| Grant number: | 18/07581-2 |
| Support Opportunities: | Scholarships in Brazil - Post-Doctoral |
| Start date: | August 01, 2018 |
| End date: | June 29, 2022 |
| Field of knowledge: | Health Sciences - Medicine - Psychiatry |
| Agreement: | Fundação Seade |
| Principal Investigator: | Cristina Marta Del-Ben |
| Grantee: | Daiane Leite da Roza |
| Host Institution: | Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil |
| Associated research grant: | 17/03771-9 - Mortality in mental disorders, AP.TEM |
Abstract Schizophrenia and other psychotic disorders are a serious public health problem with high morbidity and mortality (McGrath et al. Epidemiol Rev 2008,30:67-76). The few studies conducted in low- or middle-income countries and/or located in the southern hemisphere, although methodologically very heterogeneous, contradict the belief that the evolution and prognosis of psychoses would be more benign in low- and middle-income countries (Cohen et al. Schizophr Bull 2008,34:229-244). On the other hand, the relatively low incidence of first psychotic episode (15.8/100,000) observed in the city of São Paulo (Menezes et al. Br Psychiatry Suppl. 2007;51:s102-s106) suggests that mechanisms operating in rich countries may not be the same in other populations, or that variations in the prevalence of environmental risk factors among populations are, at least in part, responsible for variations in the incidence and course of mental disorders. Worldwide, the mortality rate of individuals with mental disorders is about 2 times higher than that observed in the general population or in controls, with an estimated 10 years of life lost (Walker et al., JAMA Psychiatry, 2015. 72:334 -341). However, data on low- and middle-income countries are rare, being the only study carried out in South America, published 20 years ago (Menezes & Mann. Rev Saude Publica, 1996; 30:304-309). The estimation of real mortality rates in psychosis, as well as the determination of possible protective and risk factors of these mortality rates, can contribute in a relevant way to the planning of preventive actions. (AU) | |
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