Cannabis misuse in first episode psychosis in the Netherlands: A comparison of ethnic groups

Objective: To compare patterns of health care utilization associated with first presentation of psychosis among different racial and ethnic groups of patients.Design: The study was a retrospective observational design.Settings: The study was conducted in five health care systems in the western United States. All sites were also part of the National Institute of Mental Health-funded Mental Health Research Network (MHRN).Participants: Patients (n = 852) were aged 15 – 59 years (average 26.9 ± 12.2 years), 45% women, and primarily non-Hispanic White (53%), with 16% Hispanic, 10% non-Hispanic Black, 6% Asian, 1% Native Hawaiian/Pacific Islander, 1% Native American/ Alaskan Native, and 12% unknown race/ethnicity.Methods: Data abstracted from electronic medical records and insurance claims data were organized into a research virtual data warehouse (VDW) and used for analysis.Main Outcome Measures: Variables examined were patterns of health care utilization, type of comorbid mental health condition, and type of treatment received in the three years before first presentation of psychosis.Results: Compared with non-Hispanic Whites, Asian patients (16% vs 34%; P=.007) and non-Hispanic Black patients (20% vs 34%; P=.009) were less likely to have a visit with specialty mental health care before their first presentation of psychosis.Conclusions: Early detection of first episode psychosis should start with wider screening for symptoms outside of any indicators for mental health conditions for non-Hispanic Black and Asian patients. Ethn Dis. 2019;29(4):609-616; doi:10.18865/ ed.29.4.609

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Minor physical anomalies across ethnic groups in a first episode psychosis sample

Schizophrenia Research ◽

10.1016/j.schres.2006.08.019 ◽

2007 ◽

Vol 89 (1-3) ◽

pp. 86-90 ◽

Cited By ~ 14

Author(s):

K. Dean ◽

P. Dazzan ◽

T. Lloyd ◽

C. Morgan ◽

K. Morgan ◽

...

Keyword(s):

Ethnic Groups ◽

First Episode Psychosis ◽

First Episode ◽

Episode Psychosis ◽

Minor Physical Anomalies

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Change in incidence rates for psychosis in different ethnic groups in south London: findings from the Clinical Record Interactive Search-First Episode Psychosis (CRIS-FEP) study

Psychological Medicine ◽

10.1017/s0033291719003234 ◽

2019 ◽

pp. 1-10 ◽

Cited By ~ 2

Author(s):

Sherifat Oduola ◽

Jayati Das-Munshi ◽

Francois Bourque ◽

Charlotte Gayer-Anderson ◽

Jason Tsang ◽

...

Keyword(s):

Ethnic Group ◽

Ethnic Groups ◽

Psychotic Disorders ◽

First Episode Psychosis ◽

Incidence Rates ◽

First Episode ◽

Black African ◽

Episode Psychosis ◽

Clinical Records ◽

Over Time

Abstract Background A higher incidence of psychotic disorders has been consistently reported among black and other minority ethnic groups, particularly in northern Europe. It is unclear whether these rates have changed over time. Methods We identified all individuals with a first episode psychosis who presented to adult mental health services between 1 May 2010 and 30 April 2012 and who were resident in London boroughs of Lambeth and Southwark. We estimated age-and-gender standardised incidence rates overall and by ethnic group, then compared our findings to those reported in the Aetiology and Ethnicity of Schizophrenia and Other Psychoses (ÆSOP) study that we carried out in the same catchment area around 10 years earlier. Results From 9109 clinical records we identified 558 patients with first episode psychosis. Compared with ÆSOP, the overall incidence rates of psychotic disorder in southeast London have increased from 49.4 (95% confidence interval (CI) 43.6–55.3) to 63.1 (95% CI 57.3–69.0) per 100 000 person-years at risk. However, the overall incidence rate ratios (IRR) were reduced in some ethnic groups: for example, IRR (95% CI) for the black Caribbean group reduced from 6.7 (5.4–8.3) to 2.8 (2.1–3.6) and the ‘mixed’ group from 2.7 (1.8–4.2) to 1.4 (0.9–2.1). In the black African group, there was a negligible difference from 4.1 (3.2–5.3) to 3.5 (2.8–4.5). Conclusions We found that incidence rates of psychosis have increased over time, and the IRR varied by the ethnic group. Future studies are needed to investigate more changes over time and determinants of change.

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Jumping to social conclusions?: The implications of early and uninformed social judgements in first episode psychosis.

Journal of Abnormal Psychology ◽

10.1037/abn0000490 ◽

2020 ◽

Vol 129 (1) ◽

pp. 131-141

Author(s):

Michael J. Grossman ◽

Christopher R. Bowie

Keyword(s):

First Episode Psychosis ◽

First Episode ◽

Episode Psychosis

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Gender differences in response to metacognitive training in people with first-episode psychosis.

Journal of Consulting and Clinical Psychology ◽

10.1037/ccp0000468 ◽

2020 ◽

Vol 88 (6) ◽

pp. 516-525 ◽

Cited By ~ 1

Author(s):

Miriam Salas-Sender ◽

Raquel López-Carrilero ◽

Ana Barajas ◽

Esther Lorente-Rovira ◽

Esther Pousa ◽

...

Keyword(s):

Gender Differences ◽

First Episode Psychosis ◽

First Episode ◽

Metacognitive Training ◽

Episode Psychosis

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Cognitive clusters in first-episode psychosis: Overlap with healthy controls and relationship to concurrent and prospective symptoms and functioning.

Neuropsychology ◽

10.1037/neu0000367 ◽

2017 ◽

Vol 31 (7) ◽

pp. 787-797 ◽

Cited By ~ 18

Author(s):

Jacqueline Uren ◽

Susan M. Cotton ◽

Eoin Killackey ◽

Michael M. Saling ◽

Kelly Allott

Keyword(s):

First Episode Psychosis ◽

First Episode ◽

Healthy Controls ◽

Episode Psychosis

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Improving outcomes: Factors influencing help-seeking behaviors in immigrants and ethnic minorities with first-episode psychosis

Die Psychiatrie ◽

10.1055/s-0038-1672286 ◽

2016 ◽

Vol 13 (03) ◽

pp. 152-157

Author(s):

A. O. Berg ◽

K. Leopold ◽

S. Zarafonitis-Müller ◽

M. Nerhus ◽

L. H. Stouten ◽

...

Keyword(s):

Mental Health ◽

Help Seeking ◽

Service Use ◽

First Episode Psychosis ◽

Pathways To Care ◽

First Episode ◽

Factors Influencing ◽

Increased Risk ◽

Episode Psychosis ◽

The Hague

Summary Background: Immigrants have increased risk of a poor recovery from first episode psychosis (FEP). Early treatment can improve prognosis, but having an immigrant background may influence pathways to care. Method: We present research of service use and factors influencing treatment outcome in immigrants with FEP. Service use was assessed in in-patients at an early intervention center in Berlin, Germany. Duration of untreated psychosis and beliefs about illness was assessed in a FEP study in Oslo, Norway and cognitive functioning in patients with FEP schizophrenia from the regular mental health services in The Hague, the Netherlands. The proportion of immigrants in Berlin and Oslo was at level with the local populations, while the proportion in The Hague appeared to be higher. Result: There were clear indications that mental health literacy, probably based in different cultural expectations, were lower in first generation immigrants (FGI). Findings regarding clinical insight were ambiguous. There were also indications that FGI had more cognitive problems, based in higher stress levels or in cognitive styles. Early psychosis services must take issues of immigration and ethnicity into consideration.

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