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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

01.06.2010 | Original Paper

Social and clinical comparison between schizophrenia and bipolar disorder type I with psychosis in Costa Rica

verfasst von: Adriana Pacheco, Marcela Barguil, Javier Contreras, Patricia Montero, Albana Dassori, Michael A. Escamilla, Henriette Raventós

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 6/2010

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Abstract

Introduction

Schizophrenia (SC) and bipolar disorder (BP) are two of the most severe and incapacitating mental disorders. It has been questioned whether these two conditions designate distinct illnesses with different etiologies or whether they represent different ends of a clinical spectrum with a common etiology.

Materials and methods

This study compares social and clinical characteristics of 84 SC and 84 BP subjects from the Costa Rican Central Valley (CRCV) using information from the DIGS, FIGS and psychiatric records. Each of these subjects had a best estimate lifetime consensus diagnosis of either bipolar type I or SC.

Results

Subjects with SC differed from subjects with BP in social adjustment measures like marital and employment status, and number of children. Both groups were very similar in years of education, age of onset of their illness, history of other psychiatric co-morbidities, and treatment received.

Discussion

The high percentage of psychosis in the BP group (97.6%) may largely explain the similarities found between groups in their clinical characteristics.

Conclusion

The differences in social and functional decline support the original dichotomy described by Kraepelin based on chronicity and periodicity between these two psychotic disorders.

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Titel: Social and clinical comparison between schizophrenia and bipolar disorder type I with psychosis in Costa Rica
verfasst von: Adriana Pacheco
Marcela Barguil
Javier Contreras
Patricia Montero
Albana Dassori
Michael A. Escamilla
Henriette Raventós
Publikationsdatum: 01.06.2010
Verlag: Springer-Verlag
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 6/2010
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-009-0118-1

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Social and clinical comparison between schizophrenia and bipolar disorder type I with psychosis in Costa Rica