Social class of origin and cardinal symptoms of schizophrenic disorders over the early illness course

This study describes the relationship of social class of origin to cardinal symptoms of schizophrenic disorders over the early illness course. The sample of subjects was drawn from the Suffolk County Mental Health Project, a longitudinal epidemiologic study of first-hospitalized subjects with psycho...

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Veröffentlicht in:Social Psychiatry and Psychiatric Epidemiology 2000-02, Vol.35 (2), p.53-60
Hauptverfasser: BROWN, A. S, SUSSER, E. S, JANDORF, L, BROMET, E. J
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container_title Social Psychiatry and Psychiatric Epidemiology
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creator BROWN, A. S
SUSSER, E. S
JANDORF, L
BROMET, E. J
description This study describes the relationship of social class of origin to cardinal symptoms of schizophrenic disorders over the early illness course. The sample of subjects was drawn from the Suffolk County Mental Health Project, a longitudinal epidemiologic study of first-hospitalized subjects with psychotic disorders; the present study focused on patients with schizophrenic disorders. At baseline, subjects were dichotomized into upper/middle and lower social class of origin groups, based on occupation of the head of the household of origin. The patients in both groups were assessed for the major symptoms of schizophrenic disorders using standard structured instruments at both baseline and 6-month follow-up. The 6-month symptom severity levels were compared between the groups, controlling for baseline symptom status and potential confounders. At 6-month follow-up, the upper/middle social class of origin group, as compared to the lower social class of origin group, had lower symptom levels for hallucinations (adjusted OR = 4.88, chi2 = 8.49, P = 0.004) and delusions (adjusted OR = 2.46, chi2 = 4.16, P = 0.04). There were no notable group differences for any of the negative or thought disorganization symptoms. Social class of origin is associated with positive symptoms of schizophrenia over the early illness course.
doi_str_mv 10.1007/s001270050008
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subjects Adult
Adult and adolescent clinical studies
Analysis of Variance
Biological and medical sciences
Female
Hallucinations
Humans
Hypotheses
Investigations
Longitudinal Studies
Male
Medical sciences
Mental health
New York - epidemiology
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Psychoses
Psychosis
Risk
Schizophrenia
Schizophrenia - epidemiology
Schizophrenic Psychology
Social Class
Social classes
title Social class of origin and cardinal symptoms of schizophrenic disorders over the early illness course
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