@article{ref1,
title="The impact of immigration and visible minority status on psychosis symptom profile",
journal="Social psychiatry and psychiatric epidemiology",
year="2014",
author="Berg, Akiah Ottesen and Andreassen, Ole A. and Aminoff, Sofie Ragnhild and Romm, Kristin Lie and Hauff, Edvard and Melle, Ingrid",
volume="49",
number="11",
pages="1747-1757",
abstract="PURPOSE: Immigrants have heightened risks of psychotic disorders, and it is proposed that migration influences symptom profiles. The purpose of this study was to investigate if either migration experience and/or visible minority status affected symptom profiles, using a cross-culturally validated five-factor model of the Positive and Negative Syndrome Scale (PANSS), in patients with broadly defined psychotic disorders. <br><br>METHODS: PANSS was assessed in a large catchment area based sample of patients with psychotic disorders verified with the Structured Clinical Interview for DSM-IV (n = 1,081). Symptom profiles based on Wallwork et al. five-factor model were compared for Norwegians (73 %), white immigrants (10.5 %), and visible minority groups (16.5 %). <br><br>RESULTS: Visible minorities were significantly younger, had less education, more often a schizophrenia diagnosis and higher PANSS positive, negative and disorganized/concrete factor scores than Norwegians and white immigrants. After controlling for confounders only the items &quot;Delusions&quot; and &quot;Difficulty in abstract thinking&quot; differed between groups. Multivariate analyses indicated that these items were not associated with immigration per se, but rather belonging to a visible minority. <br><br>CONCLUSION: We found mostly similarities in psychotic symptoms between immigrants and Norwegians when using a cross-culturally validated five-factor model of the PANSS. Immigration did not directly influence psychotic symptom profiles but visible minority groups had higher levels of &quot;Delusions&quot; and &quot;Difficulty in abstract thinking&quot;, both symptoms that are partially context dependent.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-014-0897-x",
url="http://dx.doi.org/10.1007/s00127-014-0897-x"
}