Comparison between a morocco and a native-born population, in a sample of first episode psychosis

Abstract

IntroductionEthnic differences have been studied previously in schizophrenia and first episodes. Previous studies in Nethernlands have reported a higher incidence of psychosis in male Moroccan immigrants and more clinical severity. However there is lack of studies in Spain with morocco population and FEP. AimsThis study aims to determine the clinical differences in a sample of First episode psychosis (FEP) between morocco and Spanish population, recruited in a hospitalisation Unit. MethodsDescriptive and cross-sectional study of 83 inpatients (FEP). Functionality and symptomatology were evaluated at entry and discharge, the pattern of use of cannabis was evaluated at entry, the dose of antipsychotic and the pattern of side-effects at discharge. Comparisons between native-born population and morocco population was made with univariate analysis and logistic regression was made for evaluating the independence of the associations. ResultsThe 28.9% of the sample was morocco group. No significance differences were found in clinical characteristics between groups at entry or at discharge. Compared with native –born, the morocco group were more male, with less years of education, worse functionality, reported less use of cannabis, a better pattern of side effects and a tendency of more prescription of LAis.After the multivariate analysis, just remains a lower functionality (OR 0,93; IC 95% (0,88-0,99); p=0,02) and lower years of education (OR 0,75; IC 95% (0,56-1,01);p=0,05), remain significative with being related with morocco origin. ConclusionsOur study provides evidence for ethnic differences in morocco population with FEP. Patients with morocco ethnicity have more probability of being males, less years of educations. Have lower functionality and a better profile of side effects.