Author:
Sharpley Mandy,Hutchinson Gerard,Murray Robin M.,McKenzie Kwame
Abstract
BackgroundIncreased rates of schizophrenia continue to be reported among the African–Caribbean population in England.AimsTo evaluate the competing biological, psychological and social explanations that have been proposed.MethodLiterature review.ResultsThe African–Caribbean population in England is at increased risk of both schizophrenia and mania; the higher rates remain when operational diagnostic criteria are used. The excess of the two psychotic disorders are probably linked: African–Caribbean patients with schizophrenia show more affective symptoms, and a more relapsing course with greater social disruption but fewer chronic negative symptoms, than White patients. No simple hypothesis explains these findings.ConclusionsMore complex hypotheses are needed. One such links cultural variation in symptom reporting, the use of phenomenological constructs by psychiatrists and social disadvantage.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
226 articles.
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