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Manic-depressive illness among poor urban blacks

Published Online:https://doi.org/10.1176/ajp.138.5.654

In psychiatric epidemiology it has generally been accepted that manic- depressive illness rarely occurs among blacks and lower socioeconomic groups. The authors conducted a retrospective study to examine the frequency of manic-depressive illness among lower income urban blacks admitted to an acute psychiatric inpatient unit of an urban hospital. The medical records of a random sample of 117 black psychiatric patients were reviewed for determination of manic-depressive illness as well as socioeconomic characteristics. Eighteen subjects (15%) were diagnosed as manic-depressive. The authors present possible explanations for this finding and the ramifications for future investigations.

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