a systematic review of personality disorder, race and ethnicity prevalence, aetiology and treatment人格障碍的系统回顾,种族和种族发病率、病因学和治疗.pdfVIP

McGilloway et al. BMC Psychiatry 2010, 10:33 /1471-244X/10/33 R E S E A R C H A R T I C L E Open Access Research article A systematic review of personality disorder, race and ethnicity: prevalence, aetiology and treatment 1 1 4 2,3,4 Angela McGilloway , Ruth E Hall , Tennyson Lee and Kamaldeep S Bhui* Abstract Background: Although psychoses and ethnicity are well researched, the importance of culture, race and ethnicity has been overlooked in Personality Disorders (PD) research. This study aimed to review the published literature on ethnic variations of prevalence, aetiology and treatment of PD. Method: A systematic review of studies of PD and race, culture and ethnicity including a narrative synthesis of observational data and meta-analyses of prevalence data with tests for heterogeneity. Results: There were few studies with original data on personality disorder and ethnicity. Studies varied in their classification of ethnic group, and few studies defined a specific type of personality disorder. Overall, meta-analyses revealed significant differences in prevalence between black and white groups (OR 0.476, CIs 0.248 - 0.915, p = 0.026) but no differences between Asian or Hispanic groups compared with white groups. Meta-regression analyses found that heterogeneity was explained by some study characteristics: a lower prevalence of PD was reported among black compared with white patients in UK studies, studies using case-note diagnoses rather than structured diagnostic interviews, studies of borderline PD compared with the other PD, studies in secure and inpatient compared with community settings, and among subjects with co-morbid disorders compared to the rest. The evidence base on aetiology and treatment was small. Conclusion: There