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Medscape:
Your publications make reference to the difference in
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outcome of
schizophrenia in less developed societies compared
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with
industrialized societies. What does the research indicate?
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Dr. Fisher:
The evidence is from 2 studies by the World Health
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Organization
(WHO), one in 1979 and the second in 1992,
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comparing the
recovery rate, mostly from schizophrenia, in
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developing
countries with the recovery rate in industrialized
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countries. In
1979, WHO had about 1800 cases validated by
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Western
diagnostic criteria in developing counties matched with
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controls from
industrialized countries, and they found that the
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recovery rate
was roughly twice as high in the developing countries
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compared with
the industrialized.[4] They were so surprised by this
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that they said,
"Well, this must be a big mistake." So they repeated
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the study in
1992, and they got the same results.[5]
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