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Effects of level of socio-economic development on course of non-affective psychosis

Published online by Cambridge University Press:  03 January 2018

Vijoy K. Varma*
Affiliation:
Department of Psychiatry, Postgraduate Institution of Medical Education and Research, Chandigarh
N. N. Wig
Affiliation:
Department of Psychiatry, Columbia University, New York
B. M. Tripathi
Affiliation:
Department of Psychiatry, Columbia University, New York
Arun K. Misra
Affiliation:
Department of Psychiatry, Columbia University, New York
C. B. Khare
Affiliation:
Department of Psychiatry, Columbia University, New York
Hemen R. Phookun
Affiliation:
Department of Psychiatry, Columbia University, New York
D. K. Menon
Affiliation:
Department of Psychiatry, Columbia University, New York
Alan S. Brown
Affiliation:
Department of Psychiatry, Columbia University, New York
Ezra S. Susser
Affiliation:
Department of Psychiatry, Columbia University, New York
*
Dr A. S. Brown, New York State Psychiatric Institute, 722 West 168th Street, Unit 2, New York NY 10032. Tel. (212) 960-5629. Fax (212) 568-0161

Abstract

Background

This study explored the relation of level of socio-economic development to the course of non-affective psychosis, by extending the analysis of urban/rural differences in course in Chandigarh, India.

Method

The proportion of ‘best outcome cases between urban (n=110) and rural (n=50) catchment areas were compared at two-year follow-up, separately for CATEGO S+ and non-S+ schizophrenia.

Results

The proportion of subjects with ‘best outcome’ ratings at the urban and rural sites, respectively, was similar for CATEGO S+ schizophrenia (29 v. 29%), but significantly different for non-S+ psychosis (26 v. 47%)

Conclusions

The fact that in rural Chandigarh, psychoses have a more favourable course than in the urban area may be explained in large part by psychoses distinct from ‘nuclear’ schizophrenia.

Type
Papers
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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