Abstract
This study explored biological as well as psychosocial contributions to the incidence of acute brief psychoses in three developing country sites. The samples were taken from the five year follow-up data of the Internatinal Pilot Study of Schizophrenia sites in Ibadan, Nigeria and Agra, India, and from the Determinants of Outcome of Severe Mental Disorders rural Chandigarh site. Baseline narratives of the cases and controls were reviewed and rated for presence or absence of three exposures: fever, departure from or return to parental village (women), and job distress (men). Results showed an association between fever and acute brief psychosis in all three sites. There was an association between acute brief psychosis and departure from or return to the parental village among women in all sites, and among men, an association between job distress and acute brief psychosis was noted in Ibadan and Agra. These findings suggest that psychosocial and biological factors such as these three exposures merit further research to clarify their roles in the etiology of acute brief psychoses.
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References
Manschreck TC, Petri M. The atypical psychoses. Culture, Medicine, and Psychiatry 2:233–268, 1978.
Menuck M, Legault S, Schmidt P, et al. The nosologic status of the remiting atypical psychoses. Comprehensive Psychiatry 30:53–73, 1989.
Susser E, Wanderling J. Epidemiology of nonaffective acute remitting psychosis vs schizophrenia. Archives of General Psychiatry 51:294–301, 1994.
Day R, Nielsen JA, Korten A, et al. Stressful life events preceding the acute onset of schizophrenia: a cross-national study from the World Health Organization. Culture, Medicine, and Psychiatry 11:123–205, 1987.
Srikanth S, Ravi V, Poornima KS, et al. Viral antibodies in recent onset, nonorganic psychoses: Coreespondence with sympathetic severity. Biological Psychiatry 36:517–521, 1994.
Jaspers K. Allegemeine Psychopathologie (General psychology) 1913. Translation: J. Hoenig and M. Hamilton, Manchester University Press, 1963.
Faergeman P: Psychogenic Psychoses. London, Butterworth, 1963.
Dohrenwend BP, Egri G: Recent stressful life events and episodes of schizophrenia. Schizophrenia Bulletin 7:12–23, 1981.
El-Rufaie OEFA. Acute schizophrenic episode: Is it a culture-related syndrome? Acta Psychiatrica Scandinavia 73:263–265, 1986.
Fisch RZ. Psychosis precipitated by marriage: A culture-bound syndrome? British Journal of Psychiatry 65:385–391, 1992.
World Health Organization: The International Pilot Study of Schizophrenia. Geneva, World Health Organization, 1974.
Jablensky A et al. Schizophrenia: Manifestations, incidence and course in different cultures. A World Health Organization Ten Country Study. Psychological Medicine Monograph Supplement 20:97, 1992.
World Health Organization: Schizophrenia: An International Follow-up Study. New York, John Wiley and Sons, 1979.
Leff J, Satorius N, Jablensky A et al. The international pilot study of schizophrenia: Five-year follow-up findings. Psychological Medicine 22:131–145, 1992.
Fleiss JL: Statistical Methods for Rates and Proportions 2nd ed. New York, John Wiley & Sons Inc., 1981.
Wilcox JA. Perinatal distress and infectious disease as risk factors for catatonia. Psychopathology 19:196–199, 1986.
Klein RF, Betts R, Horn R, et al. Acute psychosis in a 45-year old man with bipolar disorder and primary Epstein-Barr virus infection: A case report. General Hospital Psychiatry 6:13–15, 1984.
Wise TN, le Buffe FP, Granger SI. Meningo-encephalitis presenting as an acute paranoid psychosis. International Journal of Psychiatry in Medicine 8:405–414, 1977–78.
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Collins, P.Y., Wig, N.N., Day, R. et al. Psychosocial and biological aspects of acute brief psychoses in three developing country sites. Psych Quart 67, 177–193 (1996). https://doi.org/10.1007/BF02238950
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DOI: https://doi.org/10.1007/BF02238950