Schizophrenia Bulletin Advance Access originally published online on January 22, 2008
Schizophrenia Bulletin 2008 34(2):256-257; doi:10.1093/schbul/sbm154
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© The Author 2008. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.
Cross-National Comparisons: Problems in Interpretation When Studies Are Based on Prevalent Cases
2 Department of Psychiatry, SUNY Stony Brook, Putnam Hall-South Campus, Stony Brook, NY 11794-8790
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Cohen et al challenge the belief, stemming largely from the World Health Organization (WHO) schizophrenia research program, that "schizophrenia has a better course and outcome in countries of the developing world" compared with developed countries. They thus examine findings on illness course, mortality, and social and occupational outcomes across an array of studies conducted in low- or middle-income countries throughout the world. They consider findings from all follow-up studies of schizophrenia conducted in these countries, without regard to case identification specification or length of follow-up. The outcome results across the studies identified by Cohen et al were variable, and in some cases, the samples fared very poorly indeed. Because none of the studies had control groups, cross-national disparities in the social and
1 To whom correspondence should be addressed; tel: 631-632-8853, fax: 631-632-9433, e-mail: ebromet@notes.cc.sunysb.edu.
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