First episodes of psychosis in Afro-Caribbean and White people : An 18-year follow-up population-based study.
Background There have been few prospective studies ofthe long-term outcome of psychosis in people of Afro-Caribbean origin in the UK.
Method We followed-up a population-based, consecutive series of 34 Afro-Caribbean and 54 White people with psychosis who had been extensively investigated during their first admission in 1973/74.
Diagnoses were made by direct interview using the Present State Examination at both first admission and follow-up.
Results Ninety-seven per cent ofthe original sample were traced.
A slightly greater proportion ofthe Afro-Caribbean people were assigned to the S+Catego class (schizophrenia), both on first assessment and at follow-up.
No difference was found between the two groups in the consistency ofdiagnosis over the 18 years or in the proportion of patients considered psychotic but Afro-Caribbean people tended to have fewer negative symptoms at follow-up.
There were striking differences between the two groups in their experience of psychiatric care ; Afro-Caribbean people were more likely to have been readmitted, to have experienced longer hospitalisations, and to have undergone more involuntary admissions than their White counterparts.
Conclusions Afro-Caribbean people who met clinical and research criteria for schizophrenia had a less satisfactory experience of, and response to, psychiatric care over 18 years than their White counterparts.
Mots-clés Pascal : Etude comparative, Négroïde, Caucasoïde, Psychose, Race, Ethnie, Evolution, Hospitalisation, Etude longitudinale, Homme, Afrocaribéen, Réhospitalisation
Mots-clés Pascal anglais : Comparative study, Negroid, Caucasoid, Psychosis, Race, Ethnic group, Evolution, Hospitalization, Follow up study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0111233
Code Inist : 002B18C06B. Création : 22/06/1998.