Goodman R, Richards H
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, London.
Br J Psychiatry. 1995 Sep;167(3):362-9. doi: 10.1192/bjp.167.3.362.
A clinical sample was used to investigate whether second-generation Afro-Caribbean children differed from other British-born children in their psychiatric presentation or vulnerability to risk factors.
Second-generation Afro-Caribbean patients (n = 292) were compared with a predominantly white group of patients (n = 1311) who lived in the same inner-city area and attended the same child psychiatric clinic between 1973 and 1989. Data on psychiatric presentation and background factors were systematically recorded at the time of the initial clinical assessment.
Afro-Caribbean patients were exposed to more socio-economic disadvantage but less family dysfunction. The ratio of emotional to conduct disorders was lower among Afro-Caribbean than among the comparison patients--an effect that was not evidently due to demographic factors or diagnostic bias. Most risk factors for emotional or conduct disorders had comparable effects on Afro-Caribbean and comparison patients. Psychotic and autistic disorders were disproportionately common among the Afro-Caribbean patients.
Second-generation Afro-Caribbean children differ somewhat from other British-born children in their psychiatric presentation--a difference that has persisted over the 1970s and 1980s and that deserves more investigation than it has received to date.
采用一份临床样本，以调查第二代非洲裔加勒比儿童在精神疾病表现或对风险因素的易感性方面是否与其他在英国出生的儿童存在差异。
将第二代非洲裔加勒比患者（n = 292）与主要为白人的一组患者（n = 1311）进行比较，这些白人患者居住在同一市中心区域，且在1973年至1989年期间就诊于同一家儿童精神病诊所。在初次临床评估时，系统记录了精神疾病表现及背景因素的数据。
非洲裔加勒比患者面临更多的社会经济劣势，但家庭功能障碍较少。与对照患者相比，非洲裔加勒比患者中情感障碍与品行障碍的比例更低——这一效应显然并非由人口统计学因素或诊断偏差所致。大多数情感或品行障碍的风险因素对非洲裔加勒比患者和对照患者具有类似影响。在非洲裔加勒比患者中，精神病性障碍和自闭症谱系障碍的比例过高。
第二代非洲裔加勒比儿童在精神疾病表现方面与其他在英国出生的儿童存在一定差异——这种差异在20世纪70年代和80年代一直存在，值得进行比迄今更多的研究。
