Ensink K, Robertson B A, Ben-Arie O, Hodson P, Tredoux C
Department of Psychiatry, University of Cape Town.
S Afr Med J. 1998 Jul;88(7):883-7.
To investigate whether schizophrenia manifests itself differently in Xhosa-speaking South Africans, compared with English-speaking white South Africans.
A comparative study of the presentation of schizophrenia in two groups of patients.
A sample of 63 patients (43 Xhosa-speaking and 20 English-speaking) admitted to a large psychiatric hospital for the first time with a diagnosis of schizophrenia.
The Present State Examination (PSE) was used to confirm the clinical diagnosis of schizophrenia. The Relatives' Rating of Symptoms and Social Behaviour (KAS-R) was used to obtain information on the behavioural and emotional expression of schizophrenia.
A significantly higher prevalence of aggressive and disruptive behaviour was reported by relatives of Xhosa-speaking patients with schizophrenia of recent onset compared with English-speaking patients. The PSE elicited significantly more delusions of persecution, sexual and fantastic delusions, self-neglect and irritability in the Xhosa-speaking patients.
Significant differences in the presentation of schizophrenia, but not its core symptoms, were identified in Xhosa-speaking blacks and English-speaking whites.
探讨与讲英语的南非白人相比，精神分裂症在讲科萨语的南非人中的表现是否有所不同。
对两组患者中精神分裂症表现的比较研究。
63例首次因精神分裂症诊断入住一家大型精神病医院的患者样本（43例讲科萨语，20例讲英语）。
使用现况检查（PSE）来确诊精神分裂症的临床诊断。使用亲属症状及社会行为评定量表（KAS-R）来获取有关精神分裂症行为和情感表达的信息。
与讲英语的患者相比，近期发病的讲科萨语的精神分裂症患者亲属报告的攻击性行为和破坏性行为的患病率显著更高。PSE显示，讲科萨语的患者中迫害妄想、性妄想和怪异妄想、自我忽视及易怒的情况显著更多。
在讲科萨语的黑人和讲英语的白人中，精神分裂症的表现存在显著差异，但核心症状无差异。
