Details

Autor(en) / Beteiligte

• MOJTABAI, RAMIN
• SUSSER, EZRA
• VARMA, VIJOY K
• MALHOTRA, SAVITA
• MATTOO, SURENDRA K
• MISRA, ARUN K
• WIG, NARENDRA N

Titel

Mortality and long-term course in schizophrenia with a poor 2-year course: A study in a developing country

Ist Teil von

• British journal of psychiatry, 2001-01, Vol.178 (1), p.71-75

Ort / Verlag

England: RCP

Erscheinungsjahr

2001

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• The short-term course of schizophrenia is reported to be better in some developing country settings. The long-term course in such settings, however, has rarely been studied. To examine the long-term course and mortality of schizophrenia in patients with a poor 2-year course. The report is based on two incidence cohorts of first-contact patients in urban and rural Chandigarh, India, originally recruited for the World Health Organization Determinants of Outcome of Severe Mental Disorders study. Patients were assessed using standardised instruments at 2- and 15-year follow-ups. Ninety-two per cent of the patients with a poor 2-year course had a poor long-term course and 47% died - a nine times higher mortality rate than among patients with other 2-year course types. In this developing country setting, a poor 2-year course was strongly predictive of poor prognosis and high mortality, raising questions about the adequacy of care for such patients.