Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, 1151 Richmond Street, Kresge Building, Room K213, London, ON, N6A 5C1, Canada.
Department of Psychiatry, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada.
Soc Psychiatry Psychiatr Epidemiol. 2019 Oct;54(10):1295-1298. doi: 10.1007/s00127-019-01737-3. Epub 2019 Jun 10.
Ethnic minority groups with early psychosis may have longer treatment delays, potentially leading to poorer outcomes. We updated a previous systematic review of the literature on racial and ethnic differences in duration of untreated psychosis (DUP) among people with first-episode psychosis.
Six of 17 studies described significant differences across aggregated racial groups; however, the pooled estimates did not show differences across groups. Additional data from this update allowed for disaggregated analyses, finding that Black-African groups have a shorter DUP, whereas Black-Caribbean groups have longer DUP, relative to White groups.
These findings highlight the importance of in-depth research on disaggregated ethnic groups to inform targeted early intervention strategies for minority populations.
患有早期精神病的少数族裔群体可能会有更长的治疗延迟，从而导致更差的结果。我们对以前的关于首发精神病患者未治疗精神病持续时间（DUP）种族和民族差异的文献进行了系统回顾。
在 17 项研究中有 6 项描述了在聚合种族群体之间存在显著差异；然而，汇总的估计并没有显示出群体之间的差异。本次更新提供的额外数据允许进行分解分析，发现与白人组相比，黑人-非洲群体的 DUP 更短，而黑人-加勒比群体的 DUP 更长。
这些发现强调了对分解的族裔群体进行深入研究的重要性，以制定针对少数民族的针对性早期干预策略。
