Letter to the Editor: Prevention is better than cure: a reply to McKenzie, March <i>et al.</i> and Selten &amp; Cantor-Graae

Morgan, Craig; Hutchinson, Gerard

doi:10.1017/s0033291709990547

Cited by 1 publication

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“…Psychotic illness is more prevalent in migrant and minority ethnic groups (Veling et al 2007; Kirkbride et al 2008; Morgan et al 2010). The association between being a member of an ethnic minority group and incidence of psychotic disorders is typically linked to a greater exposure to adverse social experiences among minorities, such as racial discrimination or social isolation during their life course (Selten & Cantor-Graae, 2005; Veling et al 2007; Morgan & Hutchinson, 2010).…”

Section: Introductionmentioning

confidence: 99%

Ethnicity and baseline symptomatology in patients with an At Risk Mental State for psychosis

et al. 2011

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Background. Ethnicity has been associated with different incidence rates and different symptom profiles in young patients with psychotic-like disorders. No studies so far have examined the effect of ethnicity on symptoms in people with an At Risk Mental State (ARMS).Method. In this cross-sectional study, we analysed the relationship between ethnicity and baseline data on the severity of psychopathology scores in 201 help-seeking patients who met the ARMS criteria and agreed to participate in the Dutch Early Detection and Intervention (EDIE-NL) trial. Eighty-seven of these patients had a non-Dutch ethnicity. We explored the possible mediating role of ethnic identity.Results. Higher rates of negative symptoms, and of anhedonia in particular, were found in the ethnic minority group. This result could be attributed mainly to the Moroccan-Dutch and Turkish-Dutch subgroups, who also presented with more depression symptoms when the groups were examined separately. The ethnic minority group displayed a lower level of ethnic group identity compared to the immigrants of the International Comparative Study of Ethnocultural Youth (ICSEY). Ethnic identity was inversely related to symptoms in the Moroccan-Dutch patient group.Conclusions. The prevalence of more severe negative symptoms and depression symptoms in ethnic minority groups deserves more attention, as the experience of attenuated positive symptoms when accompanied by negative symptoms or distress has proven to be predictive for transition to a first psychotic episode.

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