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Nithsdale Schizophrenia Surveys 17

Fifteen year review

Published online by Cambridge University Press:  03 January 2018

Ciara Kelly ,
Robin McCreadie ,
Tom MacEwan  and
Stephen Carey
Ciara Kelly*
Affiliation:
Department of Psychological Medicine, Academic Centre, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XH
Robin McCreadie
Affiliation:
Department of Clinical Research, Crichton Royal Hospital, Bankend Road, Dumfries DG1 4TG
Tom MacEwan
Affiliation:
Department of Clinical Research, Crichton Royal Hospital, Bankend Road, Dumfries DG1 4TG
Stephen Carey
Affiliation:
Department of Clinical Research, Crichton Royal Hospital, Bankend Road, Dumfries DG1 4TG
*
C. Kelly, Department of Psychological Medicine, Academic Centre, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow G12 0XH
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Abstract

Background

In recent years there has been a shift to ‘community care’ and the introduction of several ‘atypical’ antipsychotic drugs. We report the impact of these changes.

Method

In Nithsdale, Dumfries and Galloway, Scotland, the population of patients with schizophrenia was identified in 1996. This census replicated a study carried out in 1981. The population with schizophrenia were compared on clinical and social variables. The whereabouts in 1996 of the 1981 population was determined.

Results

In comparison with the 1981 population, more patients in 1996 had positive, negative and non-schizophrenic symptoms. More showed tardive dyskinesia. Social adjustment had not changed. They had spent less time in hospital; fewer (13%) were living with their parents; and fewer (8%) were employed. By 1996, 35% of the 1981 cohort had died (standardised mortality rate male – 154, female – 162).

Conclusions

The mental health of a community of people with schizophrenia living in a rural area in 1996 was poorer than in 1981.

Type
Papers
Information
The British Journal of Psychiatry , Volume 172 , Issue 6 , June 1998 , pp. 513 - 517
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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