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Schizophrenia: manifestations, incidence and course in different cultures A World Health Organization Ten-Country Study

  • A. Jablensky, N. Sartorius, G. Ernberg, M. Anker, A. Korten, J. E. Cooper, R. Day and A. Bertelsen...


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Adelstein, A. M., Downham, D. Y., Stein, Z. & Susser, M. (1968). The epidemiology of schizophrenia in an English city. Social Psychiatry 3, 47.
American Psychiatric Association (1980). Diagnosic and Statistical Manual, 3rd edn. AMA: Washington, DC
Babigian, H. M. (1980). Schizophrenia: epidemiology. In Comprehensive Textbook of Psychiatry, 3rd edn vol. 2 (ed. Kaplan, H. I. Freedman, A. M. & Sadock, B. J.). Williams & Wilkins: Baltimore.
Berner, P., Gabriel, E., Katschnig, H., Kieffer, W., Koehler, K., Lenz, G. & Simhandl, Ch. (1983). Diagnostic criteria for schizophrenic and affective psychoses. In Proceedings of World Psychiatric Association.American Psychiatric Press:Washington DC.
Blake, B., Halpenny, J. V., ni Nuallain, M., O'Brien, P. F., O'Hare, A. & Walsh, D. (1984). The incidence of mental illness in Ireland – patients contacting psychiatric services in three Irish Counties. Irish Journal of Psychiatry 5, 2329.
Bleuler, E. (1911). Dementia praecox oder die Gruppe der Schizophrenien. In Handbuch der Psychiatrie, 4. Abt. (ed. Aschaffenburg, G.), pp. 251252. Deuticke: Leipzig.
Bleuler, M. (1972). Die schizophrenen Geistesstörungen im Lichte langjährigen kranken- und Familiengeschichten. Thieme: Stuttgart.
Bleuler, M. (1981). Einzelkrankheiten in der Schizophrenie-Gruppe? In Schizophrenic Stand und Entwicklungstendenzen der Forschung (ed. Huber, G.), pp. 155166. Schattauer: Stuttgart.
Böök, J. A. (1953). A genetic and neuropsychiatric investigation of a North Swedish population (with special regard to schizophrenia and mental disorder). Ada Genetica 4, 1100.
Böök, J. A., Wetterberg, L. & Modrzewska, K. (1978). Schizophrenia in a North Swedish geographical isolate, 1900–1977. Epidemiology, genetics and biochemistry. Clinical Genetics 14, 373394.
Brockington, I. F., Kendell, R. E. & Leff, J. P. (1978). Definitions of schizophrenia: concordance and prediction of outcome. Psychological Medicine 8, 387398.
Brown, G. W. & Birley, J. L. T. (1968). Crises and life changes and the onset of schizophrenia. Journal of Health and Social Behaviour 9, 203214.
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry 121, 241258.
Brugger, C. (1931). Versuch einer Geisteskrankenzählung in Thüringen. Zeitschrift für die Gesamte Neurologic und Psychiatrie 133, 252290.
Brugger, C. (1933). Psychiatrische Ergebnisse einer medizinischen, anthropologischen und soziologischen Bevölkerungsuntersuchung. Zeitschrift für die Gesamte Neurologie und Psychiatrie 146, 489524.
Brugger, C. (1938). Psychiatrische Bestandesaufnahme im Gebiet eines medizinischänthropologischen Zensus in der Nähe von Rosenheim. Zeitschrift für die Gesamte Neurologie und Psychiatrie 160, 189207.
Carpenter, W. T., Strauss, J. S. & Muleh, S. (1973). Are there pathognomonic symptoms in schizophrenia? Archives of General Psychiatry 28, 847852.
Ciompi, L. (1980). The natural history of schizophrenia in the longterm. British Journal of Psychiatry 136, 413420.
Crocetti, G. J., Lemkau, P. V., Kulcar, Z. & Kessic, B. (1971). Selected aspects of the epidemiology of schizophrenia in Croatia Yugoslavia. II. The cluster sample and the results of the pilot survey. American Journal of Epidemiology 94, 126134.
Day, R., Nielsen, J. A., Korten, A., Ernberg, G., Dube, K. C., Gebhart, J., Jablensky, A., Leon, C., Marsella, A., Olatawura, M., Sartorius, N., mgren, E., Takahashi, R., Wig, N. & Wynne, L. C. (1987). Stressful life events preceding the acute onset of schizophrenia: a cross-national study from the World Health Organization. Culture, Medicine and Psychiatry 11, 123205.
Essen-Möller, E., Larsson, H., Uddenberg, C. E. & White, G. (1956). Individual traits and morbidity in a Swedish rural population. Acta Psychiatrica Neurologica Scandinavica, Suppl. 100.
Fenton, W. S., Mosher, L. R. & Mathews, S. M. (1981). Diagnosis of schizophrenia: a critical review of current diagnostic systems. Schizophrenia Bulletin 7, 452476.
Fremming, K. H. (1947). Sygdomsrisikoen for Sindslidelser og Andre Sjaelelige Abnormtilstande i den Danske Gennemsnitsbefolkning. Munksgaard: Copenhagen.
Gottesman, I. I. & Shields, J. (1982). Schizophrenia: The Epigenetic Puzzle. Cambridge University Press: New York.
Gross, G., Huber, G. & Schütter, R. (1981). Uebereinstimmungen und Unterschiede in den Ergebnissen neuerer Langzeitstudien bei schizophrenen Kranken. In Schizophrenic. Stand und Entwicklungstendenzen der Forschung (ed. Huber, G.), pp. 3957. Schattauer: Stuttgart.
Häfner, H. & Reimann, H. (1970). Spatial distribution of mental disorders in Mannheim, 1965. In Psychiatric Epidemiology (ed. Hare, E. H. and Wing, J. K.), pp. 341354. Oxford University Press: London.
Hagnell, O. (1966). A Prospective Study of the Incidence of Mental Disorder. Svenska Bokforlaget: Lund.
Helgason, L. (1977). Psychiatric services and mental illness in Iceland. Acta Psychiatrica Scandinavica, Suppl. 268.
Helgason, T. (1964). Epidemiology of mental disorders in Iceland. Acta Psychiatrica Scandinavica, Suppl. 173.
Hoenig, J. (1984). Schneider's first rank symptoms and the tabulators. Comprehensive Psychiatry 25, 7787.
Hollingshead, A. B. & Redlich, F. C. (1958). Social Class and Mental Illness. Wiley & Sons: New York.
Jablensky, A. (1987). Multicultural studies and the nature of schizophrenia: a review. Journal of the Royal Society of Medicine 80, 16–2–167.
Jablensky, A., Schwarz, R. & Tomov, T. (1980). WHO collaborative study on impairments and disabilities associated with schizophrenic disorders. Acta Psychiatrica Scandinavica 62, Suppl. 285, 152163.
Joensen, S. & Wang, A. G. (1983). First admissions for psychiatric disorders. A comparison between the Faroe Island and Denmark. Acta Psychiatrica Scandinavica 68, 6671.
Kadri, Z. N. (1963). Schizophrenia in university students. Singapore Medical Journal 4, 113118.
Kato, M. (1969). Psychiatric epidemiological surveys in Japan: the problem of case finding. In Mental Health in Asia and the Pacific. East-West Center Press: Honolulu.
Katz, M. M., Sanborn, K. O., Lowery, H. A. & Ching, J. (1978). Ethic studies in Hawaii on psychopathology and social deviance. In The Nature of Schizophrenia: New Approaches to Research and Treatment (ed. Wynne, L. Cromwell, R. and Methysse, S.). John Wiley: New York.
Katz, M. M., Marsella, A., Dube, K. C., Olatawura, M., Takahashi, R., Nakane, Y., Wynne, L. C., Gift, T., Brennan, J., Sartorius, N. & Jablensky, A. (1988). On the expression of psychosis in different cultures: schizophrenia in an Indian and in a Nigerian community: a report from the World Health Organization Project on Determinants of Outcome of Severe Mental Disorders. Culture, Medicine and Psychiatry 12, 331355.
Kendell, R. E. & Brockington, I. F. (1980). The identification of disease entities and the relationship between schizophrenic and affective psychoses. British Journal of Psychiatry 137, 324331.
Klemperer, J. (1933). Zur Belastungsstatistik der Durchschnittsbevölkerung. Psychosehäufigkeit unter 1000 stichprobemässig ausgelesenen Probanden. Zeitschrift für die Gesamte Neurologie und Psychiatric 146, 277316.
Koehler, K. (1979). First rank symptoms of schizophrenia: questions concerning clinical boundaries. British Journal of Psychiatry 134, 236248.
Kraepelin, E. (1920). Die Erscheinungsformen des Irreseins. Zeitschrift für die Gesamte Neurologie und Psychiatrie 62, 129.
Kramer, M. (1980). The rising pandemic of mental disorders and associated chronic diseases and disabilities. In Epidemiological Research as Basis for the Organization of Extramural Psychiatry (ed. Strömgren, E. Dupont, A. and Achton-Nielsen, J.), pp. 382397. Acta Psychiatrica Scandinavica, Suppl. 285.
Krasik, E. D. & Semin, I. R. (1980). Epidemiological aspects of first admissions of schizophrenic patients. Zhurual Nevropatolgii Psikijatrii 80, 13541359.
Kritzer, H. M. (1979). Analyzing contingency tables by weighted least squares alternative to the Goodman approach. 78 Politic 5, 277326.
Kritzer, H. M. (1979). Approaches to the analysis of complex contigency tables: a guide for the perplexed. 79, Social Methods Research 7, 305329.
Krupinski, J. & Alexander, L. (1983). Patterns of psychiatric morbidity in Victoria, Australia, in relation to changes in diagnostic criteria 1848–1978. Social Psychiatry 18, 6167.
Larsson, T. & Sjögren, T. (1954). A methodological, psychiatric and statistical study of a large Swedish rural population. Acta Psychiatrica Neurologica Scandinavica, Suppl. 89.
Leff, J., Kuipers, L., Berkowitz, R., Vaughn, C. & Sturgeon, D. (1983). Life events, relatives' expressed emotion and maintenance neuroleptics in schizophrenic relapse. Psychological Medicine 13, 799806.
Leff, J., Wig, N. N., Ghosh, A., Bedi, H., Menon, D. K., Kuipers, L., Nielsen, J. A., Thestrup, , Grethe, , Korten, A., Ernberg, G., Day, R., Sartorius, N. & Jablensky, A. (1987). Expressed emotion and schizophrenia in North India. III. Influence of relatives' expressed emotion on the course of schizophrenia in Chandigarh. British Journal of Psychiatry 151, 166173.
Leff, J., Wig, N. N., Bedi, H., Menon, D. K., Kuipers, L., Korten, A., Ernberg, G., Day, R., Sartorius, N. & Jablensky, A. (1990). Relatives' expressed emotion and the course of Schizophrenia in Chandigarh: a two-year follow-up of a first-contact sample. British Journal of Psychiatry 156, 351356.
Leff, J., Sartorius, N., Jablensky, A., Korten, A. & Ernberg, G. (in press) The International Pilot Study of Schizophrenia: five-year follow-up findings. Psychological Medicine.
Lewine, R., Renders, R., Kirchhofer, M., Monsour, A. & Watt, N. (1982). The empirical heterogeneity of first rank symptoms in schizophrenia. British Journal of Psychiatry 140, 498502.
Liebermann, Y. I. (1974). On the problem of incidence of schizophrenia (materials from a clinical and epidemiological survey). Zhurnal Nevropatologii Psikijatrii 74, 12241231.
Lin, T., Rin, H., Yeh, E., Hsu, C. & Chu, H. (1969). Mental disorders in Taiwan, fifteen years later: A preliminary report. In Mental Health Research in Asia and the Pacific (ed. Candill, W. and Lin, T.), pp. 6691. East-West Center Press: Honolulu.
McGuffin, P. (1988). Major genes for major affective disorders? British Journal of Psychiatry 153, 591596.
Marneros, A. (1984). Sichern die Symptome ersten Ranges die Diagnose Schizophrenic? Nervenarzt 55, 365370.
Munk-Jørgensen, P. (1986 a). Decreasing first-admission rates of schizophrenia among males in Denmark from 1970 to 1984. Changing diagnostic patterns? Acta Psychiatrica Scandinavica 73, 645650.
Munk-Jørgensen, P. (1986 b). Decreasing rates of first-admission diagnoses of schizophrenia among females in Denmark from 1970 to 1984. Acta Psychiatrica Scandinavica 74, 379383.
Murphy, H. B. M. (1968). Cultural factors in the genesis of schizophrenia. In The Transmission of Schizophrenia (ed. Rosenthal, D. & Kety, S. S.), pp. 137153. Pergamon: Oxford.
Murphy, H. B. M. (1978). Cultural differences in incidence, course, and treatment response. In The Nature of Schizophrenia (ed. Wynne, L. C. Cromwell, R. L. and Matthysse, S.), pp. 586594. Wiley & Sons: New York.
Murphy, H. B. M. & Raman, A. C. (1971). The chronicity of schizophrenia in indigenous tropical peoples. Results of a twelveyear follow-up survey in Mauritius. British Journal of Psychiatry 118, 489497.
Murphy, H. B. M. & Vega, G. (1982). Schizophrenia and religious affiliation in Northern Ireland. Psychological Medicine 12, 595605.
Murray, R. & Lewis, S. W. (1988). Is schizophrenia a neurodevelopmental disorder (letter)? British Medical Journal 296, 66146663.
Nakane, Y., Ohta, Y. & Radford, M. H. B. (in press). Epidemiological studies of schizophrenia in Japan. Schizophrenia Bulletin.
ni Nuallain, M., Buckley, H., McHugh, B., Ottare, A. & Walsh, D. (1984). Methodology of a study of mental illness in Ireland. Irish Journal of Psychiatry 5, 49.
Nielsen, J. (1976). The Samsö project from 1957 to 1974. Acta Psychiatrica Scandinavica 54, 198222.
Norris, V. (1959). Mental Illness in London. Maudsley Monograph. Chapman & Hall: London.
O'Hare, A. & Walsh, D. (1980). Activities of Irish Psychiatric Hospitals and Units, 1978. The Medico-Social Board: Dublin.
Ödegaard, O. (1946). A statistical investigation of the incidence of mental disorder in Norway. Psychiatric Quarterly 20, 381401.
Ödegaard, O. (1952). The incidence of mental diseases as measured by census investigation versus admission statistics. Psychiatric Quarterly 26, 212218.
Ouspenskaya, L. Y. (1978). Problems of methodology of comparative epidemiological studies and the characteristics of prevalence of schizophrenia in various areas of the country. Zhurnal Nevropatologii Psikijatrii 78, 724748.
Peterson, A. V. & Kronmal, R. A. (1985). Mixture method. Encyclopedia of Statistical Sciences 5, 579583.
Raman, A. C. & Murphy, H. B. M. (1972). Failure of traditional prognostic indicators in Afro-Asian psychotics: results of a longterm follow-up survey. Journal of Nervous Mental Disorders 154, 238247.
Rotstein, V. T. (1977). Material from a psychiatric survey of sample groups from the adult population in several areas of the USSR. Zhurnal Nevropatologii Psikijatrii 77, 569574.
Rüdin, E. (1916). Zur Vererbung und Neuentstehung der Dementia Praecox. Springer: Berlin.
Sartorius, N., Jablensky, A. & Shapiro, R. (1977). Two-year followup of the patients included in the WHO International Pilot Study of Schizophrenia: Preliminary Communication. Psychological Medicine 7, 529541.
Sartorius, N., Davidian, H., Ernberg, G., Fenton, F. R., Fujii, I., Gastpar, M., Gulbinat, W., Jablensky, A., Kielholz, P., Lehmann, H. E., Naraghi, M., Shimizu, M., Shinfuku, N. & Takahashi, R. (1983). Depressive Disorders in Different Cultures. World Health Organization: Geneva.
Sartorius, N., Jablensky, A., Ernberg, G., Leff, J., Korten, A. & Gulbinat, W. (1987). Course of schizophrenia in different countries: some results of a WHO international comparative 5-year followup study. In Search for the Causes of Schizophrenia (ed. Häfner, H., Gattaz, W. F. and Janzarik, W.), pp. 107113. Springer-Verlag: Berlin.
Scharfetter, C., Moerbt, H. & Wing, J. K. (1976). Diagnosis of functional psychoses: comparison of clinical and computerized classifications. Archiv für Psychiatrischen Nervenkrankenheiten 222, 6167.
Schneider, K. (1959). Clinical Psychopathology. Grune & Stratton: New York.
Schwartz, C. C. & Myers, J. K. (1977). Life events and schizophrenia. I. Comparison of schizophrenics with a community sample. Archives of General Psychiatry 34, 12381241.
Yucun, Shen, Weixi, Zhang, Liang, Shu, Xiaoling, Yang, Yuhua, Cui & Dongfeng, Zhou (1981). Investigations of mental disorders in Beijing suburban district. Chinese Medical Journal 94, 153156.
Shepherd, M. (1957). A Study of the Major Psychoses in an English County. Maudsley Monograph No. 3. Chapman & Hall: London.
Shepherd, M. (1982). Psychiatric epidemiology and the classification of mental disorder. International Journal of Epidemiology 11, 312314.
Shmaonova, L. M. (1983). Possibilities of the epidemiological method and results of population studies on schizophrenia. Zhurnal Nevropatologii Psikijatrii 83, 707716.
Sjögren, T. (1948). Genetic-statistical and psychiatric investigations of a West Swedish population. Acta Psychiatrica Neurologica Scandinavica, Suppl. 52.
Strömgren, E. (1938). Beiträge zur psychiatrischen Erblehre, auf Grund von Untersuchungen an einer Inselbevölkerung. Acta Psychiatrica Neurologica Scandinavica, Suppl. 19.
Strömgren, E. (1950). Statistical and genetical population studies within psychiatry. Methods and principal results.Proceedings of First International Congress of Psychiatry,Paris 1950, vol. VI pp. 155192. Herman et Cie: Paris.
Temkov, I., Jablensky, A. & Boyadjieva, M. (1980). Use of reported prevalence data in cross-national comparisons of psychiatric morbidity. Social Psychiatry 3, 111117.
Torrey, E. F. (1980). Schizophrenia and Civilization. Jason Aronson: New York.
Torrey, E. F., McGuire, M., O'Hare, A., Walsh, D. & Spellman, M. P. (1984). Endemic psychosis in Western Ireland. American Journal of Psychiatry 141, 966970.
Walsh, D. (1969). Mental illness in Dublin – first admissions. British Journal of Psychiatry 115, 449456.
Walsh, D., O'Hare, A., Blake, B., Halpenny, J. V. & O'Brien, P. F. (1980). The treated prevalence of mental illness in the Republic of Ireland – the three county cases register study. Psychological Medicine 10, 465470.
Watt, D. C., Katz, K. & Shepherd, M. (1983). The natural history of schizophrenia: a 5-year prospective follow-up of a representative sample of schizophrenics by means of standardized clinical and social assessment. Psychological Medicine 13, 663670.
Waxier, N. E. (1979). Is outcome for schizophrenia better in nonindustrial societies? The case of Sri Lanka. Journal of Nervous Mental Disorders 167, 144158.
Weiner, B. P. & Marvit, R. C. (1977). Schizophrenia in Hawaii: analysis of cohort mortality risk in a multi-ethnic population. British Journal of Psychiatry 131, 497503.
WHO (1973). Report of the International Pilot Study of Schizophrenia. World Health Organization: Geneva.
WHO (1978). Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. World Health Organization: Geneva.
WHO (1979). Report of the International Follow-up Study of Schizophrenia. John Wiley & Sons: New York.
WHO (1981). Current State of Diagnosis and Classification in the Mental Health Field. Document MNH/81.11. World Health Organization: Geneva.
Wig, N. N. (1982). Methodology of data collection in field surveys. In Epidemiology and Mental Health Services. Principles and Applications in Developing Countries (ed. Baasher, T. A., Cooper, J. E., Davidian, H., Jablensky, A., Sartorius, N. and Strömgren, E.). Acta Psychiatrica Scandinavica 65, Suppl. 296, pp. 7786.
Wig, N. N., Menon, D. K., Bedi, H., Ghosh, A., Kuipers, L., Leff, J., Nielsen, J. A., Thestrup, Grethe, Korten, A., Day, R., Sartorius, N., Ernberg, G. & Jablensky, A. (1987). Expressed emotion and schizophrenia in North India. I. Cross-Cultural transfer of ratings of relatives' expressed emotion. British Journal of Psychiatry 151, 156160.
Wijesinghe, C. P., Dissanayake, S. A. W. and Dassanayake, P. V. I. N. (1978). Survey of psychiatric morbidity in a semi-urban population in Sri Lanka. Acta Psychiatrica Scandinavica 58, 413441.
Wing, J. K. (1976). A technique for study psychiatric morbidity in inpatient and out-patient series and in general population samples. Psychological Medicine 6, 665671.
Wing, J. K. & Fryers, T. (1976). Statistics from the Camberwell and Salford Psychiatric Registers 1964–1974. MRC Social Psychiatry Unit, Institute of Psychiatry, London, and Dept. of Community Medicine, University of Manchester.
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: London.
Wing, L., Wing, J. K., Hailey, A., Bahn, A. K., Smith, H. E. & Baldwin, J. A. (1967). The use of psychiatric services in three urban areas: an international case register study. Social Psychiatry 2, 158.


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