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Rates of first hospitalizations for affective psychoses in Costa Rica

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Abstract

What demographic, geographic, and temporal factors characterize the rate of first hospitalizations for affective psychosis in Costa Rica? This report presents graphically the first hospitalization rates for the whole country of Costa Rica, with analysis of specific rates for the subgroups by age, sex, marital status, level of education, occupation, place of residence and place of birth, as well as separate rates by month and date of hospital admission, monopolar first admissions inereased slowly from the age of 10 to the age of 45 vears, then “exploded” to a peak between 55 and 65 years, then declined somewhat. The educational group among men with the highest rate was the group with at least some university education. Professionals, clerical workers, unskilled laborers, and those with no occupation had high rates. Higher rates were also associated with being single, divorced, widowed, having no occupation, and living in rural, coffe-growing areas that were not too distant from the hospital.

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References

  1. Coryell W, Endicott J, Keller M (1992) Major depression in a nonclinical sample: demographic and clinical risk factors for first onset. Arch Gen Psychiatry 49: 117–125

    Google Scholar 

  2. Anthony JC, Petronis KR (1991) Suspected risk factors for depression among adults 18–44 years old Epidemiology 2: 123–132

    Google Scholar 

  3. Weissman MM, Leaf PJ, Helzer JE, Myers JK, Tischler GL (1984) The epidemiology of depression: an update on sex differences in rates. J Affective Disord 7: 179–188

    Google Scholar 

  4. Robins LN, Helzer JE, Weissman MM, Orvaschel H, Gruenberg E, Burke JD, Regier DA (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 1: 949–958

    Google Scholar 

  5. Simon GE, Von Korff M (1992) Reevaluation of secular trends in depression rates. Am J Epidemiol 135: 1411–1422

    Google Scholar 

  6. Sytema S (1991) Social indicators and psychiatric admission rates: a case-register study in the Netherlands. Psychol Med 21: 177–184

    Google Scholar 

  7. World Health Organization (1977) Manual of the international statistical classification of diseases injuries, and causes of death, 9th revision, vol. 1 WHO, Geneva

    Google Scholar 

  8. Republic of Costa Rica. (1986) Census of population, 1984, vols. 1&2. Ministry of Governance and Police, National Press San José, Costa Rica

    Google Scholar 

  9. Republic of Costa Rica. (1988) Approximate distances between principal towns of cantons. Ministry of Public Works and Transportation, San José, Costa Rica

    Google Scholar 

  10. Coffee Institute of Costa Rica (1984) Analysis of the registry of coffee sellers: harvest of 1982–1983. Agobe, San José, Costa Rica

    Google Scholar 

  11. American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 3rd edn. APA, Washington, D.C.

    Google Scholar 

  12. Bruce ML, Kim KM (1992) Differences in the effect of divorce on major depression in men and women. Am J Psychiatry 149: 914–917

    Google Scholar 

  13. Stephenson-Cino P, Steiner M, Krames L, Ryan ED, Huxley G Depression in elderly persons and its correlates in family practice: a Canadian study. Psychol Rep 70: 359–368

  14. Wittchen HU, Essau CA, von Zerssen D, Krieg JC, Zaudig M (1992) Lifetime and six month prevalence of mental disorders in the Munich Follow-Up Study. Eur Arch Psychiatry Clin Neurosci 241: 247–258

    Google Scholar 

  15. Zisook S, Shychter SR (1991) Depression through the first year after the death of a spouse. Am J Psychiatry 148: 1346–1352

    Google Scholar 

  16. Hennekens CH, Buring JE (1987) Epidemiology in medicine. Little, Brown, Boston, pp 113–126

    Google Scholar 

  17. Kendler KS, Neale MC, Kessler RC, Heath AC, Eaves LJ (1992) A population-based study of major depression in women. The impact of varying definitions of illness. Arch Gen Psychiatry 49: 257–266

    Google Scholar 

  18. Starkstein SE, Robinson RG, Price TR (1987) Comparison of cortical and subcortial lesions in the production of poststroke mood disorders. Brain 110: 1045–1059

    Google Scholar 

  19. Schleifer SJ, Slater WR, Macari-Hinson MM, Coyle DA, Kahn M, Zucker HD, Gorlin R (1991) Digitalis and beta-blocking agents: effects on depression following myocardial infarction. Am Heart J 121: 1397–1402

    Google Scholar 

  20. Nissenbaum H, Quinn NP, Brown RG, Toone B, Gotham AM, Marsden CD (1987) Mood Swings associated with the ‘on-off’ phenomenon in Parkinson's disease. Psychol Med 17: 899–904

    Google Scholar 

  21. Durkheim E (1951) Suicide Free Press, New York

    Google Scholar 

  22. Instituto Meteorológico Nacional de Costa Rica. Tabla 1: Observaciones Pluviométricas de 1993

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Handal, N., Dodds, J.H. Rates of first hospitalizations for affective psychoses in Costa Rica. Soc Psychiatry Psychiatr Epidemiol 30, 245–255 (1995). https://doi.org/10.1007/BF00805790

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