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Factors in the onset of schizophrenia: a comparison between London and Trinidad samples.
Bhugra, D; Hilwig, M; Mallett, R; Corridan, B; Leff, J; Neehall, J; Rudge, S.
Afiliação
  • Bhugra D; Institute of Psychiatry, London, UK.
Acta Psychiatr Scand ; 101(2): 135-41, 2000 Feb.
Article em En | MEDLINE | ID: mdl-10706014
OBJECTIVE: Sociodemographic factors play an important role in the genesis of mental disorders. High rates of unemployment and other social factors have been reported previously among African-Caribbeans with schizophrenia in London. The aim of the present study was to compare these factors in Trinidad with London African-Caribbeans. METHOD: Using internationally defined criteria, patients with first-onset schizophrenia were recruited in both countries, and information on the onset of symptoms, help-seeking, pathways into care, premorbid personality and educational and employment status were collected. These two samples are compared on a number of these factors. A total of 56 cases of first onset of psychosis coming into contact with psychiatric services in Trinidad were studied. Of these, 46 cases were diagnosed as having schizophrenia using the CATEGO program. Over a period of 2 years, 38 African-Caribbean patients with schizophrenia were recruited in London. RESULTS: African-Caribbean patients with schizophrenia in London were more likely to be admitted for perceived threat to others and to have shown loss of interest and serious neglect and to have assaulted others. A lower proportion were admitted via a psychiatrist and a higher proportion by the police. The unemployment rate among the London sample of African-Caribbeans was much higher than that in the general population, whereas this was not the case for the Trinidad patients. CONCLUSION: These findings are discussed in the context of culture and aetiology of schizophrenia, and suggestions with regard to future research are made.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esquizofrenia Tipo de estudo: Diagnostic_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Male País/Região como assunto: Caribe ingles / Europa / Trinidad y tobago Idioma: En Revista: Acta Psychiatr Scand Ano de publicação: 2000 Tipo de documento: Article País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esquizofrenia Tipo de estudo: Diagnostic_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Male País/Região como assunto: Caribe ingles / Europa / Trinidad y tobago Idioma: En Revista: Acta Psychiatr Scand Ano de publicação: 2000 Tipo de documento: Article País de publicação: Estados Unidos