Psychosis with good prognosis in Afro-Caribbean people now living in the United Kingdom
BMJ
; 311(7016): 1325-8, Nov. 1995. tab
Artigo
em Inglês
| MedCarib
| ID: med-3606
Biblioteca responsável:
JM3.1
Localização: JM3.1; R31.B75
ABSTRACT
OBJECTIVES - to compare the course and outcome of psychotic illness in a group of Afro-Caribbean patients resident in the United Kingdom and a group of white British patients. DESIGN - cohort study of consecutive admissions followed up for four years. SUBJECTS - 113 patients with psychotic illness of recent onset admitted to two south London hospitals. MAIN OUTCOME MEASURES - course of illness, history of self harm, social disability, treatment received, and hospital use adjusted for socioeconomic origin. RESULTS - the Afro-Caribbean group spent more time in a recovered state during the follow up period (adjusted odds ratio 5.0; 95 percent confidence interval 1.7 10 14.5), were less likely to have had a continuous illness (0.3; 0.1 to 0.8), were less at risk of self harm (0.2; 0.1 to 0.8), and were less likely to have been prescribed antidepressant treatment (0.3; 0.1 to 0.9). There were no differences in hospital use, but the Afro-Caribbean group had more involuntary admissions (8.9; 2.1 to 35.6) and more imprisonments over the follow up period (9.2; 1.6 to 52.3). CONCLUSIONS - Afro-Caribbean patients in the United Kingdom have a better outcome after psychiatric illness than do white people. The combination of high incidence and more benign course of illness of psychotic illness in this group may be due, at least in part, to a greater exposure to precipitants in the social environment. (AU)
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Coleções:
Bases de dados internacionais
Base de dados:
MedCarib
Assunto principal:
Transtornos Psicóticos
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo de prevalência
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Estudo prognóstico
/
Fatores de risco
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Europa
Idioma:
Inglês
Revista:
BMJ
Ano de publicação:
1995
Tipo de documento:
Artigo