Racial and geographic differences in the psychopathology of schizophrenia

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Abstract
The psychopathology of black and white and of rural and urban schizophrenic patients was compared. Using a structured interview, psychiatrists rated 273 schizophrenic patients consecutively admitted to 7 hospitals and mental health centers over 3 1/2 yr. Important symptoms were more severe in black than in white schizophrenic patients: black patients were more angry, impulsive, hallucinating, dysphoric and asocial. A greater number of important symptoms were more intense in rural than in urban schizophrenic patients: rural patients were more angry, aggressive, silly, negativistic and uncooperative, but urban patients were more anxious, rigid, ambivalent and asocial.

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