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Putting Psychosis Into Sociocultural Context

Putting Psychosis Into Sociocultural Context Opinion EDITORIAL An International Study in 17 Locations Ezra Susser, MD, DrPH; Gonzalo Martínez-Alés, MD, MSc It seems eminently plausible that there should be variation in ethnic minority status), but the comparisons across settings in different countries were the most novel contribution. the incidence of psychoses across the globe. Nonetheless, we know little about the nature and scope of such variation, The initial results are intriguing and somewhat surpris- and what we do know is often misunderstood. The landmark ing. Jongsma et al report a striking 10-fold variation across World Health Organization study settings, from 6.3 to 61.4 cases per 100 000 person- Ten Country Study, pub- years in the crude incidence of all psychotic disorders for people Related article page 36 lished in 1992, pioneered a aged 18 to 64 years. This was reduced to approximately 8-fold strategy for comparing the in- variation after accounting for age, sex, and (at least crudely) cidence of treated cases of psychoses across multiple settings racial/ethnic minority status. Results were not entirely con- in different countries. It obtained incidence rates for schizo- sistent at the setting level across 3 interrelated measures of so- phrenic disorders from 8 diverse settings, including rural and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Psychiatry American Medical Association

Putting Psychosis Into Sociocultural Context

JAMA Psychiatry , Volume 75 (1) – Jan 6, 2018

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Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
2168-622X
eISSN
2168-6238
DOI
10.1001/jamapsychiatry.2017.3541
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL An International Study in 17 Locations Ezra Susser, MD, DrPH; Gonzalo Martínez-Alés, MD, MSc It seems eminently plausible that there should be variation in ethnic minority status), but the comparisons across settings in different countries were the most novel contribution. the incidence of psychoses across the globe. Nonetheless, we know little about the nature and scope of such variation, The initial results are intriguing and somewhat surpris- and what we do know is often misunderstood. The landmark ing. Jongsma et al report a striking 10-fold variation across World Health Organization study settings, from 6.3 to 61.4 cases per 100 000 person- Ten Country Study, pub- years in the crude incidence of all psychotic disorders for people Related article page 36 lished in 1992, pioneered a aged 18 to 64 years. This was reduced to approximately 8-fold strategy for comparing the in- variation after accounting for age, sex, and (at least crudely) cidence of treated cases of psychoses across multiple settings racial/ethnic minority status. Results were not entirely con- in different countries. It obtained incidence rates for schizo- sistent at the setting level across 3 interrelated measures of so- phrenic disorders from 8 diverse settings, including rural and

Journal

JAMA PsychiatryAmerican Medical Association

Published: Jan 6, 2018

References