TY - JOUR
T1 - The natural history of medical and psychiatric disorders in an American Indian community
AU - Boehnlein, James K.
AU - Kinzei, J. David
AU - Leung, Paul K.
AU - Matsunaga, Don
AU - Johnson, Robert
AU - Shore, James H.
PY - 1992/12
Y1 - 1992/12
N2 - In 1969, a Pacific Northwest American Indian community cohort (n=100) was interviewed for the presence of physical and psychiatric illnesses. The same community was studied again in 1988. This study describes the outcome among the original 100 subjects. The schedule for Affective Disorders and Schizophrenia Lifetime Version (SADS-L) served as the basic interview instrument, supplemented by data from medical records, death certificates, and medical and community informants. Twenty-five subjects had died, 13 from cardiovascular disorders and seven from alcohol-related illnesses. Among the 46 subjects re-interviewed, hypertension, heart disease, and diabetes had become significant sources of medical morbidity. Alcoholism was the most significant cause of psychiatric morbidity, particularly among males. This study indicates that greater attention should be focused upon prevention and treatment of alcoholism, cardiovascular disorders, and diabetes in this community and in other American Indian populations.
AB - In 1969, a Pacific Northwest American Indian community cohort (n=100) was interviewed for the presence of physical and psychiatric illnesses. The same community was studied again in 1988. This study describes the outcome among the original 100 subjects. The schedule for Affective Disorders and Schizophrenia Lifetime Version (SADS-L) served as the basic interview instrument, supplemented by data from medical records, death certificates, and medical and community informants. Twenty-five subjects had died, 13 from cardiovascular disorders and seven from alcohol-related illnesses. Among the 46 subjects re-interviewed, hypertension, heart disease, and diabetes had become significant sources of medical morbidity. Alcoholism was the most significant cause of psychiatric morbidity, particularly among males. This study indicates that greater attention should be focused upon prevention and treatment of alcoholism, cardiovascular disorders, and diabetes in this community and in other American Indian populations.
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U2 - 10.1007/BF00053593
DO - 10.1007/BF00053593
M3 - Article
C2 - 1305532
AN - SCOPUS:0027027769
SN - 0165-005X
VL - 16
SP - 543
EP - 554
JO - Culture, Medicine and Psychiatry
JF - Culture, Medicine and Psychiatry
IS - 4
ER -