perceived discrimination is associated with severity of positive and depressionanxiety symptoms in immigrants with psychosis a cross-sectional study歧视与积极和depressionanxiety症状的严重性移民精神病横断面研究.pdfVIP

Berg et al. BMC Psychiatry 2011, 11:77 /1471-244X/11/77 RESEARCH ARTICLE Open Access Perceived discrimination is associated with severity of positive and depression/anxiety symptoms in immigrants with psychosis: a cross-sectional study 1,2* 1,2 1,2 2 1 2 Akiah O Berg , Ingrid Melle , Jan Ivar Rossberg , Kristin Lie Romm , Sara Larsson , Trine V Lagerberg , Ole A Andreassen1,2 and Edvard Hauff1,2 Abstract Background: Immigration status is a significant risk factor for psychotic disorders, and a number of studies have reported more severe positive and affective symptoms among immigrant and ethnic minority groups. We investigated if perceived discrimination was associated with the severity of these symptoms among immigrants in Norway with psychotic disorders. Methods: Cross-sectional analyses of 90 immigrant patients (66% first-generation, 68% from Asia/Africa) in treatment for psychotic disorders were assessed for DSM-IV diagnoses with the Structured Clinical Interview for DSM Disorders (SCID-I, sections A-E) and for present symptom severity by The Structured Positive and Negative Syndrome Scale (SCI-PANSS). Perceived discrimination was assessed by a self-report questionnaire developed for the Immigrant Youth in Cultural Transition Study. Results: Perceived discrimination correlated with positive psychotic (r = 0.264, p 0.05) and depression/anxiety symptoms (r = 0.282, p 0.01), but not negative, cognitive, or excitement symptoms. Perceived discrimination also functioned as a partial mediator for symptom severity in African immigrants. Multiple linear regression analyses controlling for possible confounders revealed that perceived discrimination explained approximately 10% of the variance