The Jerusalem Mental Health Center-Kfar Shaul Hospital, Jerusalem, Israel.
Compr Psychiatry. 2012 Aug;53(6):850-3. doi: 10.1016/j.comppsych.2011.11.005. Epub 2011 Dec 22.
The influence of ethnicity on different aspects of psychiatric hospitalization is far from clear.
The main aim of the study was to compare the Arab and the Jewish inpatients, at the time of admission, for the demographic factors, severity of psychotic, and affective psychopathology and comorbid drug abuse rate. POPULATION, METHOD, AND TOOLS: Among 250 consecutively admitted patients in the Jerusalem Mental Health Center-Kfar Shaul Hospital, 202 Jews and 42 Arabs (aged 18-65 years) were examined within 48 hours after admission. The psychiatric diagnoses were made according to the criteria of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. For the differential measurement of psychopathologic severity, the following rating scales were used: 21-item Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Positive and Negative Syndrome Scale (PANSS), and Young Mania Rating Scale. Urine tests for Δ9-tetrahydrocannabinol (THC), cocaine, opiates, amphetamines, and methamphetamine were performed using the Sure Step TM kits (Applied Biotech, Inc, San Diego, CA, USA). The Structured Clinical Interview Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria for drug abuse were applied based on self-report and results of urine analysis.
The comparison of the 2 population showed that among the Arab inpatients, there were more males (81% vs 67.4%; P < .005). No significant difference in psychiatric diagnosis was observed. The overall severity of positive symptoms (PANSS positive) in Arab group was higher, but only slightly so (P = .05). No significant difference was observed for total rates of PANSS negative subscale. The rates of PANSS-general were also similar. The Arab patients were significantly less depressive according to 21-item Hamilton Depression Rating Scale (P = .032), and the total score of Hamilton Anxiety Rating Scale for the Jewish group was significantly higher (P = .001). No significant difference in general severity of manic symptoms for 2 groups was detected according to Young Mania Rating Scale. The rate of comorbid drug abuse for Jewish inpatients was borderline higher (P = .068).
The issue of referral to psychiatric hospitalization could be culturally influenced; it may be the result of disparities in demographic, psychopathologic, and drug abuse comorbid presenting symptoms, which are demonstrated upon admission by patients of different ethnic origins.
种族对精神病住院治疗的不同方面的影响尚不清楚。
本研究的主要目的是比较阿拉伯和犹太住院患者在入院时的人口统计学因素、精神病严重程度、情感精神病学和合并药物滥用率。
人群、方法和工具：在耶路撒冷心理健康中心-卡法沙乌尔医院连续收治的 250 名住院患者中，对 202 名犹太人（年龄 18-65 岁）和 42 名阿拉伯人（年龄 18-65 岁）进行了检查，检查时间为入院后 48 小时内。精神病诊断根据《精神障碍诊断与统计手册》第四版的标准进行。为了对精神病理学严重程度进行差异测量，使用了以下评定量表：21 项汉密尔顿抑郁量表、汉密尔顿焦虑量表、阳性和阴性综合征量表（PANSS）和 Young 躁狂量表。使用 Sure Step TM 试剂盒（Applied Biotech，Inc.，圣地亚哥，CA，美国）对尿液中的 Δ9-四氢大麻酚（THC）、可卡因、阿片类药物、苯丙胺和苯丙胺进行了检测。根据自我报告和尿液分析结果，应用《精神障碍诊断与统计手册》第四版的结构化临床访谈诊断标准来诊断药物滥用。
对 2 个人群的比较表明，在阿拉伯住院患者中，男性比例较高（81% vs 67.4%；P <.005）。未观察到精神病诊断的显著差异。阿拉伯组阳性症状（PANSS 阳性）的整体严重程度较高，但仅略高（P =.05）。PANSS 阴性子量表的总发生率无显著差异。PANSS 一般总分也相似。根据 21 项汉密尔顿抑郁量表，阿拉伯患者的抑郁程度明显较低（P =.032），而犹太组的汉密尔顿焦虑量表总分明显较高（P =.001）。根据 Young 躁狂量表，两组的一般躁狂症状严重程度无显著差异。犹太住院患者合并药物滥用的比例略高（P =.068）。
精神科住院治疗的转介问题可能受到文化的影响；这可能是由于不同种族的患者在人口统计学、精神病学和药物滥用合并表现症状方面存在差异，这些差异在入院时就表现出来了。
