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The Functional Psychoses in Afro-Caribbeans

Published online by Cambridge University Press:  02 January 2018

I. Harvey*
Affiliation:
Institute of Psychiatry, DeCrespigny Park, London SE5 8AF
M. Williams
Affiliation:
King's College Hospital, Denmark Hill, London SE5 8RX
P. Mcguffin
Affiliation:
University of Wales College of Medicine, Heath Park, Cardiff CF4 4XN
B. K. Toone
Affiliation:
King's College Hospital, Denmark Hill, London SE5 8RX
*
Correspondence

Abstract

When 54 Afro-Caribbean and 49 white British consecutive psychotic in-patients were prospectively studied for clinical differences in course of illness and pattern of symptoms, no major differences were found. This does not support the hypothesis that misdiagnosis within the psychoses can explain the higher admission rates of schizophrenia calculated for Afro-Caribbean populations.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Adebimpe, V. R. (1981) Overview: white norms and psychiatric diagnosis of black patients. American Journal of Psychiatry, 138, 279285.Google ScholarPubMed
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington, DC: APA.Google Scholar
Bebbington, P., Hurry, J. & Tennant, C. (1981) Psychiatric disorders in selected immigrant groups in Camberwell. Social Psychiatry, 16, 4351.CrossRefGoogle Scholar
Burke, A. W. (1974) First admissions and planning in Jamaica. Social Psychiatry, 9, 3945.CrossRefGoogle Scholar
Carpenter, L. & Brockington, I. F. (1980) A study of mental illness in Asians, West Indians and Africans living in Manchester. British Journal of Psychiatry, 137, 201205.CrossRefGoogle ScholarPubMed
Chandrasena, R. D. (1980) Schneider's First Rank Symptoms. A Transcultural Evaluation of their Diagnostic Implications and their Prevalence. MPhil Thesis, Institute of Psychiatry, University of London.Google Scholar
Cochrane, R. (1977) Mental illness in immigrants to England and Wales: an analysis of mental hospital admissions, 1971. Social Psychiatry, 12, 2535.CrossRefGoogle Scholar
Cochrane, R. & Bal, S. S. (1987) Migration and schizophrenia: an examination of five hypotheses. Social Psychiatry, 22, 181191.CrossRefGoogle ScholarPubMed
Cochrane, R. & Bal, S. S. (1989) Mental hospital admission rates of immigrants to England: a comparison of 1971 and 1981. Social Psychiatry and Psychiatric Epidemiology, 24, 211.CrossRefGoogle Scholar
Dean, G., Walsh, D., Downing, H., et al (1981) First admissions of native-born and immigrants to psychiatric hospitals in southeast England 1976. British Journal of Psychiatry, 139, 506512.CrossRefGoogle ScholarPubMed
Glover, G. R. (1989) The pattern of psychiatric admissions of Caribbean-born immigrants in London. Social Psychiatry and Psychiatric Epidemiology, 24, 4956.CrossRefGoogle Scholar
Goldthorpe, J. H. & Hope, K. (1974) The Social Grading of Occupations – A New Approach and Scale. Oxford: Clarendon Press.Google Scholar
Gordon, E. B. (1965) Mentally ill West Indian immigrants. British Journal of Psychiatry, 111, 877887.CrossRefGoogle ScholarPubMed
Harrison, G., Ineichen, B., Smith, J., et al (1984) Psychiatric hospital admissions in Bristol. II Social and clinical aspects of compulsory admission. British Journal of Psychiatry, 145, 605611.CrossRefGoogle ScholarPubMed
Harrison, G., Owens, D., Holton, A., et al (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 18, 643657.CrossRefGoogle ScholarPubMed
Harrison, G., Holton, A., Neilson, D., et al (1989) Severe mental disorder in Afro-Caribbean patients: some social, demographic and service factors. Psychological Medicine, 19, 683696.CrossRefGoogle ScholarPubMed
Hemsi, L. K. (1967) Psychiatric morbidity of West Indian immigrants, a study of first admissions in London. Social Psychiatry, 2, 95100.CrossRefGoogle Scholar
Leff, J. P., Fischer, M. & Bertelsen, A. (1976) A cross-national epidemiological study of mania. British Journal of Psychiatry, 129, 428442.CrossRefGoogle ScholarPubMed
Littlewood, R. & Lipsedge, M. (1981a) Some social and phenomenological characteristics of psychotic immigrants. Psychological Medicine, 11, 289302.CrossRefGoogle ScholarPubMed
Littlewood, R. & Lipsedge, M. (1981b) Acute psychotic reactions in Caribbean born patients. Psychological Medicine, 11, 303318.CrossRefGoogle ScholarPubMed
Littlewood, R. & Lipsedge, M. (1988) Psychiatric illness among British Afro-Caribbeans. British Medical Journal, 296, 950951.CrossRefGoogle ScholarPubMed
McGovern, D. & Cope, R. V. (1987) First psychiatric admission rates of first and second generation Afro-Caribbeans. Social Psychiatry, 22, 139149.CrossRefGoogle ScholarPubMed
Mukherjee, S., Shukla, S., Woodle, J., et al (1983) Misdiagnosis of schizophrenia in bipolar patients: a multiethnic comparison. American Journal of Psychiatry, 140, 15711574.Google ScholarPubMed
Ndeti, D. M. & Vadher, A. (1984a) A cross cultural study of the frequencies of Schneider's first rank symptoms of schizophrenia. Acta Psychiatrica Scandinavica, 70, 540544.CrossRefGoogle Scholar
Ndeti, D. M. & Vadher, A. (1984b) Frequency and clinical significance of delusions across cultures. Acta Psychiatrica Scandinavica, 70, 7376.CrossRefGoogle Scholar
Office of Population Censuses and Surveys (1981) Census 1981. London: HMSO.Google Scholar
Rack, P. (1982) Race, Culture and Mental Disorder. London: Tavistock.Google Scholar
Rwegellera, G. G. C. (1977) Psychiatric morbidity among West Africans and West Indians living in London. Psychological Medicine, 7, 317329.CrossRefGoogle Scholar
Rwegellera, G. G. C. (1980) Differential use of psychiatric services by West Indians, West Africans and English in London. British Journal of Psychiatry, 137, 428432.CrossRefGoogle Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1977) Research Diagnostic Criteria (RDC) for a Selected Group of Functional Disorders (3rd edn). New York: Biometrics Research Division, New York State Psychiatric Institute.Google Scholar
Tewfik, G. I. & Okasha, A. (1965) Psychosis and immigration. Postgraduate Medical Journal, 41, 603612.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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