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Outcomes paradox information


The outcomes paradox (otherwise known as the "better prognosis hypothesis") is the observation that patients with schizophrenia in developing countries benefit much more from therapy than those in developed countries. This is surprising because the reverse holds for most diseases: "the richer and more developed the country, the better the patient outcome."[1] The outcomes paradox came to light in the 1960s due to cross-cultural studies conducted by the World Health Organization on the outcome of severe mental disorders like schizophrenia. [2][3] This paradox has become an axiom in international psychiatry since.

  1. ^ Padma, T. V. (2014). "Developing countries: The outcomes paradox". Nature. 508 (7494): S14–S15. Bibcode:2014Natur.508S..14P. doi:10.1038/508S14a. PMID 24695329. S2CID 4463164.
  2. ^ Cohen, A.; Patel, V.; Thara, R.; Gureje, O. (9 April 2007). "Questioning an Axiom: Better Prognosis for Schizophrenia in the Developing World?". Schizophrenia Bulletin. 34 (2): 229–244. doi:10.1093/schbul/sbm105. PMC 2632419. PMID 17905787.
  3. ^ Sartorius, N.; Gulbinat, W.; Harrison, G.; Laska, E.; Siegel, C. (September 1996). "Long-term follow-up of schizophrenia in 16 countries: A description of the international study of schizophrenia conducted by the World Health Organization". Social Psychiatry and Psychiatric Epidemiology. 31 (5): 249–258. doi:10.1007/BF00787917. PMID 8909114. S2CID 22846998.

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