Haasen C, Yagdiran O, Mass R, Krausz M
Clinic for Psychiatry and Psychotherapy, University Hospital Eppendorf, Hamburg, Germany.
Acta Psychiatr Scand. 2000 Feb;101(2):125-9. doi: 10.1034/j.1600-0447.2000.90065.x.
The elevated rate of schizophrenia among migrants has been explained in part by possible misdiagnosis. In this study an attempt is made to quantify the extent of potential misdiagnosis among migrants in comparison to non-migrants.
One hundred patients of Turkish origin (Tr-Pat) and a control group of 50 patients of German origin (G-Pat), all with a paranoid-hallucinatory syndrome upon admission, were examined by an interviewer of Turkish origin (Tr-Int), an interviewer of German origin (G-Int) and the clinician. The diagnostic evaluation was then compared.
Nineteen per cent of Tr-Pat and 4% of G-Pat showed diagnostic disagreement between the three raters, while in 8% of Tr-Pat and 0% of G-Pat the two research diagnoses disagreed. In Tr-Pat with 'bad' German knowledge showed tendentially more (29%) diagnostic disagreement than Tr-Pat with 'good' German knowledge (17%).
The rate of potential misdiagnosis is higher among migrants, yet not strongly correlated to poor second language proficiency.
移民中精神分裂症发病率升高部分原因可能是误诊。本研究旨在量化移民与非移民相比潜在误诊的程度。
100名土耳其裔患者（Tr-Pat）和50名德裔患者组成的对照组（G-Pat），入院时均患有偏执幻觉综合征，由一名土耳其裔访谈者（Tr-Int）、一名德裔访谈者（G-Int）和临床医生进行检查。然后对诊断评估结果进行比较。
19%的Tr-Pat和4%的G-Pat在三位评估者之间存在诊断分歧，而8%的Tr-Pat和0%的G-Pat在两种研究诊断之间存在分歧。德语水平“差”的Tr-Pat诊断分歧倾向于更多（29%），而德语水平“好”的Tr-Pat诊断分歧为17%。
移民中潜在误诊率较高，但与第二语言能力差没有强烈关联。
