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- Title
Symptom presentation in patients with acute schizophrenia: comparison in three major Malaysian ethnic groups.
- Authors
Ainsah O; Nurulwafa H; Osman CB
- Abstract
Objective: This cross-sectional study was conducted to examine the difference in presenting symptoms among Malay, Chinese, and Indian patients with schizophrenia, who were admitted to the psychiatric wards of Hospital Kuala Lumpur, Malaysia. Participants and Methods: This study was conducted between 13 March 2004 and 13 June 2004. The Structured Clinical Interview for DSM-III-R (SCID) to generate DSM-IV diagnoses was used to diagnose schizophrenia, and Positive and Negative Syndrome Scale (PANSS) was used to compare differences in presenting symptoms among the 3 ethnic groups. A total of 97 patients were recruited; 49% were Malay, 28% Chinese, and 24% Indian. Results: There were no significant differences among the 3 ethnic groups with regard to the demographic factors except the level of education; more Malays had tertiary education than Chinese and Indians (p<0.04). In this study, the PANSS score on emotional withdrawal was high among Indians (p<0.03), and on passive / apathetic social withdrawal and stereotyped thinking were low among Malays (p<0.002 and p<0.001 respectively). The scores on tension and active social avoidance were also high among Indians as compared to the Malays (p<0.02 in both). There was a significant reduction of the total PANSS score over 2 weeks, no difference was noted for the mean change of total PANSS score from baseline, i.e. 'on admission' to 'at week 2' among the 3 ethnic groups. A significant difference was observed in the mean PANSS positive scores, whereby reduction of the positive symptoms was greatest in Malays and least in Chinese (p<0.004). Conclusion: There was no significant difference among the 3 ethnic groups in terms of positive symptoms, but there were significant differences among them for some negative symptoms.
- Publication
Hong Kong Journal of Psychiatry, 2008, Vol 18, Issue 2, p62
- ISSN
1026-2121
- Publication type
Journal Article