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Perceptions of disadvantage, ethnicity and psychosis.
Cooper, Claudia ; Morgan, Craig ; Byrne, Majella ; Dazzan, Paola ; Morgan, Kevin ; Hutchinson, Gerard ; Doody, Gillian A. ; Harrison, Glynn ; Leff, Julian ; Jones, Peter ; Ismail, Khalida ; Murray, Robin ; Bebbington, Paul ; Fearon, Paul .
Afiliação
  • Cooper, Claudia ; Department of Mental Health Services. University College London. London. United Kingdom
  • Morgan, Craig ; Institute of Psychiatry. London. United Kingdom
  • Byrne, Majella ; Institute of Psychiatry. London. United Kingdom
  • Dazzan, Paola ; Institute of Psychiatry. London. United Kingdom
  • Morgan, Kevin ; Department of Psychology. University of Westminster. London. United Kingdom
  • Hutchinson, Gerard ; Psychiatry Unit. Faculty of Medical Sciences. The University of the West Indies. St. Augustine. Trinidad and Tobago
  • Doody, Gillian A. ; University of Nottingham. Nottingham. United Kingdom
  • Harrison, Glynn ; Academic Unit of Psychiatry. Cotham House. Bristol. United Kingdom
  • Leff, Julian ; Department of Mental Health Sciences. University College London. London. United Kingdom
  • Jones, Peter ; Department of Psychiatry. Addenbrooke’s Hospital. University of Cambridge. Cambridge. United Kingdom
  • Ismail, Khalida ; Institute of Psychiatry. London. United Kingdom
  • Murray, Robin ; Institute of Psychiatry. London. United Kingdom
  • Bebbington, Paul ; Department of Mental Health Services. University College London. London. United Kingdom
  • Fearon, Paul ; Institute of Psychiatry. London. United Kingdom
The British journal of psychiatry ; 192(3): 185-190, Mar. 2008. tab
Article em En | MedCarib | ID: med-17798
Biblioteca responsável: TT5
Localização: TT5; W1, BR616
ABSTRACT

BACKGROUND:

People from Black ethnic groups (African-Caribbean and Black African) are more prone to develop psychosis in Western countries. This excess might be explained by perceptions of disadvantage.

AIMS:

To investigate whether the higher incidence of psychosis in Black people is mediated by perceptions of disadvantage.

METHOD:

A population-based incidence and case-control study of first-episode psychosis (Aetiology and Ethnicity in Schizophrenia and Other Psychoses (AESOP)). A total of 482 participants answered questions about perceived disadvantage.

RESULTS:

Black ethnic groups had a higher incidence of psychosis (OR= 4.7, 95 per cent CI 3.1-7.2). After controlling for religious affiliation, social class and unemployment, the association of ethnicity with psychosis was attenuated (OR=3.0, 95 per cent CI 1.6-5.4) by perceptions of disadvantage. Participants in the Black non-psychosis group often attributed their disadvantage to racism, whereas Black people in the psychosis group attributed it to their own situation.

CONCLUSIONS:

Perceived disadvantage is partly associated with the excess of psychosis among Black people living in the UK. This may have implications for primary prevention.
Assuntos
Texto completo: 1 Coleções: 01-internacional Base de dados: MedCarib Assunto principal: Percepção / Transtornos Psicóticos / Esquizofrenia / Etnicidade Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: The British journal of psychiatry Ano de publicação: 2008 Tipo de documento: Article
Texto completo: 1 Coleções: 01-internacional Base de dados: MedCarib Assunto principal: Percepção / Transtornos Psicóticos / Esquizofrenia / Etnicidade Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: The British journal of psychiatry Ano de publicação: 2008 Tipo de documento: Article