Mowry B J, Lennon D P, De Felice C N
Wolston Park Hospital, Wacol, Brisbane, Australia.
Acta Psychiatr Scand. 1994 Nov;90(5):337-41. doi: 10.1111/j.1600-0447.1994.tb01603.x.
Cross-cultural phenomenology is one method of studying mental disorders such as schizophrenia. There are few data of this nature available on Australian aborigines. Using a retrospective medical record review of 39 matched pairs of aboriginal and nonaboriginal patients discharged as schizophrenic from a psychiatric hospital, this study investigated whether any phenomenological differences, using DSM-III-R criteria, existed between the two groups. Of all criteria, bizarre delusions, social deterioration, illness duration and organic exclusion were statistically significant, with fewer aboriginal subjects having documentation for each of these variables. Possible explanations for these findings, including intergroup phenomenological differences and assessment variation, are discussed.
跨文化现象学是研究精神分裂症等精神障碍的一种方法。关于澳大利亚原住民的此类数据很少。本研究通过对一家精神病院出院诊断为精神分裂症的39对匹配的原住民和非原住民患者的病历进行回顾性分析，调查了根据《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准，两组之间是否存在任何现象学差异。在所有标准中，怪异妄想、社会功能衰退、病程和排除器质性病变在统计学上具有显著意义，每个变量在原住民受试者中的记录较少。文中讨论了这些发现的可能解释，包括组间现象学差异和评估差异。
