Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-25T17:12:13.111Z Has data issue: false hasContentIssue false

Disminución de las tasas de incidencia de casos de esquizofrenia en servicios psiquiátricos: una revisión de las publicaciones

Published online by Cambridge University Press:  12 May 2020

P. Munk-Jørgensen*
Affiliation:
Instituto para la Investigatiόn Psiquiátrica Basica, Departamento de Demografĺa Psiquiátrica, Hospital Psiquiátrico en Aarhus, Risskow, Dinamarca
Get access

Resumen

Una revisión de las publicaciones muestra que las tasas de admisión de nuevos casos de esquizofrenia varían en un factor de dos a cinco en los estudios de América del Norte y en los europeos. Además, la tendencia ha disminuido durante los últimos 40-50 años en Europa. Se revisan 18 estudios que analizan específicamente el desarrollo durante los 20 últimos años. Los estudios muestran preponderantemente disminuciones significativas debidas con mucha probabilidad a la reducción del número de camas psiquiátricas disponibles junto a la descentralización de la psiquiatría, y a una disminución de la virulencia de la esquizofrenia. Por otro lado, un intervalo diagnóstico de esquizofrenia difícilmente puede explicar la disminución.

Type
Revisión general
Copyright
Copyright © European Psychiatric Association 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Amara, IBConsistency in the diagnosis of the functional psychoses. Can Psychiatr Assoc J 1978; 23: 329–36.CrossRefGoogle Scholar
Babigian, HM Epidemiology. In; Kaplan, HIFreedman, AMSadock, BJ, eds. Comprehensive textbook of Psychiatry/III. Baltimore, London: Williams and Wilkins, 1980.Google Scholar
Babigian, HMGardner, EAMiles, HCRomano, JDiagnostic ‘consistency and change in a follow-up study of 1215 patients. Am J Psychiatry 1965; 121: 895-901.CrossRefGoogle Scholar
Bach Jensen, EIs “Schizophrenia, Schizo-affective type” a useful diagnosis? Eur Arch Psychiatr Neurol Sci 1984; 234: 285–9.CrossRefGoogle Scholar
Bamrah, JSFreeman, HLGoldberg, DP Epidemiology of schizophrenia in Salford, 1974-1984. Changes in an urban community over ten years. Br J Psychiatry 1991; 159: 802–10.CrossRefGoogle Scholar
Beiser, MIacono, WGErickson, DTemporal stability in the major mental disorders. In: Robins, LNBarrett, JE, eds. The validity of psychiatric diagnosis. New York: Raven Press 1989; 77-97.Google Scholar
Boyle, MTrends in schizophrenia. Lancet 1990; 335: 853.Google Scholar
Castle, DJSome current controversies in the epidemiology of schizophrenia. Current Medical Literature. Psychiatry. The royal Society of Medicine 1993;4:3-7.Google Scholar
Castle, DWessely, SDer, GMurray, RMThe incidence of operationally defined schizophrenia in Camberwell, 1965-1984. Br J Psychiatry 1991; 159: 790–4.CrossRefGoogle ScholarPubMed
Cooper, JEDiagnostic change in a longitudinal study of psychiatric patients. Br J Psychiatry 1967; 113: 129–42.CrossRefGoogle Scholar
Crow, TJTrends in schizophrenia. Letters to the Editor. Lancet 1990; 335: 851.CrossRefGoogle Scholar
Dahl, AABruk av pasientregistre i psykiatrisk forskning i Norge. Muligheder, begrensninger og etiske problemer. Nord Psykiatr Tidsskr 1988; 42: 257–64.CrossRefGoogle Scholar
Der, GGupta, SMurray, RMIs schizophrenia disappearing? Lancet 1990; 335: 513–6.CrossRefGoogle Scholar
de Alarcon, J, Sea groatt, VGoldacre, MTrends in schizophrenia. Lancet 1990; 335: 852–3.Google Scholar
de Alarcon, JSeagroatt, VSellar, CGoldacre, MPopulation-based trends in treatment rates in psychiatry in Oxfordshire 1975-1986. J Public Health Med 1993; 15: 93102.CrossRefGoogle Scholar
Dickson, WEKnedell, REDoes maintenance lithium therapy prevent recurrences of mania under ordinary clinical conditions? Psychol Med 1986; 16: 521–30.CrossRefGoogle ScholarPubMed
Eagles, JMDecreasing rates of diagnoses of schizophrenia in Denmark. Acta Psychiatr Scand (letter to the editor) 1987; 76: 333–6.CrossRefGoogle ScholarPubMed
Eagles, JMIs schizophrenia disappearing? Br J Psychiatry 1991; 158: 834–5.CrossRefGoogle Scholar
Eagles, JMIncidence and epidemiology of schizophrenia in Denmark. Br J Psychiatry (letter to the editor) 1993; 162: 268–9.CrossRefGoogle ScholarPubMed
Eagles, JMHunter, DMcCance, CDecline in the diagnosis of schizophrenia among first contacts with psychiatric Services in north east Scotland, 1969-1984. Br J Psychiatry 1988; 152: 793–8.CrossRefGoogle Scholar
Eagles, JMWhalley, LJDecline in the diagnosis of schizophrenia among first admissions to Scottish mental hospitals from 1969-1978. Br J Psychiatry 1985; 146: 151–4.CrossRefGoogle Scholar
Eaton, WWEpidemiology of schizophrenia. Epidemiol Rev 1985; 7: 105–26.CrossRefGoogle ScholarPubMed
Eaton, WWUpdate on the epidemiology of schizophrenia. Epidemiol Rev 1991; 13: 320–8.CrossRefGoogle ScholarPubMed
Folnegovic, ZFolnegovic-Smalc, VKulcar, ZThe incidence of schizophrenia in Croatia. Br J Psychiatry 1990; 156: 363–5.CrossRefGoogle ScholarPubMed
Garvey, MJTuason, VBMania misdiagnosed as schizophrenia. J Clin Psychiatry 1980; 41: 75–8.Google ScholarPubMed
Goldhamer, HMarshall, AWPsychosis and civilization. Two studies in the frequency of mental disease. Glencoe, Illinois: The Free Press, 1949.CrossRefGoogle Scholar
Graham, PMTrends in schizophrenia. Lancet 1990; 335: 852.Google Scholar
Gupta, RMMurray, RMThe changing incidence of schizophrenia: Fact or Artifact? Directions in Psychiatry 1991; 11: 2-7.Google Scholar
Hailey, AMHurry, LJPowell, MPsychiatric Services in Camberwell and Salford: statistics from the Camberwell and Salford register: 1964-1973. London: MRC Social Psychiatric Unit, 1974.Google Scholar
Hare, EWas insanity on the increase? (lecture) Br J Psychiatry 1983; 142: 439–55.CrossRefGoogle ScholarPubMed
Hare, ESchizophrenia as a recent disease. Br J Psychiatry 1988; 153: 521–31.CrossRefGoogle ScholarPubMed
Harrison, GCooper, JEWhy isn't schizophrenia disappearing in Nottingham? Schizophr Res 1991; 4: 259.CrossRefGoogle Scholar
Harrison, GCooper, JEGancarczyk, RChanges in the administrative incidence of schizophrenia. Br J Psychiatry 1991; 159; 811–6.CrossRefGoogle ScholarPubMed
Hollingshead, ABRedlich, FCSocial class and mental ilness: a community study. New York: Wiley, 1958.CrossRefGoogle Scholar
Horgan, DChange of diagnosis to manic-depressive illness. Psychol Med 1981; 11: 517–23.Google Scholar
Häfner, HEpidemiology of schizophrenia. In: Hfner, HGattaz, WFJanzarik, W, eds. Search for the causes of schizophrenia. Berlin, Heidelberg; Springer-Verlag, 1987.CrossRefGoogle Scholar
Häfner, H, an der Heiden, WThe contribution of European case registers to research on schizophrenia. Schizophr Bull 1986; 12: 2651.CrossRefGoogle ScholarPubMed
Häfner, HGattaz, WFLetter to the Editor. Eur Arch Psychiatry Clin Neurosci 1991; 240: 374–6.Google Scholar
Häfner, HReimann, HSpatial distribution of mental disorders in Mannheim 1965. In: Hare, EGWing, JK, eds. Psychiatric epidemiology -Proceedings of the International Symposium, Aberdeen University, July 22-25.Psychiatric epidemiology -Proceedings of the International Symposium, Aberdeen University, July 22-25. London: Oxford University Press, 1970.Google Scholar
Jablensky, ASartorius, NErnberg, Get al. Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organization Ten-Country Study. Psychol Med Monograph 1992 (suppl 20).CrossRefGoogle ScholarPubMed
Joyce, PRChanging trends in first admissions and readmissions for mania and schizophrenia in New Zealand 1974 to 1984. Aust N Z J Psychiatry 1987; 21: 82–6.CrossRefGoogle Scholar
Jørgensen, PLong-term course of acute reactive paranoid psychosis. A follow-up study. Acta Psychiatr Scand 1985; 71: 30–7.CrossRefGoogle ScholarPubMed
Jørgensen, PMortensen, PBAdmission pattern and diagnostic stability of patients with functional psychoses in Denmark during a two-year observation period. Acta Psychiatr Scand 1988; 78: 361–5.CrossRefGoogle ScholarPubMed
Kaelbling, RVolpe, PAConstancy of psychiatric diagnoses in re-admissions. Compr Psychiatry 1963; 4: 29-39.CrossRefGoogle Scholar
Kendell, REThe stability of psychiatric diagnoses. Br J Psychiatry 1974; 124: 352–6.CrossRefGoogle Scholar
Kendell, REThe role of diagnosis in psychiatry. Oxford, London: Blackwell Scientific Publications, 1975.Google Scholar
Kendell, REMalcolm, DEAdams, WIs the incidence of schizophrenia falling? Schizophr Res 1992; 6: 100–1.CrossRefGoogle Scholar
Kendell, REMalcolm, DEAdams, WThe problem of detecting changes in the incidence of schizophrenia. Br J Psychiatry 1993; 162: 212–8.CrossRefGoogle ScholarPubMed
Kierulff, SRasmussen, SBrockhattingen, ADiagnostisk mobilitet i psykiatrien. Ugeskr Lceeg 1991; 153: 3384–5.Google Scholar
Kramer, MApplications of mental health statistics. World Health Organization, Geneva, 1969.Google Scholar
Lewis, SFalling incidence of schizophrenia? Br J Psychiatry 1985; 146: 561–1.CrossRefGoogle Scholar
Malzberg, BThe frequency of mental disease. A study of trends in New York State. Acta Psychiatr Scand 1963; 39: 19-30.CrossRefGoogle ScholarPubMed
Manderscheid, RWLocke, BZPato, CNShore, DTrends in schizophrenia. Lancet 1990; 335: 1097–8.CrossRefGoogle Scholar
Mortensen, PBMunc-Joorgensen, PStromgren, ELetter to the editor. Eur Arch Psychiatry Clin Neurosci 1991; 240: 374.Google Scholar
Munk-Jørgensen, PThe schizophrenia diagnosis in Denmark. A register based investigacion. Acta Psychiatr Scand 1985; 72: 266–73.CrossRefGoogle Scholar
Munk-Jørgensen, P Decreasin first-admission rates of schizophrenia among males in Denmark from 1970 to 1984. Changing diagnostic pattenrs? Psychiatr Scand 1986; 73: 645–50.CrossRefGoogle Scholar
Munk-Jørgensen, PWhy has the incidence of schizophrenia in Danish psychiatric institutions decreased since 1970? Acta Psychiatr Scand 1987a; 75: 62–8.CrossRefGoogle ScholarPubMed
Munk-Jørgensen, PDecreasing rates of diagnoses of schizophrenia in Denmark -In reply. Acta Psychiatr Scand 1987b; 76: 334–5.Google Scholar
Munk-Jørgensen, PAre incidence rates of schizophrenia decreasing? Epidemiologia e Psichiatria Sociale 1993; 2: 7-9.CrossRefGoogle Scholar
Munk-Jørgensen, PJørgensen, PDecreasing rates of first-admission diagnoses of schizophrenia among females in Denmark 1970-1984. Acta Psychiatr Scand 1986; 74: 379–83.CrossRefGoogle Scholar
Munk-Jørgensen, PKastrup, MMortensen, PBThe Danish psychiatric register as a tool in epidemiology. Acta Psychiatr Scand 1993; 370 (suppl): 27-32.Google Scholar
Munk-Jørgensen, PMortensen, PBSchizophrenia: a 13-year follow-up. Diagnostic and psychopathological aspects. Acta Psychiatr Scand 1989; 79: 391–9.CrossRefGoogle ScholarPubMed
Munk-Jørgensen, PMortensen, PBIncidence and other aspees of the epidemiology of schizophrenia in Denmark, 1971-1987. Br J Psychiatry 1992; 161: 489–95.Google ScholarPubMed
Munk-Jørgensen, PMortensen, PBIs schizophrenia really on the decrease? Eur Arch Psychiatry Clin Neurosci 1993a; 242: 244–7.CrossRefGoogle ScholarPubMed
Munk-Jørgensen, PMortensen, BIncidence and epidemiology of schizophrenia in Denmark. Br J Psychiatry 1993b; 162: 268–9.Google Scholar
Murray, RMGupta, SDer, GTrends in schizophrenia. Letters to the Editor. Lancet 1990; 335: 1214.CrossRefGoogle Scholar
Murray, RMGupta, SDer, GReply: The incidence of schizophrenia, and of causal environmental factors, varies in time and place. Eur Arch Psychiatry Clin Neurosci 1991; 240: 477–8.Google Scholar
Niskanen, PAchté, KA The course and prognosis of schizophrenic psychoses in Helsinki. A comparative study of first admissions in 1950,1960 and 1965. Monographs from the Psychiatric Clinic of the Helsinki University Central Hospital No. 4, 1972.Google Scholar
Nuallain, MNO’Hare, AWalsh, DIncidence of schizophrenia in Ireland. Psychol Med 1987; 17: 943–8.CrossRefGoogle Scholar
Parker, GO’Donnell, MWalter, SChanges in the diagnoses of the functional psychoses associated with the introduction of lithium. Br J Psychiatry 1985; 146: 377–82.CrossRefGoogle ScholarPubMed
Prince, MJPhelan, MCTrends in schizophrenia. Letters to the Editor. Lancet 1990; 335: 851–2.Google Scholar
Retterstol, N Paranoid psychoses. The stability of nosological categories illustrated by a personal follow up investigacion. Br JPsychiatry 1968; 114: 553–62.CrossRefGoogle Scholar
Rice, JPRochberg, NEndicott, JLavori, PWMiller, CStability of psychiatric diagnoses. An application to the effective disorders. Arch Gen Psychiatry 1992; 49: 824–30.CrossRefGoogle Scholar
Sartorius, NJablensky, A, Korten A et al. Early manifestations and first-contact incidence of schizophrenia in different cultures. Preliminary communication. Psychol Med 1986; 16: 909–28.CrossRefGoogle Scholar
Shepherd, M A study of the major psychoses in an English county. Maudsley Monographs, No. 3. Chapman & Hall, London, 1957.Google Scholar
Strömgren, EBeitrge zur psychiatrischen Erblehre. Auf Grund von Untersuchungen an einer Inselbevlkerung. Copenhagen: Munksgaard, 1938.Google Scholar
Strömgren, EChanges in the incidence of schizophrenia? Br J Psychiatry 1987; 150: 1-7.CrossRefGoogle ScholarPubMed
Syvänne, SIncidence of schizophrenic diseases in Helsinki in 1929-1938 and 1946-1950. Acta Psychiatr Scand 1952; 80 (suppl): 53–9.Google ScholarPubMed
Terris, MUse of hospital schizophrenic studies of mental disease. Arch Gen Psychiatry 1965; 12: 420–6.CrossRefGoogle Scholar
Waddington, JLYoussef, HAThe declining incidence of schizophrenia in a rural Irish population of unusual homogeneity: Secular trend towards early onset and male preponderance.Schizophrenia Research 6, Abstracts of the VIth Biennial European Workshop of schizophrenia, 1992; 101.Google Scholar
Waddington, JLYoussef, HAEvidence for a genderspecific decline in rate of schizophrenia in rural Ireland over a 50-year period. Br J Psychiatry 1994; 164: 171–6.CrossRefGoogle Scholar
Warner, Rde Girolamo, GEpidemiology of schizophrenia. Series on Epidemiology of mental disorders and psychosocial problems, vol 3. World Health Organization, Geneva (in press), 1994.Google Scholar
Warthen, FJKlee, GD, Bahn AK et al. Diagnosed schizophrenia in Maryland. Psychiatric Research Report 22, American Psychiatric Association, 1967.Google ScholarPubMed
Watts, CAHA long-term follow-up of schizophrenic patients: 1946-1983. J Clin Psychiatry 1985; 46: 210–6.Google ScholarPubMed
Weeke, AAdmission pattern and diagnostic stability among unipolar and bipolar manic-depressive patients. Acta Psychiatr Scand 1984; 70: 603–13.CrossRefGoogle ScholarPubMed
Wing, JKCooper, JESartorius, NMeasurement and classification of psychiatric symptoms. An instruction manual for the PSE and Catego Program. Cambridge: Cambridge University Press, 1974.Google Scholar
Wing, JKFryers, TStatistics from the Camberwell and Salfordpsychiatric registers 1964-1974. London: Institute of Psychiatry, 1976.Google Scholar
Wulflf, HRRationel klinik. Grundlaget for diagnostiske og terapeutiske beslutninger. Munksgaard, København, 1973.Google Scholar
Ødegaard, OAn official diagnostic classification in actual hospital practice. Acta Psychiatr Scand 1966; 42: 329–37.CrossRefGoogle Scholar
Ødegaard, OHospitalized psychoses in Norway: Time trends 1926-1965. Social Psychiatry 1971; 6: 54–8.CrossRefGoogle Scholar