Race and tardive dyskinesia among outpatients at a CMHC

Hospital & Community Psychiatry
W M GlazerJ T Doucette

Abstract

In a previous study of outpatients with chronic mental illness who were treated with neuroleptic medication, the authors found a higher incidence of tardive dyskinesia among blacks than among whites. In this study the authors examined psychosocial, clinical, treatment, and medical correlates of race that might explain this finding. Extensive baseline data were obtained for 398 outpatients at risk for tardive dyskinesia. Pearson and Mantel-Haenszel chi square analyses were used to determine significant associations between a large number of variables and race. Compared with whites, nonwhites were more likely to be younger, less skilled, and unmarried; to report contacts with relatives outside the home; to have a diagnosis of schizophrenia; and to receive higher doses of neuroleptic drugs primarily through depot medications. Nonwhites were less likely to receive nonneuroleptic psychotropics, to wear dentures, and to report social contact with fathers. None of these racial differences explained more than a trivial portion of the association between race and the incidence of tardive dyskinesia. These results suggest the need for studies of differences in diagnostic and prescribing practices for black and white patients and of diffe...Continue Reading

Citations

Nov 9, 2010·Child and Adolescent Psychiatric Clinics of North America·Mansoor MalikShashank V Joshi
May 10, 2005·Journal of the American Geriatrics Society·Helen C KalesAlan M Mellow
Oct 4, 2002·Biological Psychiatry·Kenneth B WellsJürgen Unützer
Jul 25, 2000·Journal of Clinical Pharmacy and Therapeutics·N PoolsupT L Knight
Feb 6, 2020·Molecular Psychiatry·Nadine C van der BurgP Roberto Bakker

Related Concepts

Depression, Reactive, Psychotic
Urgent Care
African American
Community Mental Health Centers
Dose-Response Relationship, Drug
Dyskinesia, Medication-Induced
Neurologic Examination
Schizophreniform Disorders
Schizophrenia
Schizophrenic Psychology

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