Schizophrenia outcome measures in the wider international community

Mohan Isaac, P. Chand, P. Murthy

    Research output: Contribution to journalReview article

    63 Citations (Scopus)

    Abstract

    Background Outcome of schizophrenia has been described as favourable in low- and middle-income countries. Recently, researchers have questioned these findings.Aims To examine the outcome studies carried out in different countries specifically looking at those from low- and middle-income countries.Methods Long-term course and outcome studies in schizophrenia were reviewed.Results A wide variety of outcome measures are used. The most frequent are clinical symptoms, hospitalisation and mortality (direct indicators), and social/occupational functioning, marriage, social support and burden of care (indirect indicators). Areas such as cognitive function, duration of untreated psychosis, quality of life and effect of medication have not been widely studied in low- and middle-income countries.Conclusions The outcome of schizophrenia appears to be better in low- and middle-income countries. A host of sociocultural factors have been cited as contributing to this but future research should aim to understand this better outcome. There is a need for more culture-specific instruments to measure outcomes.Declaration of interest None.
    Original languageEnglish
    Pages (from-to)s71-s77
    JournalBritish Journal of Psychiatry
    Volume191
    Issue numbersuppl
    DOIs
    Publication statusPublished - 2007

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    Schizophrenia
    Outcome Assessment (Health Care)
    Marriage
    Social Support
    Psychotic Disorders
    Cognition
    Hospitalization
    Quality of Life
    Research Personnel
    Mortality

    Cite this

    Isaac, Mohan ; Chand, P. ; Murthy, P. / Schizophrenia outcome measures in the wider international community. In: British Journal of Psychiatry. 2007 ; Vol. 191, No. suppl. pp. s71-s77.
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    Schizophrenia outcome measures in the wider international community. / Isaac, Mohan; Chand, P.; Murthy, P.

    In: British Journal of Psychiatry, Vol. 191, No. suppl, 2007, p. s71-s77.

    Research output: Contribution to journalReview article

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    T1 - Schizophrenia outcome measures in the wider international community

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    AU - Chand, P.

    AU - Murthy, P.

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    N2 - Background Outcome of schizophrenia has been described as favourable in low- and middle-income countries. Recently, researchers have questioned these findings.Aims To examine the outcome studies carried out in different countries specifically looking at those from low- and middle-income countries.Methods Long-term course and outcome studies in schizophrenia were reviewed.Results A wide variety of outcome measures are used. The most frequent are clinical symptoms, hospitalisation and mortality (direct indicators), and social/occupational functioning, marriage, social support and burden of care (indirect indicators). Areas such as cognitive function, duration of untreated psychosis, quality of life and effect of medication have not been widely studied in low- and middle-income countries.Conclusions The outcome of schizophrenia appears to be better in low- and middle-income countries. A host of sociocultural factors have been cited as contributing to this but future research should aim to understand this better outcome. There is a need for more culture-specific instruments to measure outcomes.Declaration of interest None.

    AB - Background Outcome of schizophrenia has been described as favourable in low- and middle-income countries. Recently, researchers have questioned these findings.Aims To examine the outcome studies carried out in different countries specifically looking at those from low- and middle-income countries.Methods Long-term course and outcome studies in schizophrenia were reviewed.Results A wide variety of outcome measures are used. The most frequent are clinical symptoms, hospitalisation and mortality (direct indicators), and social/occupational functioning, marriage, social support and burden of care (indirect indicators). Areas such as cognitive function, duration of untreated psychosis, quality of life and effect of medication have not been widely studied in low- and middle-income countries.Conclusions The outcome of schizophrenia appears to be better in low- and middle-income countries. A host of sociocultural factors have been cited as contributing to this but future research should aim to understand this better outcome. There is a need for more culture-specific instruments to measure outcomes.Declaration of interest None.

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