tailieunhanh - Báo cáo y học: " A systematic review of personality disorder, race and ethnicity: prevalence, aetiology and treatment"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A systematic review of personality disorder, race and ethnicity: prevalence, aetiology and treatment | McGilloway et al. BMC Psychiatry 2010 10 33 http 1471-244X 10 33 BMC Psychiatry RESEARCH ARTICLE Open Access A systematic review of personality disorder race and ethnicity prevalence aetiology and treatment Angela McGilloway1 Ruth E Hall1 Tennyson Lee4 and Kamaldeep S Bhui 2 3 4 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 CIs - p 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 is some evidence of ethnic variations in prevalence of personality disorder but methodological characteristics are likely to account for some of the variation. The findings may indicate neglect of PD diagnosis among ethnic groups or a true lower prevalence .