First contact incidence of psychotic disorders among native Dutch and Moroccan immigrants in the Netherlands: Influence of diagnostic bias

被引:39
|
作者
Zandi, T. [1 ]
Havenaar, J. M. [1 ]
Smits, M. [1 ]
Limburg-Okken, A. G. [1 ]
van Es, H. [1 ]
Cahn, W. [2 ]
Algra, A. [3 ,4 ]
Kahn, R. S. [2 ]
van den Brink, W. [5 ]
机构
[1] Inst Mental Hlth Care, Utrecht, Netherlands
[2] Univ Med Ctr, Dept Psychiat, Utrecht, Netherlands
[3] Univ Med Ctr, Dept Neurol, Rudolf Magnus Inst Neurosci, Utrecht, Netherlands
[4] Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[5] Amsterdam Med Ctr, Dept Psychiat, Amsterdam, Netherlands
关键词
Standardized diagnosis; Schizophrenia; Psychosis; Misdiagnosis; Ethnic minority; SCHIZOPHRENIA; MIGRANTS; SYMPTOMS; POPULATION; PREVALENCE; INSTRUMENT; TURKISH;
D O I
10.1016/j.schres.2010.02.1059
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Several studies have reported increased incidence rates of psychotic disorders among immigrant groups. Surprisingly, the cross-cultural validity of the diagnostic instruments that were used was never tested. Aims: To examine whether the incidence rates of psychotic disorders including schizophrenia among Moroccan immigrants to the Netherlands remain increased when a cultural sensitive diagnostic interview is used. Method: We compared first contact incidence with a standard and a cultural sensitive version of a diagnostic interview. Results: Age and gender adjusted relative risk for psychotic disorders and schizophrenia among Moroccans compared to native Dutch was 7.9 (95% Cl 4.7-13.5) and 7.8 (95% Cl 4.0-15.2) respectively based on the standard diagnostic interview and 4.2 (95% Cl 2.3-7.9) and 1.5 (0.5-4.3) respectively based on the cultural sensitive version the diagnostic interview. Conclusion: First contact incidence of schizophrenia among Moroccans was no longer significantly higher than among ethnic Dutch people when a cultural sensitive diagnostic procedure was applied. (C) 2010 Elsevier B.V. All rights reserved.
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页码:27 / 33
页数:7
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