Document Detail


First contact incidence of psychotic disorders among native Dutch and Moroccan immigrants in the Netherlands: influence of diagnostic bias.
MedLine Citation:
PMID:  20332065     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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% CI 4.7-13.5) and 7.8 (95% CI 4.0-15.2) respectively based on the standard diagnostic interview and 4.2 (95% CI 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.
Authors:
T Zandi; J M Havenaar; M Smits; A G Limburg-Okken; H van Es; W Cahn; A Algra; R S Kahn; W van den Brink
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-23
Journal Detail:
Title:  Schizophrenia research     Volume:  119     ISSN:  1573-2509     ISO Abbreviation:  Schizophr. Res.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-12     Completed Date:  2010-07-30     Revised Date:  2010-11-29    
Medline Journal Info:
Nlm Unique ID:  8804207     Medline TA:  Schizophr Res     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  27-33     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 Elsevier B.V. All rights reserved.
Affiliation:
Altrecht, Institute for Mental Health Care, Utrecht, The Netherlands. hijma-zandi@planet.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cross-Cultural Comparison*
Cross-Sectional Studies
Diagnosis, Differential
Emigrants and Immigrants / psychology*,  statistics & numerical data*
Female
Humans
Incidence
Interview, Psychological / standards*
Male
Middle Aged
Morocco / ethnology
Netherlands
Psychometrics / statistics & numerical data
Psychotic Disorders / diagnosis,  epidemiology*,  ethnology*
Reproducibility of Results
Schizophrenia / diagnosis,  epidemiology*,  ethnology*
Young Adult
Comments/Corrections
Comment In:
Schizophr Res. 2010 Dec;124(1-3):240-1   [PMID:  20813502 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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