Information om Transkulturel Psykiatri, december 2011

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Hvad tilbyder vi Region Hovedstadens psykiatri?

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Do some cultures have their own ways of going mad? / Boston Globes hjemmeside 8. Januar 2012 / Latif Nasser

Anyone who follows psychiatry has noticed that the field is now in the midst of a debate that galvanizes its members every 10 to 20 years. At the center of the hubbub is psychiatry’s most sacred text: the Diagnostic and Statistical Manual of Mental Disorders.

The DSM, for short, is a compendium of over 350 ways our minds can fail us, from autism to kleptomania to voyeurism. What makes it onto the list matters: The DSM’s definition of “mental illness” can dictate whether an insurance company covers a treatment, or even whether a murderer is fit to stand trial. With the American Psychiatric Association gearing up to revamp the manual for the first time since 1994, mental health specialists have begun jostling over some of the most divisive issues in the field: whether someone mourning the death of a loved one can be justifiably treated for depression, for instance, or whether overdiagnosis and a black market demand for Adderall have trumped up a false ADHD epidemic. (lagt på www 25. januar)

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Elaboration on the association between immigration and schizophrenia: a population-based national study disaggregating annual trends, country of origin and sex over 15 years / Werbeloff, Nomi; Levine;  Stephen Z.; Rabinowitz, Jonathan

 Purpose

Generally, immigrant status and male sex are separately documented to increase the risk of schizophrenia; although population-based risk trends by sex and immigration over time have not been examined. This study aims to examine the extent to which immigration acts as a risk factor for schizophrenia, delineated by origin, sex and year, using national population-based data over 15 years.

Method

Data on all first psychiatric admissions from 1978 to 1992 (n=10,892) from the National Psychiatric Hospitalization Case Registry of the State of Israel were merged with aggregate national data from the Israeli Central Bureau of Statistics.

Results

Compared to native-born Israelis, people who migrated prior to the age of 15 (n=2,335) were at a greater risk of schizophrenia (n=8,557; RR=1.6, 95% CI=1.53; 1.68), particularly those from Far Eastern (RR=2.43, 95% CI=1.91; 3.1) and Caribbean and South American (RR=1.94, 95% CI=1.51; 2.51) countries. Aggregate risk was higher among female than male immigrants and over the 15-year study immigration-related risk declined across the sexes.

Conclusion

The current findings replicate past research showing that immigrants, particularly from a social minority, as suggested by the social defeat-hypothesis, are at an increased risk of schizophrenia, and extend past findings to show that risk at least in Israel has decreased with time irrespective of sex.

Keywords Migration – Schizophrenia – Risk – Population - Epidemiology

Social psychiatry and psychiatric epidemiology 47(1), 1, 303-311, 2012

(lagt på www 23. januar)

Koncept for udredning og behandling af personer med PTSD  / CETTs hjemmeside 14. december

Regionens tre behandlingscentre for traume- og torturoverlevere har samarbejdet om at udvikle konceptet. Det drejer sig om regionens egne behandlingscentre, RCT Fyn i Odense og CETT i Vejle, samt den selvejende institution Rehabiliteringscenter for Torturofre (RCT-Jylland) i Haderslev, som Region Syddanmark har en driftsoverenskomst med.

- Med dette koncept systematiserer og videreudvikler vi behandlingen af mennesker med PTSD baseret på forskning og erfaring. Det er ikke alle, der er enige i vores tilgang. Men vi tror på, at patienterne får det bedst mulige tilbud med en grundig udredning og målrettet behandling, siger Ole Ryttov, sygeplejefaglig direktør i Psykiatrien i Region Syddanmark.

(lagt på www 3. januar)

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