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Changes in the Administrative Incidence of Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Glynn Harrison
Affiliation:
Academic Department of Psychiatry, A Floor, South Block, Queen's Medical Centre, Nottingham NG7 2UH
J. E. Cooper
Affiliation:
Formerly of the Academic Department of Psychiatry, University of Nottingham
Richard Gancarczyk
Affiliation:
Academic Department of Psychiatry, University of Nottingham

Abstract

First-admission rates to psychiatric hospitals, and data from certain psychiatric case registers suggest that there may have been a substantial decline in the administrative incidence of schizophrenia in recent years. However, data from the Nottingham case register show that rates for first-onset schizophrenia remained stable between 1975 and 1987. It is suggested that variations in trends between different parts of the UK may be partly explained by differences in the proportion of migrants and their children in the population at risk.

Type
Papers
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Cooper, J. E., Goodhead, D., Craig, T., et al (1987) The incidence of schizophrenia in Nottingham. British Journal of Psychiatry, 151, 619626.Google Scholar
Crow, T. J. (1990) Letter. Lancet, 335, 851.Google Scholar
De Alarçon, J., Seagroatt, V. & Goldacre, M. (1990) Letter. Lancet, 335, 852853.Google Scholar
Der, G., Gupta, S. & Murray, R. (1990) Is schizophrenia disappearing? Lancet, 335, 513516.CrossRefGoogle Scholar
Eagles, J. M. & Whalley, L. J. (1985) Decline in the diagnosis of schizophrenia among first admissions to Scottish mental hospital from 1969–1978. British Journal of Psychiatry, 146, 151154.Google Scholar
Eagles, J. M., Hunter, D. & McCance, C. (1988) Decline in the diagnosis of schizophrenia among first contacts with psychiatric services in north-east Scotland, 1969–1984. British Journal of Psychiatry, 152, 793798.Google Scholar
Feighner, J. P., Robins, E., Guze, S. B., et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.CrossRefGoogle ScholarPubMed
Glover, G. (1989) Why is there a high risk of schizophrenia in British Afro-Caribbeans? British Journal of Hospital Medicine, 42, 4851.Google Scholar
Graham, P. M. (1990) Letter. Lancet, 335, 352.Google Scholar
Hafner, H. (1987) Epidemiology of schizophrenia. In Search for the Causes of Schizophrenia (eds Hafner, H., Gattaz, W. F. & Janzarik, W.). Berlin: Springer-Verlag.Google Scholar
Harrison, G. (1990) Searching for the causes of schizophrenia: the role of migrant studies. Schizophrenia Bulletin, 16, 663671.Google Scholar
Harrison, G., Owens, D., Holton, T., et al (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 18, 643657.CrossRefGoogle ScholarPubMed
Harrison, G., Holton, A., Neilson, D., et al (1989) Severe mental disorder in Afro-Caribbean patients: some social, demographic and service factors. Psychological Medicine, 19, 683696.Google Scholar
Jones, S. J., Turner, R. J. & Grant, J. E. (1987) Assessing patients in their homes. Bulletin of the Royal College of Psychiatrists, 11, 117119.Google Scholar
Kesic, B., Kulcar, Z. & Kemkau, P. V. (1981) Epidemiology of psychoses in Croatia. Rod, 392 (Zagreb: Yugoslavenska Akademija Znanosti i Umjetnosti.)Google Scholar
Leff, J. (1988) Psychiatry Around the Globe: A Transcultural View. London: Gaskell.Google Scholar
Link, B. & Dohrenwend, B. P. (1980) Formulation of hypotheses about the ratio of untreated to treated cases in the true prevalence studies of functional psychiatric disorders in adults in the United States. In Mental Illness in the United States: Epidemiologic Estimates (eds Dohrenwend, B. P., Dohrenwend, B. S., Gould, M. S., et al), pp. 133148. New York: Praeger.Google Scholar
Lipakowitz, M. H. & Idupugnat, S. (1983) Diagnosing schizophrenia in 1980: a survey of US psychiatrists. American Journal of Psychiatry, 140, 5255.Google Scholar
Prince, M. J. & Phalan, M. C. (1990) Letter. Lancet, 335, 851852.Google Scholar
Sanua, V. (1970) Immigration, migration and mental illness: a review of the literature with special emphasis on schizophrenia. In Behaviour in New Environments (ed Brody, E. B.), pp 291 351. Beverly Hills: Sage.Google Scholar
Sartorius, N., Jablensky, A., Korten, A., et al (1986) Early manifestations and first contact incidence of schizophrenia in different cultures. Psychological Medicine, 16, 909928.Google Scholar
Taylor, M. A. & Abrams, R. (1978) The prevalence of schizophrenia: a reassessment using modern diagnostic criteria. American Journal of Psychiatry, 135, 945948.Google Scholar
Tyrer, P. (1984) Psychiatric clinics in general practice. An extension of community care. British Journal of Psychiatry, 145, 914.Google Scholar
Von Korff, M., Nestadt, G., Romanoski, A., et al (1985) Prevalence of treated and untreated DSM–III schizophrenia. Results of a two stage community survey. Journal of Nervous and Mental Disease, 173, 577581.Google Scholar
World Health Organization (1967) Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 1965 Revision (8th edn) (ICD–8). Geneva: WHO.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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