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患有精神疾病的囚犯在临床特征和症状表现方面的种族差异。

Ethnic variations regarding clinical profiles and symptom representation in prisoners with psychotic disorders.

作者信息

Denzel A Dorina, Harte Joke M, van den Bergh Mattis, Scherder Erik J A

机构信息

Department of Clinical Neuropsychology,VU University,Amsterdam,van der Boechorststraat 1,1081 BT Amsterdam,the Netherlands.

Netherlands Institute for the Study of Crime and Law Enforcement,(NSCR);Department of Criminology,VU University Amsterdam,de Boelelaan 1105,Initium (1A-46),1081 HV Amsterdam,the Netherlands.

出版信息

BJPsych Open. 2018 Jan;4(1):18-28. doi: 10.1192/bjo.2017.3.

DOI:10.1192/bjo.2017.3
PMID:29388907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6020278/
Abstract

BACKGROUND

Black and minority ethnic (BME) groups are known to have higher prevalences of psychotic disorders and are over-represented in western penitentiaries and forensic psychiatric institutions. Research from regular mental healthcare settings suggests that they could show different and more severe psychotic symptoms. Aims To explore ethnic variations in severity of symptomatology of BME and non-BME detainees with psychotic disorders.

METHOD

In this study, 824 patients with psychotic disorders from seven different ethnic groups, imprisoned in a penitentiary psychiatric centre in the Netherlands, were compared on symptom severity and symptom representation using the BPRS-E clinical interview. Data were analysed by means of a multilevel analysis.

RESULTS

BME patients with psychotic disorders are over-represented in forensic psychiatry, and symptom profiles of prisoners with psychotic disorders vary by ethnicity. Additionally, severity levels of overall psychopathology differ between ethnic groups: patients with an ethnic majority status show more severe levels of psychopathology compared with BME patients.

CONCLUSIONS

There are differences in symptom severity and symptom profiles between BME patients and non-BME patients. Disregarding these differences could have an adverse effect on the outcome of the treatment. Possible explanations and clinical impact are discussed. Declaration of interest None.

摘要

背景

已知黑人和少数族裔群体中精神障碍的患病率较高，且在西方监狱和法医精神病院中所占比例过高。来自常规精神卫生保健机构的研究表明，他们可能表现出不同且更严重的精神病症状。目的：探讨患有精神障碍的黑人和少数族裔（BME）被拘留者与非BME被拘留者在症状严重程度上的种族差异。

方法

在本研究中，对荷兰一所监狱精神病中心关押的来自七个不同种族的824名患有精神障碍的患者，使用简明精神病评定量表扩展版（BPRS-E）临床访谈，比较其症状严重程度和症状表现。数据采用多水平分析方法进行分析。

结果

患有精神障碍的BME患者在法医精神病学中所占比例过高，患有精神障碍的囚犯的症状特征因种族而异。此外，不同种族之间总体精神病理学的严重程度水平也有所不同：与BME患者相比，具有多数族裔身份的患者表现出更严重的精神病理学水平。

结论

BME患者和非BME患者在症状严重程度和症状特征方面存在差异。忽视这些差异可能会对治疗结果产生不利影响。文中讨论了可能的解释和临床影响。利益声明无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ea/6020278/e9bd5bfa34bc/S2056472417000035_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ea/6020278/e9bd5bfa34bc/S2056472417000035_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ea/6020278/e9bd5bfa34bc/S2056472417000035_fig1.jpg

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