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

Br J Psychiatry. 1997 Sep:171:256-9. doi: 10.1192/bjp.171.3.256.

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 CATEGOS+ and non-S+ schizophrenia.

Results: The proportion of subjects with 'best outcome' ratings at the urban and rural sites, respectively, was similar for CATEGOS+ 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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Humans
  • India / epidemiology
  • Male
  • Psychotic Disorders / etiology
  • Psychotic Disorders / physiopathology*
  • Rural Health*
  • Schizophrenia / epidemiology
  • Schizophrenia / physiopathology
  • Socioeconomic Factors
  • Urban Health*