RESUMO
In this follow-up study, a group of black and white patients were followed up between 4 years 9 months and 10 years after a first admission with a clinical diagnosis of schizophrenia. It was possible to trace 98% of the sample, and historical, clinical and social data were obtained from case notes and interviews with patients and informants. There was no evidence of greater misdiagnosis in black patients, but their outcome was poorer in terms of readmissions and allocation to schizophrenic catego classes on follow-up (almost significant at 5% level). On follow-up, no differences were found in physical treatments and after-care arrangements or contacts with services. However, more black patients were readmitted on forensic sections and from prison, and more were treated in secure units. Explanations for the increased contact with penal and forensic services are discussed. The poorer clinical outcome found in black patients was associated with four factors apparent before first admission; living alone, unemployment, conviction and imprisonment.
Assuntos
Negro ou Afro-Americano/psicologia , Esquizofrenia/etnologia , Psicologia do Esquizofrênico , População Branca/psicologia , Adolescente , Adulto , População Negra , Inglaterra , Feminino , Humanos , Masculino , Admissão do Paciente , Escalas de Graduação Psiquiátrica , Esquizofrenia/diagnóstico , Esquizofrenia/reabilitação , Ajustamento Social , Índias Ocidentais/etnologiaRESUMO
A sample of second generation Afro-Caribbeans and white British with a diagnosis of schizophrenia, and their relatives, were interviewed 5-10 years after first admission. There was no difference between Afro-Caribbeans and whites on measures of satisfaction, conceptualization about illness and attitudes to different types of treatment and management. However black relatives were more likely to attribute causation of illness to substance use and to view services as racist. Most black patients and relatives thought that black day centres would be beneficial.
Assuntos
Atitude Frente a Saúde/etnologia , Negro ou Afro-Americano/psicologia , Serviços de Saúde Mental/estatística & dados numéricos , Esquizofrenia/etnologia , África/etnologia , População Negra , Região do Caribe/etnologia , Feminino , Humanos , Masculino , Satisfação do Paciente , Esquizofrenia/etiologia , Psicologia do Esquizofrênico , Reino Unido , População Branca/psicologiaRESUMO
A sample of second generation Afro-Caribbeans and white British with a diagnosis of schizophrenia, and their relatives, were interviewed 5-10 years after first admission. There was no difference between Afro-Caribbeans and whites on measures of satisfaction, conceptualization about illness and attitudes to different types of treatment and management. However black relatives were more likely to attribute causation of illness to substance use and to view services as racist. Most black patients and relatives thought that black day centres would be beneficial. (AU)
