.
Article em En | MEDLINE | ID: mdl-8932887
BACKGROUND: Incidence rates of schizophrenia among UK African-Caribbeans have been reported as high. Various explanations including selective migration and genetic vulnerability have been proposed. METHOD: In one calendar year, all new cases of psychosis presenting to various psychiatric services in two clearly defined geographical catchment areas in Trinidad-one in the rural south and the other an urban area-were studied. Standardised diagnostic instruments were applied and information collected using WHO screening and measurement instruments. RESULTS: A total of 56 cases were collected, giving an incidence rate of 2.2/1000 of broad schizophrenia with a rate of 1.6 for S+ schizophrenia. CONCLUSION: These rates are similar to those from the WHO study in Honolulu and Aarhus, and much lower than the rates for African-Caribbeans in London. The cases were followed up for one year and the poor outcome rate for schizophrenia was 19%. The findings are discussed in a cross-cultural context and suggestions for future research made.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esquizofrenia / Psicologia do Esquizofrênico / Comparação Transcultural / Países em Desenvolvimento Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Male País/Região como assunto: Caribe ingles / Trinidad y tobago Idioma: En Revista: Br J Psychiatry Ano de publicação: 1996 Tipo de documento: Article País de publicação: Reino Unido
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esquizofrenia / Psicologia do Esquizofrênico / Comparação Transcultural / Países em Desenvolvimento Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Male País/Região como assunto: Caribe ingles / Trinidad y tobago Idioma: En Revista: Br J Psychiatry Ano de publicação: 1996 Tipo de documento: Article País de publicação: Reino Unido