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|Type:||Artigo de periódico|
|Title:||Increased Frequency Of Schizophrenia Among Brazilian Protestant Inpatients [freqüência Aumentada De Esquizofrenia Em Pacientes Evangélicos Internados]|
|Abstract:||Background: As religion plays a key role in personal and social experience of most Brazilians, it is important to determine whether and how religious affiliation can influence psychopathology and treatment outcome. Studying a sample of 300 psychiatric inpatients ten years ago, we found that Protestant Pentecostal patients were over-represented among those diagnosed as psychotic and under-represented in regard to other diagnostic categories. In addition, they had shorter hospitalization. This study aims at reassessing such earlier findings by using a much larger sample and by analyzing, in a more comprehensive fashion, a broader range of variables. Methods: The authors reviewed 989 consecutive patients admitted in a psychiatric unit in a Brazilian university general hospital. Two main groups of patients were identified and compared to each other, Catholics and Protestants. The Protestant group was constituted mostly by Pentecostals, but historical Protestants were fairly represented as well. Statistical analyses (multivariate logistical regression - model of proportional odds - and correspondence analysis) were performed to ascertain the relation between religious affiliation and clinical and demographic data. Results: Protestant patients were younger, women predominating, had less years of formal education and a lower rate of marriage. Moreover they showed a higher rate of schizophrenic disorders and a lower rate of substance-related disorders. No difference either in length of stay or clinical status on discharge was found between the two religious groups. Conclusion: These results bring corroborative evidence of over-representation of schizophrenic disorder diagnosis among Protestants inpatients in Brazil. Several hypotheses are considered to explain such finding. The possibility of selective patterns of help-seeking pathways was emphasized. It was suggested that Protestants may retain in the Church setting subjects with minor psychiatric disorders and send to psychiatric care people with more severe disorders, such as schizophrenia. We did not confirm, however, earlier findings about shorter hospitalization among Protestants. Religious affiliation did not correlate significantly with clinical status on discharge.|
|Appears in Collections:||Unicamp - Artigos e Outros Documentos|
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