Self-reported diagnoses of schizophrenia and psychotic disorders may be valuable for monitoring and surveillance

Can J Psychiatry. 2006 Mar;51(4):256-9. doi: 10.1177/070674370605100407.

Abstract

Objective: To examine whether a plausible estimate of the prevalence of schizophrenia can be obtained with a self-report item in a health survey.

Methods: We estimated a self-reported prevalence of schizophrenia, using a grouped variable for all people who reported schizophrenia or any other psychotic disorder in the Canadian Community Health Survey: Mental Health and Well-Being (n = 36,984). Estimates were stratified according to age, sex, and province of residence.

Results: Of survey respondents, 411 (1.1%) reported having schizophrenia or other psychosis, as diagnosed by a health professional; the weighted and adjusted estimate was 0.9% (0.7% to 1.0%). There was no statistical evidence that the prevalence estimates of schizophrenia and other psychosis varied by age, sex, or province of residence.

Conclusions: Additional studies incorporating a gold standard diagnostic interview should be carried out to determine the validity of the approach. However, responses to 2 self-report survey items provide what appears to be a plausible epidemiologic pattern.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Demography
  • Female
  • Humans
  • Male
  • Mental Health Services / standards*
  • Middle Aged
  • Population Surveillance / methods*
  • Prevalence
  • Psychotic Disorders / diagnosis*
  • Psychotic Disorders / epidemiology
  • Psychotic Disorders / therapy*
  • Schizophrenia / diagnosis*
  • Schizophrenia / epidemiology
  • Schizophrenia / therapy*
  • Self Disclosure*
  • Surveys and Questionnaires*