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Social Psychiatry and Psychiatric Epidemiology

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01.11.2014 | Original Paper

The impact of immigration and visible minority status on psychosis symptom profile

verfasst von: Akiah Ottesen Berg, Ole A. Andreassen, Sofie Ragnhild Aminoff, Kristin Lie Romm, Edvard Hauff, Ingrid Melle

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 11/2014

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Abstract

Purpose

Immigrants have heightened risks of psychotic disorders, and it is proposed that migration influences symptom profiles. The purpose of this study was to investigate if either migration experience and/or visible minority status affected symptom profiles, using a cross-culturally validated five-factor model of the Positive and Negative Syndrome Scale (PANSS), in patients with broadly defined psychotic disorders.

Methods

PANSS was assessed in a large catchment area based sample of patients with psychotic disorders verified with the Structured Clinical Interview for DSM-IV (n = 1,081). Symptom profiles based on Wallwork et al. five-factor model were compared for Norwegians (73 %), white immigrants (10.5 %), and visible minority groups (16.5 %).

Results

Visible minorities were significantly younger, had less education, more often a schizophrenia diagnosis and higher PANSS positive, negative and disorganized/concrete factor scores than Norwegians and white immigrants. After controlling for confounders only the items “Delusions” and “Difficulty in abstract thinking” differed between groups. Multivariate analyses indicated that these items were not associated with immigration per se, but rather belonging to a visible minority.

Conclusion

We found mostly similarities in psychotic symptoms between immigrants and Norwegians when using a cross-culturally validated five-factor model of the PANSS. Immigration did not directly influence psychotic symptom profiles but visible minority groups had higher levels of “Delusions” and “Difficulty in abstract thinking”, both symptoms that are partially context dependent.

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Titel: The impact of immigration and visible minority status on psychosis symptom profile
verfasst von: Akiah Ottesen Berg
Ole A. Andreassen
Sofie Ragnhild Aminoff
Kristin Lie Romm
Edvard Hauff
Ingrid Melle
Publikationsdatum: 01.11.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 11/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-014-0897-x

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