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October 16, 1937


Author Affiliations


From the Research Service of the Worcester State Hospital and the Memorial Foundation for Neuro-Endocrine Research.

JAMA. 1937;109(16):1246-1249. doi:10.1001/jama.1937.02780420006002

Schizophrenia, by reason of the incapacity which it produces and by reason of the fact that it is essentially a chronic disease with a comparatively low direct mortality rate, is one of the most serious disorders, both from the individual and from the economic point of view. The actual expectation of schizophrenia in the general population is not high, amounting, according to Sjögren,1 to from 0.38 to 0.98 per cent. The admission rate is in the neighborhood of 25 per cent of all first admissions to mental hospitals. From 1917 to 1934 in the state of Massachusetts2 the percentage fluctuated from 20 to 27.8. Because of the chronicity of the disorder, however, schizophrenic patients occupy one fifth of all the hospital beds in the United States, reckoning in general hospital as well as in mental hospital beds.3

The spontaneous remission rate has been variously computed at from

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