Abstract:
PURPOSE:Maccabi Healthcare Services, a large health maintenance organization (HMO) operating in Israel, has recently constructed a computerized registry of patients with severe mental illnesses (SMI). In the present study, we aimed to use this registry to investigate the epidemiology of schizophrenia and bipolar affective disorder among adults, and to assess their comorbidity and mortality compared to the general population. METHODS:In this historical cohort study, we investigated the age- and sex-specific prevalence and incidence rates of HMO members diagnosed with schizophrenia or bipolar affective disorder between 2003 and 2009. We compared their medical comorbidity and mortality to the general HMO population. RESULTS:A total of 8,848 and 5,732 patients were diagnosed with bipolar (crude prevalence rate of 5 per 1,000) and schizophrenia (3 per 1,000), respectively. The annual incidence rates were 4.2 and 2.4 per 1,000 for schizophrenia and bipolar disorder, respectively. On average, schizophrenic men were diagnosed 4-5 years earlier than schizophrenic women. Compared to the general population, schizophrenia and bipolar disorder patients had a 12- and 9-year shorter life expectancy, respectively. They were also more likely to be diagnosed with diabetes mellitus (odds ratio of 1.9 and 1.6, respectively). CONCLUSIONS:The current study demonstrates the potential use of automated medical databases to characterize the epidemiology of SMI in the community. The increased comorbidity and mortality among these patients has important implication for health authorities for prevention and delivery of health-care services.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Kodesh A,Goldshtein I,Gelkopf M,Goren I,Chodick G,Shalev Vdoi
10.1007/s00127-012-0478-9subject
Has Abstractpub_date
2012-11-01 00:00:00pages
1775-82issue
11eissn
0933-7954issn
1433-9285journal_volume
47pub_type
杂志文章abstract:BACKGROUND AND AIMS:Since de-institutionalisation, housing services have taken a central role in the care of patients with severe mental illness. Yet, little is known about the characteristics of patients in different housing services, what care they receive, and what costs are generated. This study aimed to assess pat...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0001-0
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Stigma and discrimination toward mentally disabled persons might exist within the medical environment and may form a barrier for patients to receive appropriate care. The aim of this study is to determine the attitudes of medical students toward mentally disabled people and to understand the impact of school...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0994-y
更新日期:2006-01-01 00:00:00
abstract:INTRODUCTION:The concept 'quality of life' (QoL) has become increasingly important as an outcome measure in the evaluation of services and in clinical trials of people with schizophrenia. This study examines the mediating role of health related quality of life (HRQoL) in the prediction of general quality of life (GQoL)...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0448-4
更新日期:2009-05-01 00:00:00
abstract::The purpose of this study was to investigate possible relationships between parental rearing practices and problem behaviours in a sample of male delinquent adolescents versus controls. A total of 133 subjects from a juvenile correction centre and 108 matched school-children in the Arkhangelsk region, Russia, were ass...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050082
更新日期:1998-10-01 00:00:00
abstract:BACKGROUND:The paper investigates social and lifestyle determinants of depression, anxiety, sleeping disorders and self-evaluated low quality of life in a population sample from the northwest of Russia. METHODS:Altogether 1968 men and 1737 women aged 18-90 years participated in a population-based study in Arkhangelsk,...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0918-x
更新日期:2005-07-01 00:00:00
abstract:BACKGROUND:Both individual and familial histories of mental illness are substantial risk factors for suicide in young people. AIM:To explore suicide risk among adolescents and young adults according to detailed aspects of individual and parental psychiatric admission history. METHODS:A nested case-control study was u...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-008-0385-2
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:The objectives were to (1) document the risk of clinical depression in mothers in the 24 months after epilepsy diagnosis in their children, (2) determine whether the probability of risk of clinical depression changes over time, and (3) identify factors predictive of risk of clinical depression. METHODS:Data...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-011-0447-8
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:There is a well-established but poorly understood association between tobacco use and psychotic illness. The aim of this study was to determine whether tobacco use is associated with an earlier age at onset of psychotic illness. METHODS:Peer-reviewed publications in English reporting the age at onset of psy...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,meta分析
doi:10.1007/s00127-011-0431-3
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION:It had been suggested that those more knowledgeable about mental illness are less likely to endorse negative or stigmatizing attitudes. This study aimed to evaluate the attitude of doctors in Nigeria towards the mentally ill. METHODS:Medical doctors (n = 312) from eight selected health institutions in Nig...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-007-0246-4
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Despite its wide use in different cultures and languages, there has been no report about the Camberwell Assessment of Need (CAN) in Chinese patients. METHOD:Forty-one Chinese chronic schizophrenic patients were interviewed to test the interrater reliability and test-retest reliability of the Chinese version...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-005-0990-2
更新日期:2006-01-01 00:00:00
abstract:INTRODUCTION:Violence in first episode psychosis poses significant challenges for mental health staff and patients' families. Violence has been shown to be related to psychopathology. Duration of untreated psychosis (DUP) has been shown to influence psychopathology at presentation in first-episode psychosis, but little...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-007-0217-9
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:The objective of this study was to analyze the clinical factors associated with changes in HRQoL in outpatients with schizophrenia using both generic and condition-specific HRQoL scales. METHODS:Adult outpatients with schizophrenia at least 18 years of age who did not have an acute psychotic exacerbation in th...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-018-1483-4
更新日期:2018-03-01 00:00:00
abstract::The WHO programme on epidemiology of mental disorders started in the early 1960's with a series of reviews of knowledge. These were followed by activities aiming at four main goals: the standardization of psychiatric diagnosis, classification and statistics; the development of standardized internationally applicable i...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/BF00797316
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND:Prior studies providing estimates of the prevalence of postnatal depressive symptoms (PNDS) in New Zealand have been hampered by methodological shortcomings. Aims of this study were to derive an accurate estimate of PNDS prevalence and treatment frequency in an urban population of a major city in New Zealand...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0095-6
更新日期:2006-10-01 00:00:00
abstract:PURPOSE:Positive relationships between employment and clinical status have been found in several studies. However, an unequivocal interpretation of these relationships is difficult on the basis of common statistical methods. METHODS:In this analysis, a structural equation model approach for longitudinal data was appli...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00127-011-0451-z
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:The INTREPID programme of research aims to establish comparable studies of incident psychosis in a number of low- and middle-income countries (LMICs). DISCUSSION:The importance of this cannot be under-estimated, as this will enable the testing of existing findings and evidence across differing environmental...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 评论,杂志文章
doi:10.1007/s00127-015-1056-8
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Evaluation of symptom presentation and antipsychotic response based on ethnicity in children and adolescents with schizophrenia is limited. The purpose of this naturalistic, retrospective database study was to compare symptom presentation of children and adolescents of different ethnicities with schizophreni...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-006-0036-4
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:Anxious-depression is a constellation of symptoms, frequently encountered among patients in primary care centers. There is a need to study how anxious-depression presents among Hispanic/Latinos of different backgrounds. OBJECTIVE:To study the construct of anxious-depression among 16,064 Hispanic/Latinos of ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-015-1120-4
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:We investigated the 3-year prevalence, and the sociodemographic and clinical correlates of violent victimization in a large and unselected nationwide sample of deinstitutionalized patients with schizophrenia. METHODS:The sample comprised 670 schizophrenic patients aged 15-64 years, who had been discharged f...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0805-x
更新日期:2004-08-01 00:00:00
abstract::It has been suggested that the short-term clinical outcome of schizophrenia may be better in developing than in industrialised countries. Little is known of the social outcome of the disorder in the medium term in developing societies. In a study of 120 clinically stable outpatients in a clinic in Nigeria, we examined...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 临床试验,杂志文章
doi:10.1007/s001270050126
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Integration of patient views in mental health service planning is in its infancy despite service provision being clearly dominated by narratives from professional consultations and medical records. We wished to clarify perceptions of uncertainty about mental health conditions from a range of provider and use...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0072-y
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:Ongoing armed conflicts, like the one in Colombia, have forcibly displaced millions of people including many young children. This study aimed to assess the mental health of internally displaced preschoolers in Bogotá Colombia and to identify correlates of mental health in these children. METHODS:Cross-sectiona...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-012-0611-9
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Our aim was to examine whether variations in the prevalence of neurosis and psychosis between ethnic minorities throughout Great Britain are explained by social disadvantage. METHOD:A total of 10,108 adult householders throughout Great Britain were assessed in a two-stage survey with the Revised Clinical In...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-004-0830-9
更新日期:2004-12-01 00:00:00
abstract::The aim of this study was to construct a discriminant function to predict maladjustment in foreign cultures for 123 Japanese adolescents studying abroad in home stay for 1 year. The maladjustment was defined in terms of self-reported friendship availability, friendship satisfaction and emotional distress. Among the va...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/BF00801745
更新日期:1993-07-01 00:00:00
abstract::Worldwide, growing concern with young people's mental health is spurring service reform efforts. Such reform requires a full understanding of the experiences of young people and their carers when seeking mental health help. To generate such an understanding, we conducted a meta-synthesis of qualitative literature on t...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/s00127-020-01976-9
更新日期:2020-11-18 00:00:00
abstract:PURPOSE:The interaction between physical and mental health is complex. In this paper we aim to provide an overview of the main components of this relationship and to identify how care could be improved for people with co-morbidities. METHODS:We performed a literature search of MedLine, Ovid and Psycinfo and identified...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章,评审
doi:10.1007/s00127-014-0847-7
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:Recalled experiences of parental bonding may be important in the aetiology of perinatal depression. We hypothesized that lower recalled parental bonding would be associated with perinatal depression. METHOD:In a cohort study of perinatal depression in Turkey, 677 women were recruited in their third trimester. ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-018-1484-3
更新日期:2018-04-01 00:00:00
abstract:PURPOSE:Worldwide, concern has grown over the expansion of gambling among adolescents, who have an increased likelihood of developing risk-taking behaviors. This study aimed to increase knowledge of problem gambling among adolescents in seven European countries and to assess the effect of demographic and lifestyle fact...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-019-01706-w
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Many studies from the Western world have reported on stigmatisation of people with mental illnesses and its negative consequences, but few studies have addressed the issue in traditional rural societies. The present study aimed to estimate the extent and socio-demographic distribution of stigma as perceived ...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270170048
更新日期:2001-06-01 00:00:00
abstract::Previous reports on the prevalence and features of depression among adolescents have been inconsistent. The purpose of the current study was to estimate the prevalence of depression among Chinese adolescents with a standardized instrument. A total of 2462 students, aged 13-22, were sampled from the Shandong province o...
journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s001270050110
更新日期:1999-01-01 00:00:00