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African–Caribbeans and schizophrenia: contributing factors

  • Dinesh Bhugra and Kamaldeep Bhui
Extract

The epidemiology and management of schizophrenia have been well studied over the past few decades. In the UK, key findings that have emerged time and again are the excess prevalence and incidence rates of schizophrenia among people of African–Caribbean origin. The reasons for this excess and the implications of this finding are many. The findings may reflect a true excess or a methodological artefact related to errors in the estimation of numerator and denominator data. The findings have been increasingly accepted as better designed studies have emerged, but these still do not fully address concerns about the nature of schizophrenia in other cultural groups and in societies in which industrialisation and economic productivity of the individual are not considered to be as crucial for an individual's sense of belonging in a community.

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References
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Babcock, J. W. (1895) The colored insane. Alienist and Neurologist, 16, 423447.
Bhugra, D. (2001) Migration and schizophrenia. Acta Psychiatrica Scandinavia Supplementum, 407, 6873.
Bhugra, D., Leff, J., Mallett, R. et al (1997) Incidence and outcome of schizophrenia in Whites, African-Caribbeans and Asians in London. Psychological Medicine, 27, 791798.
Bhugra, D., Mallett, R. & Leff, J. (1999) Schizophrenia and African-Caribbeans: a conceptual model of aetiology. International Review of Psychiatry, 11, 145152.
Carpenter, L. & Brockington, I. F. (1980) A study of mental illness in Asians, West Indians and Africans living in Manchester. British Journal of Psychiatry, 137, 201205.
Castle, D., Wessely, S., Der, G. et al (1991) The incidence of operationally defined schizophrenia in Camberwell 1965–84. British Journal of Psychiatry, 159, 790794.
Chasson, J. B. (1963) Race, age and sex in discharge probabilities of first admissions to a psychiatric hospital. Psychiatry, 26, 391393.
Cochrane, R. (1977) Mental illness in immigrants in England and Wales. Social Psychiatry, 12, 2535.
Cochrane, R. & Bal, S. S. (1989) Mental hospital admission rates of immigrants to England. Social Psychiatry and Psychiatric Epidemiology, 24, 211.
Crawford, F., Rollins, G. & Sutherland, R. (1960) Variation between negroes and Whites in concepts of mental illness and its treatment. Annals of the New York Academy of Sciences, 84, 918937.
Dean, G., Walsh, D., Downing, H. et al (1981) First admissions of native born and immigrants to psychiatric hospitals in South-East England 1976. British Journal of Psychiatry, 139, 506512.
Faris, R. & Dunham, W. (1960) Mental Disorders in Urban Areas. Chicago, IL: University of Chicago Press.
Frumkin, R. (1954) Race and major mental disorders. Journal of Negro Education, 23, 9798.
Glover, G. (1989) Differences in psychiatric admission patterns between Caribbeans from different islands. Social Psychiatry, 24, 209211.
Green, E. M. (1914) Psychosis among negroes: A comparative study. Journal of Neurones and Mental Disease, 41, 697708.
Harrison, G., Owens, D., Holton, A. et al (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 18, 643657.
Harrison, G., Glazebrook, C., Brewin, J. et al (1997) Increased incidence of psychotic disorders in migrants from the Caribbean in the UK. Psychological Medicine, 27, 299807.
Harvey, I., William, M., McGuffin, P. et al (1990) The functional psychoses in Afro-Caribbeans. British Journal of Psychiatry, 157, 515522.
Hemsi, L. K. (1967) Psychiatric morbidity of West Indian immigrants. Social Psychiatry, 2, 95100.
Hutchinson, G., Takei, N., Fahy, T. A. et al (1996) Morbid risk of schizophrenia in first-degree relatives of white and African–Caribbean patients with psychosis. British Journal of Psychiatry, 169, 776780.
Jaco, E. G. (1960) The Social Epidemiology of Mental Disorders. New York: Russell Sage Foundation.
Kendell, R. E., McInneny, K., Juszczack, E. et al (2000) Obstetric complications and schizophrenia. Two case–control studies based on structured obstetric records. British Journal of Psychiatry, 176, 516522.
Kiev, A. (1965) Psychiatric morbidity of West Indian immigrants in an urban general practice. British Journal of Psychiatry, 111, 5156.
King, M., Cole, E., Leavy, G. et al (1994) Incidence of psychotic illness in London. British Medical Journal, 309, 11151119.
Klee, G. et al (1967) An ecological analysis of diagnosed mental disorder in Baltimore. In Psychiatric Epidemiology and Mental Health Planning (ed. Monroe, R. R.) Washington, DC: American Psychiatric Association.
Kraus, J. (1969) Some social factors and the rates of psychiatric hospital admissions of immigrants in New South Wales. Medical Journal of Australia, 2, 17.
Littlewood, R. & Lipsedge, M. (1981) Some social phenomenological characteristics of psychotic immigrants. Psychological Medicine, 11, 289302.
Malzberg, B. (1963) Mental disorders in the US. In Encyclopaedia of Mental Health (ed. Deutsch, M. A.) Vol. 5. New York: Franklin Watts.
McGovern, D. & Cope, R. (1987) First admission rates of first and second generation Afro-Caribbeans. Social Psychiatry, 22, 139148.
McGrath, J. & Murray, R. (1995) Risk factors for schizophrenia from conception to birth. In: Schizophrenia (eds Hirsch, S. R. & Weinberger, D.) Oxford: Blackwell Science.
McKenzie, K., van Os, J., Fahy, T. et al (1995) Psychosis with good prognosis in Afro-Caribbean people now living in the United Kingdom. British Medical Journal, 311, 13251328.
McLean, H. U. (1949) The emotional health of negroes. Journal of Negro Education, 18, 283290.
Mukherjee, S., Shukla, S., Woodle, J. et al (1983) Misdiagnosis of schizophrenia in bipolar patients. American Journal of Psychiatry, 140, 15711574.
Murphy, H. B. M. (1968) Socio-cultural factors in schizophrenia. In: Social Psychiatry (eds Zubin, J. & Freyhan, F.) New York: Grune & Strattan.
Nazroo, J. Y. (1997) Ethnicity and Mental Health. London: PSI Press.
Rwegellera, G. G. C. (1977) Psychiatric morbidity among West Africans and West Indians living in London. Psychological Medicine, 7, 317329.
Snowden, L. & Cheung, F. (1990) Use of inpatient mental health services by members of ethnic minority groups. American Psychologist, 45, 347355.
Sugarman, P. A. & Craufurd, D. (1994) Schizophrenia in the Afro-Caribbean Community. British Journal of Psychiatry, 164, 474480.
Thomas, C. S., Stone, K., Osborn, M. et al (1993) Psychiatric morbidity and compulsory admission among UK-born Europeans, Afro-Caribbeans and Asians in central Manchester. British Journal of Psychiatry, 163, 9199.
Wilson, D. & Lantz, E. (1957) The effect of culture change of the Negro race in Virginia as indicated by a study of state hospital admissions. American Journal of Psychiatry, 114, 2532.
Wilkinson, R. G. (1999) Income inequality, social cohesion and health: clarifying the theory. A reply to Muntaner and Lynch. International Journal of Health Services, 29, 525543.
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BJPsych Advances
  • ISSN: 1355-5146
  • EISSN: 1472-1481
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African–Caribbeans and schizophrenia: contributing factors

  • Dinesh Bhugra and Kamaldeep Bhui
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