Cognitive deficits and ethnicity: a cohort study of early psychosis patients in The Netherlands

Purpose: Incidence rates of psychotic disorders are higher in immigrant groups compared to native populations. This increased risk may partly be explained by misdiagnosis. Neurocognitive deficits are a core feature of psychotic disorders, but little is known about the relationship between migration and cognition in psychotic disorders. We examined whether immigrant patients have cognitive deficits similar to non-immigrant patients, in order to investigate the plausibility of misdiagnosis as explanation for increased incidence rates. Methods: Patients who made first contact for non-affective ps... Mehr ...

Verfasser: Stouten, L.H.
Veling, W.
van der Helm, M.
Laan, W.
van der Gaag, M.
Dokumenttyp: Artikel
Erscheinungsdatum: 2013
Reihe/Periodikum: Stouten , L H , Veling , W , van der Helm , M , Laan , W & van der Gaag , M 2013 , ' Cognitive deficits and ethnicity: a cohort study of early psychosis patients in The Netherlands ' , Social Psychiatry and Psychiatric Epidemiology , vol. 48 , no. 1 , pp. 37-47 . https://doi.org/10.1007/s00127-012-0521-x
Schlagwörter: /dk/atira/pure/sustainabledevelopmentgoals/reduced_inequalities / name=SDG 10 - Reduced Inequalities
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27230454
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://research.vu.nl/en/publications/e2009b9e-2ba8-432f-ba61-fc2b2465484c

Purpose: Incidence rates of psychotic disorders are higher in immigrant groups compared to native populations. This increased risk may partly be explained by misdiagnosis. Neurocognitive deficits are a core feature of psychotic disorders, but little is known about the relationship between migration and cognition in psychotic disorders. We examined whether immigrant patients have cognitive deficits similar to non-immigrant patients, in order to investigate the plausibility of misdiagnosis as explanation for increased incidence rates. Methods: Patients who made first contact for non-affective psychotic disorder were assessed in the cognitive domains sustained attention, immediate recall and delayed recall. Immigrant patients were compared to Dutch patients on cognitive performance. Results: 407 Patients diagnosed with a non-affective psychotic disorder completed cognitive assessment (157 Dutch, 250 immigrants). Both Dutch and immigrant patients showed large cognitive deficits. Between-subgroup comparisons revealed large cognitive deficits for immigrants compared to Dutch, especially for immigrants from Morocco, Turkey and other non-Western countries. Conclusions: These results indicate that immigrant status is associated with poorer cognitive functioning in early psychosis. The findings argue against diagnostic bias as an explanation for the increased incidence of psychotic disorders in immigrants. © 2012 Springer-Verlag.