Never-treated patients with schizophrenia in the developing country of Bali

A considerable number of individuals with schizophrenia go undiagnosed and untreated in developing countries. In the current study, we investigated the prevalence of schizophrenia, the treatment status of individuals with schizophrenia, and factors associated with never-treated status in a Balinese...

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Bibliographic Details
Published in:Schizophrenia research 2005-11, Vol.79 (2), p.307-313
Main Authors: Kurihara, Toshiyuki, Kato, Motoichiro, Reverger, Robert, I Gusti Rai Tirta, Kashima, Haruo
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Community psychiatry
Delivery of Health Care - statistics & numerical data
Demography
Developing Countries
Educational Status
Epidemiology
Female
Health Services Accessibility - statistics & numerical data
Humans
Indonesia - epidemiology
Male
Medical sciences
Middle Aged
Prevalence
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Rural Population - statistics & numerical data
Schizophrenia
Schizophrenia - epidemiology
Schizophrenia - therapy
Schizophrenic Psychology
Severity of Illness Index
Social Environment
Violent behavior
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Summary:A considerable number of individuals with schizophrenia go undiagnosed and untreated in developing countries. In the current study, we investigated the prevalence of schizophrenia, the treatment status of individuals with schizophrenia, and factors associated with never-treated status in a Balinese rural community. A door-to-door survey was conducted on 8546 people from the general population to detect individuals with schizophrenia using standardized screening instruments in Bali. Thirty-nine individuals with schizophrenia were identified, giving a point prevalence of 4.2 per 1000 population. Never-treated group subjects ( n = 20: 51.3%) had a significantly higher total score on the Positive and Negative Syndrome Scale ( p < 0.05) and were less likely to have a history of violent behavior ( p < 0.01) than Treated group subjects ( n = 19: 48.7%). All 9 subjects who had never shown violent behavior remained untreated. The clinical condition of the never-treated individuals with schizophrenia was poor. Individuals with schizophrenia without violent behavior had no opportunity to undergo medical treatment in this developing country setting.
ISSN:0920-9964
1573-2509
DOI:10.1016/j.schres.2005.07.021