Long-term follow-up of young Afro-Caribbean Britons and white Britons with a first admission diagnosis of schizophrenia

McGovern, Dermot; Hemmings, Patricia; Cope, Rosemarie; Lowerson, A.

doi:10.1007/bf00796443

Cited by 33 publications

(2 citation statements)

References 46 publications

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“…Their psychosocial outcome also seems to be poorer than that of the original population. In studies with schizophrenia patients compared with white patients, black patients had a poorer outcome in terms of readmissions [40], and African American patients had a slower rate of improvement in social functioning [41]. The results of the present study, together with earlier studies on different patient samples, emphasises the fact that people of minor ethnic groups need special attention and interventions tailored to their special needs for improving their life in general and their psychosocial outcome specifically.…”

Section: Ethnicitysupporting

confidence: 48%

Psychosocial outcome in patients at clinical high risk of psychosis: a prospective follow-up

Salokangas

Nieman

Heinimaa

et al. 2012

Soc Psychiatry Psychiatr Epidemiol

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The majority of CHR patients experience good short-term recovery, but one-third have poor psychosocial outcome. Good working situation is the major indicator of good outcome, while low level of education and non-white ethnicity seem to be associated with poor outcome. Transition to psychosis has little effect on psychosocial outcome in CHR patients. In treating CHR patients, clinicians should focus their attention on a broader outcome, and not only on preventing transition to psychosis.

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Section: Ethnicitysupporting

confidence: 48%

Psychosocial outcome in patients at clinical high risk of psychosis: a prospective follow-up

Salokangas

Nieman

Heinimaa

et al. 2012

Soc Psychiatry Psychiatr Epidemiol

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“…Furthermore, there is no evidence that United Kingdom psychiatrists currently overdiagnose schizophrenia in African Caribbeans (G. Lewis, Croft-Jeffreys, & David, 1990; McGovern, Hemmings, Cope, & Lowerson, 1994). Also a Caribbean psychiatrist who carried out a rediagnosis study of cases of psychosis at a London hospital categorized a similar proportion of African Caribbean patients as having psychosis as did his White counterparts (Hickling, McKenzie, Mullen, & Murray, 1999).…”

Section: Migration Designsmentioning

confidence: 99%

Testing hypotheses on specific environmental causal effects on behavior.

Rutter¹,

Pickles²,

Murray³

et al. 2001

Psychological Bulletin

468

495

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There have been strong critiques of the notion that environmental influences can have an important effect on psychological functioning. The substance of these criticisms is considered in order to infer the methodological challenges that have to be met. Concepts of cause and of the testing of causal effects are discussed with a particular focus on the need to consider sample selection and the value (and limitations) of longitudinal data. The designs that may be used to test hypotheses on specific environmental risk mechanisms for psychopathology are discussed in relation to a range of adoption strategies, twin designs, various types of "natural experiments," migration designs, the study of secular change, and intervention designs. In each case, consideration is given to the need for samples that "pull-apart" variables that ordinarily go together, specific hypotheses on possible causal processes, and the specification and testing of key assumptions. It is concluded that environmental risk hypotheses can be (and have been) put to the test but that it is usually necessary to use a combination of research strategies.

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Cognitive Behavioural Interventions in Early Intervention Services

Newton

Cotes

2010

Promoting Recovery in Early Psychosis

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Long-term follow-up of young Afro-Caribbean Britons and white Britons with a first admission diagnosis of schizophrenia

Cited by 33 publications

References 46 publications

Psychosocial outcome in patients at clinical high risk of psychosis: a prospective follow-up

Psychosocial outcome in patients at clinical high risk of psychosis: a prospective follow-up

Testing hypotheses on specific environmental causal effects on behavior.

Cognitive Behavioural Interventions in Early Intervention Services

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