Susser E, Wanderling J
New York State Psychiatric Institute, Department of Psychiatry, Columbia University, NY.
Arch Gen Psychiatry. 1994 Apr;51(4):294-301. doi: 10.1001/archpsyc.1994.03950040038005.
This article first examines the epidemiology of nonaffective acute remitting psychosis with respect to variation in incidence by sex and sociocultural setting. Second, it examines whether nonaffective acute remitting psychosis can be epidemiologically differentiated from schizophrenia.
The data were drawn from the World Health Organization Determinants of Outcome Study. Sex-specific incidence rates were obtained for two sites in the developing-country setting and for six sites in the industrialized-country setting.
For nonaffective acute remitting psychosis, the incidence in men was about one-half the incidence in women, and the incidence in the developing-country setting was about 10-fold the incidence in the industrialized-country setting. These associations with sex and with setting were sharply distinct from those of schizophrenia.
The epidemiologic patterns of this form of psychosis may be distinct from those of schizophrenia and could yield clues to its causes.
本文首先探讨非情感性急性缓解型精神病在发病率上的性别差异以及社会文化背景差异。其次,研究非情感性急性缓解型精神病在流行病学上能否与精神分裂症区分开来。
数据取自世界卫生组织结局决定因素研究。分别获取了发展中国家两个地点以及工业化国家六个地点的性别特异性发病率。
对于非情感性急性缓解型精神病,男性发病率约为女性的一半,发展中国家的发病率约为工业化国家的10倍。这些与性别和背景的关联与精神分裂症截然不同。
这种形式的精神病的流行病学模式可能与精神分裂症不同,可能为其病因提供线索。