A transcultural study of psychopharmacotherapy for schizophrenia of neuroleptic treatment between Tokyo and Bali

We made a comparison of drug treatment for the patients with schizophrenia between two psychiatric hospitals in Tokyo, Japan, and Bali. Indonesia. An initial preliminary, cross-sectional study revealed that the mean daily dos e of neuroleptics was significantly higher in Tokyo than it was in Bali. A second, longitudinal, study showed that the mean neuroleptic dose for newly admitted patients in the acute phase was higher, and the number of patient s receiving maintenance treatment after discharge larger hi Tokyo, while th e mean duration of hospitalization was shorter, and the re-admission rate 1 year after discharge lower in Bali. These findings suggest that the course of schizophrenia is more favorable in Bali. As a result of lower dose of n euroleptics, the prevalence of tardic dyskinesia was much lower in Bali tha n it was in Tokyo.