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Influence of ethnicity on presentation and outcome of first episode psychosis

Published online by Cambridge University Press:  13 June 2014

Foluso Ademola ,
Kenneth Harte  and
Noel Kennedy
Foluso Ademola*
Affiliation:
Adelaide & Meath Hospital, Tallaght, Dublin 24
Kenneth Harte
Affiliation:
Medicenter, Wilton Road, Cork
Noel Kennedy
Affiliation:
St Edmundsbury Hospital/St Patrick's Hospital, Dublin 8, Ireland
*
Correspondence Email: docsuzie@yahoo.com
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Abstract

We describe a young African male presenting to an Irish psychiatric service with first episode psychosis with an acute onset, no prodromal features and early and complete remission. Migrant and ethnic minority groups may differ in their clinical presentation, course and outcome of psychosis compared with the Caucasian population. This has implications for assessment and treatment of ethnic minority patients in an Irish context given the recent migration into a previously homogeneous population.

Keywords

SchizophreniaPsychosisEthnicityCultureImmigrant
Type
Case reports
Information
Irish Journal of Psychological Medicine , Volume 24 , Issue 3 , September 2007 , pp. 117 - 118
Copyright
Copyright © Cambridge University Press 2007

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References

1.Cantor-Graae, E, Selten, J-RSchizophrenia and migration: a meta-analysis and review. Am J Psychiatry 2005; 162: 12–24.Google Scholar
2.Morgan, Craig, Dazzan, Paola, Morgan, Kevinet al.First episode psychosis and ethnicity: initial findings from the AESOP study. World Psych. 2006; 5: 40–46.Google Scholar
3.Saha, S, Chant, D, Welham, J, McGrath, J.A systematic review of the prevalence of schizophrenia. PLoS Med. 2005 05; 2(5):e141. Epub 2005 May 31.Google Scholar
4.Van Os, J, Castle, DJ, Takei, N, Der, G, Murray, RM. Psychotic illness in ethnic minorities: clarification from the 1991 census. Psychol Med. 1996; 26: 203–8.Google Scholar
5. Central Statistics Office Ireland website, (www.cso.ie)Google Scholar
6.McGovern, D, Cope, R.Second generation Afro-Caribbeans and young whites with a first admission diagnosis of schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 1991; 26: 95–9.Google Scholar
7.Ohaeri, JU. Long-term outcome of treated schizophrenia in a Nigerian cohort. Retrospective analysis of 7-year follow up J Nerv Ment Dis 1993; 181: 514–6.Google Scholar
8.Cohen, APrognosis for schizophrenia in the third world: A re-evaluation of cross-cultural research. Cult Med Psychiatry 1992; 16: 53–75.Google Scholar
9.Perkins, DO, Gu, H, Boteva, K, Lieberman, JA. Relationship between duration of untreated psychosis and outcome in first-episode schizophrenia: a critical review and meta-analysis. Am J Psychiatry 2005; 162:1785–804.Google Scholar
10.Marshall, M, Lewis, S, Lockwood, A, Drake, R, Jones, P, Croudace, T.Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: a systematic review. Arch Gen Psychiatry 2005; 62:975–83.Google Scholar
11.Malla, AK, Norman, RM, Manchanda, Ret al.One year outcome in first episode psychosis: influence of DUP and other predictors. Schizophr Res. 2002; 54:231–42.Google Scholar
12.Arnold, LM, Keck, PE Jr, Collins, Jet al.Ethnicity and first-rank symptoms in patients with psychosis. Schizophr Res. 2004; 67: 207–12.Google Scholar
13.Chu, CC, Sallach, HS, Zakeria, SA, Klein, HE. Differences in psychopathology between black and white schizophrenics. Int J Soc Psychiatry 1985; 31:252–7.Google Scholar
14.Adebimpe, VR, Hedlund, JL, Cho, DW, Wood, JB. Hallucinations and delusions in black psychiatric patients. J Natl Med Assoc 1981; 73: 517–520.Google ScholarPubMed
15.Ndetei, DM, Vadher, A.A comparative cross-cultural study of frequency of hallucinations in schizophrenia. Acta Psychiatr Scand 1984; 70: 545–549.CrossRefGoogle ScholarPubMed
16.Katz, MM, Marsella, A, Dube, KCet al.On the expression of psychosis in different cultures: schizophrenia in an Indian and in a Nigerian community. Cult Med Psychiatry 1988; 12: 331–55.Google Scholar
17.Ensink, K, Robertson, BA, Ben-Arie, O, Hodson, P, Tredoux, CExpression of schizophrenia in black Xhosa-speaking and white English-speaking South Africans S Afr Med J. 1998;88:883–7.Google ScholarPubMed
18.Emsley, RA, Roberts, MC, Rataemane, S, et al.Ethnicity and treatment response in schizophrenia: a comparison of 3 ethnic groups. J Clin Psychiatry 2002; 63:9–14.Google Scholar
19.Johnson, JAPredictability of the effects of race or ethnicity on pharmacokinetics of drugs. Int J Clin Pharmacol Ther. 2000; 38: 53–60.Google Scholar
20.Ng, CH, Chong, SA, Lambert, Tet al.Inter-ethnic comparison study of clozapine dosage, clinical response and plasma levels. Int Clin Psychopharmacol. 2005; 20: 163–8.Google Scholar
21.Nasrallah, HAAvoiding side effects in ethnically diverse patients. CNS Spectr. 2005; 10(Suppl 2): 21–9.Google Scholar
22.Harrison, G, Amin, S, Singh, SP, Croudace, T, Jones, P.Outcome of psychosis in people of African-Caribbean family origin. Population based first-episode study. Br J Psych 1999; 175:43–49.Google Scholar
23.Jablensky, A, Sartorius, N, Enberg, Get al.Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organisation ten-country study. Psychol Med Monogr Suppl 1992; 20: 1–97Google Scholar
24.Leff, J, Sartorius, N, Jablensky, A, Korten, A, Enberg, G.The International Pilot Study of Schizophrenia: five-year follow-up findings. Psychol Med 1992; 22: 131–145.Google Scholar