Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
SUNY Downstate Medical Center, Department of Psychiatry, Brooklyn, NY, USA; The Zucker Hillside Hospital, Psychiatry Research, North Shore - Long Island Jewish Health System, Glen Oaks, NY, USA.
Schizophr Res. 2018 Mar;193:64-68. doi: 10.1016/j.schres.2017.06.038. Epub 2017 Jul 11.
This study compared baseline characteristics of Black Americans and Caucasians with first-episode psychosis in the Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE-ETP). Black American (N=152) and Caucasian (N=218) participants were compared on demographic, psychosocial, clinical, and neurocognitive measures. Results indicated several notable racial differences in baseline characteristics: a greater proportion of Black Americans than Caucasians were female, and Black Americans reported less personal and parental education than Caucasians. Black Americans were also less likely to have private insurance, more likely to be homeless or transient, had significantly poorer quality of life, more severe disorganized symptoms, worse neurocognition, and were less likely to abuse alcohol than Caucasians. The implications of these findings are discussed, and suggestions are provided for future avenues of treatment and research on racial disparities in first-episode psychosis.
这项研究比较了首次发作精神分裂症早期治疗计划(RAISE-ETP)中黑人美国人和白种人美国人的基线特征。将黑人美国参与者(N=152)和白种人参与者(N=218)在人口统计学、心理社会、临床和神经认知方面进行了比较。结果表明,在基线特征方面存在一些显著的种族差异:黑人美国参与者中女性的比例高于白种人参与者,黑人美国参与者报告的个人和父母教育程度低于白种人参与者。黑人美国参与者也更不可能拥有私人保险,更有可能无家可归或流浪,生活质量明显较差,更严重的思维紊乱症状,更差的神经认知,且比白种人参与者更少酗酒。讨论了这些发现的意义,并为首次发作精神分裂症的种族差异的未来治疗和研究方向提供了建议。