Psychiatric Morbidity of West Indian Immigrants in an Urban Group Practice

Kiev, Ari

doi:10.1192/bjp.111.470.51

Cited by 55 publications

(25 citation statements)

References 8 publications

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“…This agrees with Pinsent's studies among West Indians in Birmingham (17), and disagrees with those of Kiev (11) in London and Burke (3) in the West Indies. As expected, all groups of male schizophrenics were less likely to be married than female schizophrenics.…”

contrasting

confidence: 42%

“…Most British studies demonstrate increased rates among West Indians (8,9,11,17,21) and West Africans (5, 19). Rates of diagnosed mental illness are affected by the type of diagnoses chosen; the perception of symptomatology, possibly confused with transcultural factors (paranoia and witchcraft beliefs), have been commonly noted among migrants (5,7,8,21,22); and the practice of combining diagnoses to obtain statistical significance, with inevitable loss of phenomenological definition.…”

mentioning

confidence: 99%

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Migration, Ethnicity and Diagnosis

Littlewood¹,

Lipsedge²

1978

Psychopathology

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Various studies have demonstrated an increase in mental illness in black immigrants in Britain. A retrospective study of hospital records suggests that if the culturally atypical features of paranoid and religious flavour are taken into consideration, rates are then similar to those of the British-born. An interim report from an ongoing prospective study, using the Present State Examination and a Religious Interest Questionnaire, suggests that some of the black patients with diagnoses of schizophrenia might be more reasonably considered to have acute psychotic reactions or bouffées délirantes. The relative significance of culturally significant features as consitituting an entity or merely being pathoplastic is briefly discussed.

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contrasting

confidence: 42%

mentioning

confidence: 99%

Migration, Ethnicity and Diagnosis

Littlewood¹,

Lipsedge²

1978

Psychopathology

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“…The earliest studies of the incidence of schizophrenia in the new migrant populations reported higher than expected rates in migrants of African-Caribbean origin. 4,5 There have subsequently been at least 18 studies investigating this issue, all of which have shown that rates are elevated in the AfricanCaribbean population relative to the white population (between 2 and 18 times). The validity of these findings has been the subject of intense debate in the UK, a debate partly fueled by the methodological shortcomings of early studies (eg, inadequate population denominator data, use of nonstandardized diagnoses, and uncertainty over the completeness of case ascertainment).…”

Section: Later Studies: the United Kingdommentioning

confidence: 99%

Environmental Factors in Schizophrenia: The Role of Migrant Studies

Fearon

Morgan

2005

Schizophrenia Bulletin

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There is now compelling evidence that migrant groups in several countries have an elevated risk of developing schizophrenia and other psychotic disorders. Though the findings of earlier studies were greeted with skepticism, and ascribed by some to have methodological shortcomings and diagnostic biases, the more rigorous recent studies, from a variety of countries, have still found markedly increased incidence rates. While this phenomenon is an important health issue in its own right, understanding the reasons for the increased rates may provide valuable insights into the causes of schizophrenia and other psychotic disorders in general. The challenge for the next phase of studies is to identify the relevant risk factors and how they might interact to increase the risk of psychosis, both in migrant groups and in the general population.

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“…• Kiev (1965) reported a higher overall consultation rate among Black (Jamaican) primary care attendees in Brixton, south London. The rate of psychiatric disorder was also higher than among the White British population.…”

Section: Detection and Referral Of Psychiatric Morbiditymentioning

confidence: 99%

Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

Bhui¹,

Bhugra²

2002

Adv. psychiatr. treat

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A substantial body of research indicates that, for people from Black and Asian ethnic minorities, access to, utilisation of and treatments prescribed by mental health services differ from those for White people (Lloyd & Moodley, 1992; for a review see Bhui, 1997). Pathways to mental health care are important, and the widely varying pathways taken in various societies may reflect many factors: the attractiveness and cultural appropriateness of services; attitudes towards services; previous experiences; and culturally defined lay referral systems (Goldberg, 1999). Contact with mental health care services may be imposed on the individual, but people who choose to engage with services usually do so only if they think that their changed state of functioning is health-related and potentially remediable through these services. In such cases, they will contact whoever they perceive to be the most appropriate carer, and these carers are often not part of a national health care network.

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Psychiatric Morbidity of West Indian Immigrants in an Urban Group Practice

Cited by 55 publications

References 8 publications

Migration, Ethnicity and Diagnosis

Migration, Ethnicity and Diagnosis

Environmental Factors in Schizophrenia: The Role of Migrant Studies

Mental illness in Black and Asian ethnic minorities: pathways to care and outcomes

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