Questioning an axiom: Better prognosis for schizophrenia in the developing world?

Schizophrenia Bulletin

Volumn 34, Issue 2, 2008, Pages 229-244

  Cohen, Alex ^a   Patel, Vikram ^b   Thara, R ^c   Gureje, Oye ^d  

^a HARVARD MEDICAL SCHOOL   (United States)

^b LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^c SCHIZOPHRENIA RESEARCH FOUNDATION   (India)

^d UNIVERSITY OF IBADAN   (Nigeria)

Author keywords

Cross cultural psychiatry; Longitudinal studies; Schizophrenia

Indexed keywords

ADULT; ARTICLE; DATA ANALYSIS; DEVELOPING COUNTRY; DISEASE COURSE; DISEASE DURATION; EMPLOYMENT; FAMILY; FEMALE; HUMAN; LITERATURE; MAJOR CLINICAL STUDY; MALE; MARRIAGE; OCCUPATION; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROGNOSIS; PSYCHOSIS; SCHIZOPHRENIA; SOCIAL ASPECT; SOCIAL STATUS; SUICIDE ATTEMPT; WORLD HEALTH ORGANIZATION;

ADULT; DEVELOPING COUNTRIES; FOLLOW-UP STUDIES; HUMANS; PROGNOSIS; SCHIZOPHRENIA; SCHIZOPHRENIC PSYCHOLOGY;

EID: 40049097964     PISSN: 05867614     EISSN: 17451701     Source Type: Journal    
DOI: 10.1093/schbul/sbm105     Document Type: Article

References (92)

1. Patel V, Cohen A, Thara R, Gureje O. Is the outcome of schizophrenia really better in developing countries? Rev Bras Psiquiatr. 2006;28:149-152.
2. Bhugra D. Severe mental illness across cultures. Acta Psychiatr Scand Suppl. 2006;34(2):229-244.
3. Isaac M, Chand P, Murthy P. Schizophrenia outcome measures in the wider international community. Br J Psychiatry. 2007;191(suppl 50):s71-s77.
4. Kulhara P, Chakrabarti S. Culture and schizophrenia and other psychotic disorders. Psychiatr Clin North Am. 2001;24:449-464.
5. Mueser KT, McGurk SR. Schizophrenia. Lancet. 2004;363:2063-2072.
6. Kroeber AL. Psychotic factors in shamanism. Character Pers. 1940;8:204-215.
7. Devereux G. Schizophrenia: an ethnic psychosis or schizophrenia without tears. In: Devereux G, ed. Basic Problems of Ethnopsychiatry. Chicago: University of Chicago Press; 1980:214-236.
8. Murphy HB, Raman AC. The chronicity of schizophrenia in indigenous tropical peoples: results of a twelve-year follow-up survey in Mauritius. Br J Psychiatry. 1971;118:489-497.
9. Waxler NE. Is outcome for schizophrenia better in nonindustrial societies? The case of Sri Lanka. J Nerv Ment Dis. 1979;167:144-158.
10. WHO. Schizophrenia: An International Follow-up Study. Chichester, UK: John Wiley and Sons; 1979.
11. Jablensky A, Sartorius N, Ernberg G, et al. Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organization ten-country study. Psychol Med Monogr Suppl. 1992;20:1-97.
12. Harrison G, Hopper K, Craig T, et al. Recovery from psychotic illness: a 15- and 25-year international follow-up study. Br J Psychiatry. 2001;178:506-517.
13. McIntosh A, Lawrie S. Cross-national differences in diet, the outcome of schizophrenia and the prevalence of depression: you are (associated with) what you eat. Br J Psychiatry. 2004;184:381-382.
14. Lin K-M, Kleinman AM. Psychopathology and clinical course of schizophrenia: a cross-cultural perspective. Schizophr Bull. 1988;14:555-567.
15. Hopper K, Harrison G, Janca A, Sartorius N, eds. Recovery from Schizophrenia: An International Perspective. Oxford: Oxford University Press; 2007.
16. Bromet EJ, Naz B, Fochtmann LJ, Carlson GA, Tanenberg-Karant M. Long-term diagnostic stability and outcome in recent first-episode cohort studies of schizophrenia. Schizophr Bull. 2005;31:639-649.
17. World Bank. Data & Statistics. Available at: http://web.worldbank.org/WBSITE/EXTERNAL/DATASTATISTICS/0,contentMDK: 20420458~menuPK:64133156~pagePK:64133150~piPK:64133175~theSitePK:239419,00.html. Accessed July 17, 2007.
18. Cohen A. Prognosis for schizophrenia in the Third World: a reevaluation of cross-cultural research. Cult Med Psychiatry. 1992;16:53-75101-106.
19. Edgerton RB, Cohen A. Culture and schizophrenia: the DOSMD challenge. Br J Psychiatry. 1994;164:222-231.
20. Thara R. Twenty-year course of schizophrenia: the Madras longitudinal study. Can J Psychiatry. 2004;49:564-569.
21. Thara R, Henrietta M, Joseph A, Rajkumar S, Eaton WW. Ten-year course of schizophrenia - the Madras longitudinal study. Acta Psychiatr Scand. 1994;90:329-336.
22. ICMR. Mental Health Research in India: Technical Monograph on ICMR Mental Health Studies. New Delhi, India: Indian Council of Medical Research; 2005.
23. Kurihara T, Kato M, Reverger R, Tirta IG. Eleven-year clinical outcome of schizophrenia in Bali. Acta Psychiatr Scand. 2005;112:456-462.
24. Kurihara T, Kato M, Reverger R, Yagi G. Outcome of schizophrenia in a non-industrialized society: comparative study between Bali and Tokyo. Acta Psychiatr Scand. 2000;101:148-152.
25. Verghese A, John JK, Rajkumar S, Richard J, Sethi BB, Trivedi JK. Factors associated with the course and outcome of schizophrenia in India: results of a two-year multicentre follow-up study. Br J Psychiatry. 1989;154:499-503.
26. Thara R, Rajkumar S. Gender differences in schizophrenia: results of a follow-up study from India. Schizophr Res. 1992;7:65-70.
27. Kulhara P, Wig NN. The chronicity of schizophrenia in North West India: results of a follow-up study. Br J Psychiatry. 1978;132:186-190.
28. Kulhara P, Chandiramani K. Outcome of schizophrenia in India using various diagnostic systems. Schizophr Res. 1988;1:339-349.
29. Ran MS, Xiang M, Huang M, Shan Y, Cooper J. Natural course of schizophrenia: 2-year follow-up study in a rural Chinese community. Br J Psychiatry. 2001;178:154-158.
30. Thara R, Eaton WW. Outcome of schizophrenia: the Madras longitudinal study. Aust N Z J Psychiatry. 1996;30:516-522.
31. Thara R, Srinivasan TN. Outcome of marriage in schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 1997;32:416-420.
32. Kebede D, Alem A, Shibre T, Negash A, Deyassa N, Beyero T. The sociodemographic correlates of schizophrenia in Butajira, rural Ethiopia. Schizophr Res. 2004;69:133-141.
33. Kebede D, Alem A, Shibre T, et al. Short-term symptomatic and functional outcomes of schizophrenia in Butajira, Ethiopia. Schizophr Res. 2005;78:171-185.
34. Kebede D, Alem A, Shibire T, et al. Symptomatic and functional outcome of bipolar disorder in Butajira, Ethiopia. J Affect Disord. 2006;90:239-249.
35. Gureje O, Bamidele R. Thirteen-year social outcome among Nigerian outpatients with schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 1999;34:147-151.
36. Padmavathi R, Rajkumar S, Srinivasan TN. Schizophrenic patients who were never treated - a study in an Indian urban community. Psychol Med. 1998;28:1113-1117.
37. Menezes PR, Mann AH. Characteristics of hospital-treated schizophrenia in São Paulo, Brazil. Soc Psychiatry Psychiatr Epidemiol. 1993;28:267-274.
38. Menezes PR, Mann AH. The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil. Rev Saude Publica. 1993;27:340-349.
39. Hickling FW, McCallum M, Nooks L, Rodgers-Johnson P. Outcome of first contact schizophrenia in Jamaica. West Indian Med J. 2001;50:194-197.
40. Warner R. Recovery from Schizophrenia: Psychiatry and Political Economy. 3rd ed. London: Routledge; 2004.
41. Murthy RS, Kishore Kumar KV, Chisholm D, Thomas T, Sekar K, Chandrashekari CR. Community outreach for untreated schizophrenia in rural India: a follow-up study of symptoms, disability, family burden and costs. Psychol Med. 2005;35:341-351.
42. Kebede D, Alem A, Shibre T, et al. Onset and clinical course of schizophrenia in Butajira-Ethiopia - a community-based study. Soc Psychiatry Psychiatr Epidemiol. 2003;38:625-631.
43. Srinivasan TN, Thara R. How do men with schizophrenia fare at work? A follow-up study from India. Schizophr Res. 1997;25:149-154.
44. Srinivasan TN, Thara R. The long-term home-making functioning of women with schizophrenia. Schizophr Res. 1999;35:97-98.
45. Srinivasan TN, Rajkumar S, Padmavathi R. Initiating care for untreated schizophrenia patients and results of one year follow-up. Int J Soc Psychiatry. 2001;47:73-80.
46. Tirupati NS, Rangaswamy T, Raman P. Duration of untreated psychosis and treatment outcome in schizophrenia patients untreated for many years. Aust N Z J Psychiatry. 2004;38:339-343.
47. Oosthuizen P, Emsley RA, Keyter N, Niehaus DJ, Koen L. Duration of untreated psychosis and outcome in first-episode psychosis perspective from a developing country. Acta Psychiatr Scand. 2005;111:214-219.
48. Ran MS, Meng-Ze X, Sheng-Xian L, et al. Prevalence and outcome of schizophrenia in a Chinese rural area: an epidemiological study. Aust N Z J Psychiatry. 2003;37:452-457.
49. Saha S, Chant D, McGrath J. A systematic review of mortality in schizophrenia: is the differential mortality gap worsening over time? Arch Gen Psychiatry. In press.
50. Craig TJ, Tang D-I, Sartorius N, Laska EM, Cancro R. Long-term mortality experience of international cohorts of persons with schizophrenia and related psychoses. In: Hopper K, Harrison G, Janca A, Sartorius N, eds. Recovery from Schizophrenia: An International Perspective. Oxford: Oxford University Press; 2007:61-68.
51. Ran M-S, Chen EY-H, Conwell Y, et al. Mortality in people with schizophrenia in rural China: 10-year cohort study. Br J Psychiatry. 2007;190:237-242.
52. Menezes PR, Mann AH. Mortality among patients with non-affective functional psychoses in a metropolitan area of south-eastern Brazil. Rev Saude Publica. 1996;30:304-309.
53. Makanjuola ROA, Adedapo SA. The DSM-III concepts of schizophrenic disorder and schizophreniform disorder: a clinical and prognostic evaluation. Br J Psychiatry. 1987;151:611-618.
54. Kurihara T, Kato M, Kashima H, Takebayashi T, Reverger R, Tirta IGR. Excess mortality of schizophrenia in the developing country of Bali. Schizophr Res. 2006;83:103-105.
55. Palmer BA, Pankratz VS, Bostwick JM. The lifetime risk of suicide in schizophrenia: a reexamination. Arch Gen Psychiatry. 2005;62:247-253.
56. Hopper K. Some old questions for the new cross-cultural psychiatry. Med Anthropol Q. 1991;5:299-330.
57. Hopper K. Cervantes' puzzle - a commentary on Alex Cohen's "Prognosis for schizophrenia in the Third World: a reevaluation of cross-cultural research". Cult Med Psychiatry. 1992;16:89-100.
58. Leff J, Wig NN, Bedi H, et al. Relatives' expressed emotion and the course of schizophrenia in Chandigarh: a two-year follow-up of a first-contact sample. Br J Psychiatry. 1990;156:351-356.
59. Leff J, Wig NN, Ghosh A, et al. Expressed emotion and schizophrenia in north India. III. Influence of relatives' expressed emotion on the course of schizophrenia in Chandigarh. Br J Psychiatry. 1987;151:166-173.
60. Thara R, Kamath S, Kumar S. Women with schizophrenia and broken marriages - doubly disadvantaged? Part I: patient perspective. Int J Soc Psychiatry. 2003;49:225-232.
61. Ran MS, Chan CL, Chen EY, Xiang MZ, Caine ED, Conwell Y. Homelessness among patients with schizophrenia in rural China: a 10-year cohort study. Acta Psychiatr Scand. 2006;114:118-123.
62. Seeman MV. Women and schizophrenia. Med women's health. 2000;5(2):2.
63. Ohaeri JU. Long-term outcome of treated schizophrenia in a Nigerian cohort. Retrospective analysis of 7-year follow-ups. J Nerv Ment Dis. 1993;181:514-516.
64. Menezes PR, Rodrigues LC, Mann AH. Predictors of clinical and social outcomes after hospitalization in schizophrenia. Eur Arch Psychiatry Clin Neurosci. 1997;247:137-145.
65. Gureje O, Lasebikan VO, Ephraim-Oluwanuga O, Olley BO, Kola L. Community study of knowledge of and attitude to mental illness in Nigeria. Br J Psychiatry. 2005;186:436-441.
66. Odejide AO, Olatawura MO. A survey of community attitudes to the concept and treatment of mental illness in Ibadan, Nigeria. Niger Med J. 1979;9:343-347.
67. Shibre T, Negash A, Kullgren G, et al. Perception of stigma among family members of individuals with schizophrenia and major affective disorders in rural Ethiopia. Soc Psychiatry Psychiatr Epidemiol. 2001;36:299-303.
68. Thara R. People with schizophrenia believe that they are stigmatised at work and in the community. Evid Based Ment Health. 2003;6:96.
69. Thara R, Kamath S, Kumar S. Women with schizophrenia and broken marriages - doubly disadvantaged? Part II: family perspective. Int J Soc Psychiatry. 2003;49(3):233-240.
70. Thara R, Srinivasan TN. How stigmatising is schizophrenia in India? Int J Soc Psychiatry. 2000;46:135-141.
71. Gureje O. Psychiatry in Africa: the myths, the exotic, and the realities. S Afr Psychiatry Rev. 2007;10:11-14.
72. Beech H. Hidden away. Time Asia. 2003;18:pp 34-39.
73. National Human Rights Commission. Quality Assurance in Mental Health. New Delhi, India: National Human Rights Commission of India; 1999.
74. Krishnakumar A. Deliverance in Erwadi [Electronic Version]. Frontline. 2001;18. Retrieved May 14, 2007 from http://www.hinduonnet. com/fline/fl1817/18171280.htm.
75. Ram R, Bromet EJ, Eaton WW, Pato C, Schwartz JE. The natural course of schizophrenia: a review of first-admission studies. Schizophr Bull. 1992;18:185-207.
76. Hegarty JD, Baldessarini RJ, Tohen M, Waternaux C, Oepen G. One hundred years of schizophrenia: a meta-analysis of the outcome literature. Am J Psychiatry. 1994;151:1409-1416.
77. Craig TJ, Siegel C, Hopper K, Lin S, Sartorius N. Outcome in schizophrenia and related disorders compared between developing and developed countries. A recursive partitioning reanalysis of the WHO DOSMD data. Br J Psychiatry. 1997;170:229-233.
78. Kurihara T, Kato M, Reverger R, Tirta IGR, Kashima H. Never-treated patients with schizophrenia in the developing country of Bali. Schizophr Res. 2005;79:307-313.
79. Hopper K. Interrogating the meaning of "culture" in the WHO international studies of schizophrenia. In: Jenkins JH, Barrett RJ, eds. Schizophrenia, Culture, and Subjectivity: The Edge of Experience. Cambridge, UK: Cambridge Unviersity Press; 2004:62-86.
80. WHO. Mental Health Global Action Programme. Geneva, Switzerland: World Health Organization; 2002.
81. Ran MS, Chan CL, Xiang MZ, Wu QH. Suicide attempts among patients with psychosis in a Chinese rural community. Acta Psychiatr Scand. 2003;107:430-435.
82. Kulhara P, Mattoo SK, Chandiramani K, Bhave S, Awasthi A. Diagnostic systems for schizophrenia. A cross-sectional study of concordance from India. Acta Psychiatr Scand. 1986;74:55-61.
83. Verghese A, Dube KC, John J, et al. Factors associated with the course and outcome of schizophrenia: a multicentred follow-up study. Indian J Psychiatry. 1985;27:201-206.
84. Rajkumar S, Thara R. Factors affecting relapse in schizophrenia. Schizophr Res. 1989;2:403-409.
85. Eaton WW, Thara R, Federman B, Melton B, Liang KY. Structure and course of positive and negative symptoms in schizophrenia. Arch Gen Psychiatry. 1995;52:127-134.
86. Eaton WW, Thara R, Federman E, Tien A. Remission and relapse in schizophrenia: the Madras longitudinal study. J Nerv Ment Dis. 1998;186:357-363.
87. Hickling FW, Rodgers-Johnson P. The incidence of first contact schizophrenia in Jamaica. Br J Psychiatry. 1995;167:193-196.
88. Bhugra D, Hilwig M, Hossein B, et al. First-contact incidence rates of schizophrenia in Trinidad and one-year follow-up. Br J Psychiatry. 1996;169:587-592.
89. Kurihara T, Kato M, Reverger R, Yagi G. Clinical outcome of patients with schizophrenia without maintenance treatment in a nonindustrialized society. Schizophr Bull. 2002;28:515-524.
90. Obembe A, Famuyiwa O, Bebbington P. Outcome of functional psychoses in metropolitan Lagos, Nigeria. East Afr Med J. 1995;72:234-240.
91. Leucht S, Kane JM, Kissling W, Hamann J, Etschel E, Engel RR. What does the PANSS mean? Schizophr Res. 2005; 79:231-238.
92. U.S. Census Bureau. International Data Base. Available at: http://www.census.gov/ipc/www/idb/index.html. Accessed July 16, 2007.