Ethnicity and negative symptoms in patients with schizophrenia.

Cultural diversity and mental health Pub Date : 1998-01-01
A M Dassori, A L Miller, D Velligan, D Saldana, P Diamond, R Mahurin
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引用次数: 0

Abstract

The purpose of this study was to assess ethnic differences in the negative symptom profile of 25 Anglo American and 26 Mexican American subjects with schizophrenia. Subjects were rated at the end of a 1-2-week medication washout period (time 1) and at discharge (time 2) with the Negative Symptoms Assessment (NSA), Brief Psychiatric Research Scale, (BPRS), the [Diagnostic and Statistical Manual of Mental Disorders (4th edition)] DSM-IV negative factor score and LAECA acculturation scale. Total NSA scores were significantly higher among Mexican Americans both at time 1 and time 2. Among the five subscales of the NSA, ethnic differences were significant only for the Cognition subscale at time 1. Results indicate no ethnic differences in core negative symptoms (alogia, avolition, flat affect), but do suggest that a cognition-related factor differs between Mexican American and Anglo American schizophrenic patients.

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精神分裂症患者的种族和阴性症状
本研究的目的是评估25名盎格鲁裔美国人和26名墨西哥裔美国人精神分裂症患者的阴性症状特征的种族差异。在1-2周的药物洗脱期结束(时间1)和出院(时间2)时,对受试者进行阴性症状评估(NSA)、精神病学简要研究量表(BPRS)、《精神障碍诊断与统计手册(第四版)》DSM-IV阴性因素评分和LAECA文化适应量表的评定。在时间1和时间2中,墨西哥裔美国人的总NSA得分明显更高。在NSA的五个分量表中,只有认知分量表在时间1时存在显著的种族差异。结果显示,在核心阴性症状(痛症、逃避、平淡情绪)上,种族间没有差异,但确实提示墨西哥裔美国人和英美裔美国人精神分裂症患者之间存在认知相关因素的差异。
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