-Caveat Lector-

http://www.rense.com/general11/symp.htm

City-Living Linked To Increased
Psychotic Symptoms (Big Surprise)
7-130-1

NEW YORK (Reuters Health) - Urban dwelling has never been known for its
soothing effects, but new research suggests that people living in large
cities are more likely than small-town residents to exhibit
psychotic-like symptoms such as paranoia and delusions. In a study of
more than 7,000 people in the Netherlands, investigators found that both
full-blown psychotic disorders and milder psychosis-like symptoms were
more common among those living in urbanized areas. The link was most
apparent among people born and raised in densely populated areas,
suggesting that childhood environment may create ``enduring
liabilities'' for adult psychiatric health, according to the
researchers.

Dr. Jim van Os of Maastricht University and colleagues report the
findings in the July issue of the Archives of General Psychiatry.The
researchers divided the study participants into groups living in one of
five levels of urbanization, which were based on population density.
Through interviews, van Os and his colleagues determined that the
prevalence of psychiatric symptoms increased along with participants'
level of urbanization.

In the overall population, the prevalence of any type of psychotic
symptoms over a lifetime was about 4% to 17%, depending on the
definition of symptoms. The investigators looked at the number and
severity of symptoms such as feelings of persecution or auditory
hallucinations. Only about 1% suffered mental illnesses such as major
depression, and even fewer had been affected by schizophrenia-like
disorders. The fact that such symptoms were more common in urban
settings could be partly explained by symptomatic individuals having
``drifted'' to these areas, the authors note. However, they add, their
previous research has shown population stability in cities--that is,
around 75% of city dwellers were born there.

And a number of studies have demonstrated that psychotic illness is more
prevalent in urban settings than in rural areas, the report indicates.
``The high rates of psychotic illness in urban environments may be the
result of the influence of environmental factors,'' van Os and
colleagues write. ``As the urban effect appears to have its impact
during urban upbringing rather than during adult residence per se,
developmental mechanisms ought to be considered.'' The fact that in this
study, psychosis-like symptoms as well as full-blown illnesses were more
common in cities suggests a greater ``psychosis proneness'' in urban
settings, they add.

Why this potential connection exists is unclear, but the researchers
note that deprivation and social isolation in childhood neighborhoods
have been shown to affect mental health.  Another recent study in
Denmark linked urban birth with an increased of developing
schizophrenia. While family history was a far greater predictor of the
risk, place of birth emerged as an environmental factor. Those
researchers speculated that people born in urban areas are exposed to
more infections during prenatal development and childhood. Some experts
believe early exposure to infections may affect the developing brain in
a way that makes it more vulnerable to schizophrenia.

SOURCE: Archives of General Psychiatry 2001;58:663-668.



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MARtin F. ABErnathy ---- [[EMAIL PROTECTED]] ----- 7/13/01

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