Cross-ethnic evaluation of psychotic symptom content in hospitalized middle-aged and older adults

General Hospital Psychiatry
Ann Marie YamadaDilip V Jeste

Abstract

The objective of this study was to examine ethnic differences in the content of delusions and hallucinations among a tri-ethnic sample of adult psychiatric inpatients older than 40 years who were hospitalized with an acute psychotic episode. A chart review of inpatient episodes for 133 middle-aged and older adult patients (31 African Americans, 50 Latinos, and 52 Euro-Americans) with a mean age of 50 years was performed at an acute behavioral medicine unit at a university hospital. All patients were diagnosed with a severe psychotic disorder. The content and frequency of psychotic symptoms were systematically reviewed using a structured checklist and comparisons across ethnic groups were made using chi(2) statistics. Ethnic group differences were found in the contents and subtypes of delusions and hallucinations. Significant ethnic differences were found in symptom content, consistent with findings from studies on younger samples of inpatients. Euro-Americans were nearly twice as likely as Latinos to report delusions of grandiosity. African Americans were more likely than Latinos to report general paranoid delusions of persecution. Latinos reported more culturally influenced contents than the other groups. Raising provider awar...Continue Reading

References

Oct 1, 1992·The American Journal of Orthopsychiatry·I A CaninoJ I Escobar
Jan 1, 1991·Schizophrenia Bulletin·R W Butler, D L Braff
Mar 1, 1990·Hospital & Community Psychiatry·H P Lefley
Jan 1, 1988·Schizophrenia Bulletin·K M Lin, A M Kleinman
Sep 1, 1986·Culture, Medicine and Psychiatry·J I EscobarM Hill
Apr 1, 1973·Archives of General Psychiatry·R J SimonL Sharpe
Jan 1, 1965·The International Journal of Social Psychiatry·A De Hoyos, G De Hoyos
Nov 1, 1984·The American Psychologist·C R Ridley
Oct 1, 1995·The British Journal of Psychiatry : the Journal of Mental Science·C TellesS Lopez
Sep 29, 1998·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·J J GalloS Lesikar
Sep 24, 1999·Psychopathology·T StompeM R Chaudhry
Feb 7, 2001·Annual Review of Psychology·S R López, P J Guarnaccia
May 29, 2000·Psychiatric Services : a Journal of the American Psychiatric Association·H C KalesA M Mellow
Jan 12, 2002·Archives of General Psychiatry·Svante Ostling, Ingmar Skoog
Aug 17, 2002·The International Journal of Social Psychiatry·Kausar Suhail, Raymond Cochrane
May 20, 2003·Acta Psychiatrica Scandinavica·D V JesteB W Palmer
Dec 5, 2003·Journal of Geriatric Psychiatry and Neurology·Warachal Eileen Faison, Dena Armstrong
May 4, 2004·The American Journal of Psychiatry·Carl I CohenLorna Walcott-Brown

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Citations

Jul 26, 2008·Current Psychiatry Reports·William A Vega, Roberto Lewis-Fernández
Feb 4, 2010·Psychiatric Services : a Journal of the American Psychiatric Association·Jodi M GonzalezDavid J Miklowitz
Nov 16, 2010·Social Psychiatry and Psychiatric Epidemiology·Matty A S de WitJean-Paul Selten
Sep 12, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Carl I CohenMichael Garrett
Oct 12, 2012·Asian Journal of Psychiatry·Huijun LiMatcheri Keshavan
Apr 13, 2011·Clinical Psychology Review·Rebecca KnowlesGeorgina Rowse
Aug 14, 2010·Psychiatry Research·Nadine ChangMark Serper
Dec 15, 2015·American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics : the Official Publication of the International Society of Psychiatric Genetics·Greg PerlmanCarlos N Pato

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