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Child and Adolescent Psychiatric Presentations of Second-Generation Afro-Caribbeans in Britain

Published online by Cambridge University Press:  02 January 2018

Robert Goodman  and
Hilary Richards
Robert Goodman*
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, London
Hilary Richards
Affiliation:
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, London
*
Dr R. Goodman, Department of Child and Adolescent Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
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Abstract

Background

A clinical sample was used to investigate whether second-generation Afro-Caribbean children differed from other British-born children in their psychiatric presentation or vulnerability to risk factors.

Method

Second-generation Afro-Caribbean patients (n = 292) were compared with a predominantly white group of patients (n = 1311) who lived in the same inner-city area and attended the same child psychiatric clinic between 1973 and 1989. Data on psychiatric presentation and background factors were systematically recorded at the time of the initial clinical assessment.

Results

Afro-Caribbean patients were exposed to more socio-economic disadvantage but less family dysfunction. The ratio of emotional to conduct disorders was lower among Afro-Caribbean than among the comparison patients – an effect that was not evidently due to demographic factors or diagnostic bias. Most risk factors for emotional or conduct disorders had comparable effects on Afro-Caribbean and comparison patients. Psychotic and autistic disorders were disproportionately common among the Afro-Caribbean patients.

Conclusions

Second-generation Afro-Caribbean children differ somewhat from other British-born children in their psychiatric presentation – a difference that has persisted over the 1970s and 1980s and that deserves more investigation than it has received to date.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 3 , September 1995 , pp. 362 - 369
Copyright
Copyright © 1995 The Royal College of Psychiatrists

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Footnotes

1.

We have tried to avoid discriminatory language and collective terms that are not acceptable to the relevant communities. If we have failed, we hope that readers will be able to get beyond the barrier of jarring terms by translating them into their preferred terminology.

References

Akinsola, H. A. & Fryers, T. (1986) A comparison of patterns of disability in severely mentally handicapped children of different ethnic origins. Psychological Medicine, 16, 127–133.10.1017/S0033291700057810Google Scholar
Blatchford, P. (1992) Academic self assessment at 7 and 11 years: its accuracy and association with ethnic group and sex. British Journal of Educational Psychology, 62, 35–44.10.1111/j.2044-8279.1992.tb00997.xGoogle Scholar
Everitt, B. S. (1977) The Analysis of Contingency Tables. London: Chapman and Hall.10.1007/978-1-4899-2927-3Google Scholar
Gillberg, C., Steffenberg, S., Borjesson, B., et al (1987) Infantile autism in children of immigrant parents. British Journal of Psychiatry, 150, 856–858.10.1192/bjp.150.6.856Google Scholar
Goodman, R. & Simonoff, E. (1991) Reliability of clinical ratings by trainee child psychiatrists. Journal of Child Psychology and Psychiatry, 32, 551–555.10.1111/j.1469-7610.1991.tb00331.xGoogle Scholar
Graham, P. J. & Meadows, C. E. (1967) Psychiatric disorder in the children of West Indian immigrants. Journal of Child Psychology and Psychiatry, 8, 105–116.10.1111/j.1469-7610.1967.tb02186.xGoogle Scholar
Harrison, G., Owens, D., Holton, A., et al (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 18, 643–657.10.1017/S0033291700008321Google Scholar
Inner London Education Authority (1983) Social and Ethnic Characteristics of ILEA Pupils 1981–2. (Statistical Information Bulletin No. 8.) London: ILEA.Google Scholar
King, M., Coker, E., Leavey, G., et al (1994) Incidence of psychotic illness in London: comparison of ethnic groups. British Medical Journal, 309, 1115–1119.10.1136/bmj.309.6962.1115Google Scholar
Maughan, B. & Rutter, M. (1986) Black pupils' progress in secondary schools: II. Examination attainments. British Journal of Developmental Psychology, 4, 19–29.10.1111/j.2044-835X.1986.tb00994.xGoogle Scholar
McKenzie, K. J. & Crowcroft, N. S. (1994) Race, ethnicity, culture, and science. British Medical Journal, 309, 286–287.10.1136/bmj.309.6950.286Google Scholar
Nicol, A. R. (1971) Psychiatric disorder in the children of Caribbean immigrants. Journal of Child Psychology and Psychiatry, 12, 273–287.10.1111/j.1469-7610.1971.tb01088.xGoogle Scholar
Office of Population Censuses and Surveys (1993) 1991 Census: County Report for Inner London. London: HMSO.Google Scholar
Rutter, M., Yule, W., Berger, M., et al (1974) Children of West Indian immigrants – I. Rates of behavioural deviance and of psychiatric disorder. Journal of Child Psychology and Psychiatry, 15, 241–262.10.1111/j.1469-7610.1974.tb01250.xGoogle Scholar
Rutter, M., Shaffer, D. & Sturge, C. (1982) A Guide to a Multi-Axial Classification Scheme for Psychiatric Disorders in Childhood and Adolescence. London: Institute of Psychiatry.Google Scholar
Thorley, G. (1982) The Bethlem Royal and Maudsley Hospitals' clinical data register for children and adolescents. Journal of Adolescence, 5, 179–189.10.1016/S0140-1971(82)80046-8Google Scholar
Ulijaszek, S. J., Evans, E. & Miller, D. S. (1991) Age at menarche of European, Afro-Caribbean and Indo-Pakistani schoolgirls living in London. Annals of Human Biology, 18, 167–175.10.1080/03014469100001502Google Scholar
van Goor-Lambo, G. (1987) The reliability of axis V of the multiaxial classification scheme. Journal of Child Psychology and Psychiatry, 28, 597–612.10.1111/j.1469-7610.1987.tb00226.xGoogle Scholar
Wing, L. (1979) Mentally retarded children in Camberwell (London). In Estimating Needs for Mental Health Care (ed. H. Hafner). Berlin: Springer-Verlag.Google Scholar
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