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Differences in symptomatology and social adjustment between urban and rural schizophrenics

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The symptomatology and social adjustment between urban and rural schizophrenics were compared in 275 consecutive admissions of schizophrenics, who were rated on the Katz Adjustment Scales by the patients themselves and their relatives at admission and 1 year after hospital discharge, or at readmission if it occurred within 12 months of discharge. Numerous significant differences were found in symptomatology and social adjustment between urban and rural schizophrenics. Urban schizophrenics reported lower expectations for performance of social activities than rural schizophrenics. Urban schizophrenics were perceived by relatives to be more helpless, suspicious, nervous, bizarre, hyper-active and less emotionally stable than rural schizophrenics. According to relatives' evaluations, urban schizophrenics performed less in social activities and participated less in leisure-time activities than rural schizophrenics. Relatives of urban schizophrenics were also found to have lower expectations for patients' performance of social activities than their rural counterparts.

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  1. Cheung FM, Lau BWK (1982) Cross-cultural perspectives on psychosocial adjustment in Hong Kong. World J Psychosynthesis 14 (2): 6–12

  2. Chu CC, Klein HE, Lange MH (1982) Symptomatology differentials between urban and rural schizophrenics. Int J Soc Psychiatry 28 (4): 251–255

  3. Katz MM, Lyerly SB (1963) Methods of measuring adjustment and social behavior in the community: I. rationale, description, discriminative validity and scale development. Psychol Rep 13: 503–535

  4. Klein HE, Person TM, Çetingök M, Itil TM (1978) Family and community variables in adjustment of Turkish and Missouri schizophrenics. Comp Psychiatr 19 (3) 233–240

  5. Michaux MH, Pruim RJ, Foster SA, Chelst MR (1973) Relatives' perceptions of rural and urban day center patients. Psychiatry 36: 203–212

  6. Michaux MH, Dasinger EM, Foster SA, Pruim RJ (1974a) Treatment outcome in an urban and a rural day hospital. Soc Psychiatry 9: 31–38

  7. Michaux MH, Foster SA, Dasinger EM, Chelst MR, Pruim RJ (1974b) Presenting symptoms of urban and rural day hospital patients. Soc Psychiatry 9: 1–6

  8. Nie NH, Hull CH, Jenkins JG, Steinbrenner K, Bent DH (1975) SPSS: statistical package for the social sciences. McGraw-Hill, New York

  9. SPSS, Inc. (1983) SPSSx user's guide. McGraw-Hill, New York

  10. Strauss JS, Carpenter WT (1977) Prediction of outcome in schizophrenia, III. Arch Gen Psychiatry 34: 159–163

  11. Strupp HH, Hadley SW (1977) A tripartite model of mental health and therapeutic outcomes: with special reference to negative effects in psychotherapy. Am Psychologist 32 (3): 187–196

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An earlier version of this paper was presented at the Third Pacific Congress of Psychiatry, Seoul, Korea, May 1984

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Chu, C.-., Sallach, H.S. & Klein, H.E. Differences in symptomatology and social adjustment between urban and rural schizophrenics. Soc Psychiatry 21, 10–14 (1986).

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  • Public Health
  • Social Activity
  • Hospital Discharge
  • Social Adjustment
  • Lower Expectation