Social Psychiatry and Psychiatric Epidemiology

, Volume 40, Issue 9, pp 707–717

The European Schizophrenia Cohort

A naturalistic prognostic and economic study

Authors

    • Dept. Mental Health Sciences (Bloomsbury Campus)Royal Free and University College Medical School, UCL
  • Matthias Angermeyer
    • Dept. of PsychiatryUniversity of Leipzig
  • Jean-Michel Azorin
    • SHU Psychiatrie AdultesHôpital Sainte Marguerite
  • Traolach Brugha
    • Brandon Mental Health Unit, Leicester General Hospital, Section of Social and Epidemiological PsychiatryUniversity of Leicester
  • Reinhold Kilian
    • Klinik und Poliklinik für PsychiatrieUniversität Leipzig
  • Sonia Johnson
    • Dept. Mental Health Sciences (Bloomsbury Campus)Royal Free and University College Medical School, UCL
  • Mondher Toumi
    • Health Economics Dept.
  • Åsa Kornfeld
    • Health Economics Dept.
  • EuroSC Research Group
Original Investigation

DOI: 10.1007/s00127-005-0955-5

Cite this article as:
Bebbington, P.E., Angermeyer, M., Azorin, J. et al. Soc Psychiat Epidemiol (2005) 40: 707. doi:10.1007/s00127-005-0955-5

Abstract

Background

Schizophrenia has a variety of clinical profiles, disabilities and outcomes requiring responsive management and the devotion of considerable resources. The primary objective of the European Schizophrenia Cohort (EuroSC) is to relate the types of treatment and methods of care to clinical outcome. Secondary objectives include the assessment of treatment needs in relation to outcome, the calculation of resource consumption associated with different methods of care, and the identification of prognostic factors.

Method

EuroSC is a naturalistic follow-up of a cohort of people aged 18 to 64 years, suffering from schizophrenia and in contact with secondary psychiatric services. The study was done in nine European centres, in France (N=288), Germany (N=618), and Britain (N=302). Participants were interviewed at 6-monthly intervals for a total of 2 years. This initial paper describes the methods used and presents clinical and social baseline data.

Results

The clinical and socio-demographic differences between patients from the different countries were small. However, patients from Britain were considerably more likely than their continental counterparts to have a history of homelessness, rooflessness or imprisonment, even when social and clinical differences between the samples were controlled.

Conclusions

The samples were largely similar in clinical terms. Thus, the social differences between the samples seem likely to be due more to the societal context and may reflect relatively benign situations in the continental locations of our study.

Copyright information

© Springer-Verlag 2005