Are Schizophrenics Better Off in Developing Countries?
Based on on a series of cross-national studies by the World Health Organization (WHO), the prevailing view in international psychiatric circles has been that schizophrenics tend to fare better in developing countries. However, in an article in the September, 2007 issue of Schizophrenia Bulletin, a review of evidence from other research indicates that the picture is far more complex. Through literature review and tabulation of data from 23 longitudinal studies of schizophrenia outcomes in 11 low- and middle-income countries, evidence examing clinical outcomes, disability and social outcomes (marital and occupational status, in particular), and untreated samples and duration of untreated psychosis, have indicated a need to reexamine the conclusions of the original WHO studies. In particular, excess mortality and suicide need to be take into account in making broad generalizations about schizophrenia outcomes in low- and middle-income countries.
Comments