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Culture and Schizophrenia: the DOSMD Challenge
British Journal of Psychiatry
The World Health Organization's International Pilot Study on Schizophrenia (IPSS) and subsequent Determinants of Outcomes of Severe Mental Disorder (DOSMD) studies have reported that the course of schizophrenia is more favourable in 'developing' than 'developed' societies. The 1992 DOSMD study attributes this difference to culture. We review studies concerning the course of schizophrenia and conclude that the evidence for a more favourable course in developing societies is not conclusive.doi:10.1192/bjp.164.2.222 pmid:8173825 fatcat:rcgnbiery5fmlawlpablf34aey