Abstract
Purpose
Ethnic minority groups with early psychosis may have longer treatment delays, potentially leading to poorer outcomes. We updated a previous systematic review of the literature on racial and ethnic differences in duration of untreated psychosis (DUP) among people with first-episode psychosis.
Results
Six of 17 studies described significant differences across aggregated racial groups; however, the pooled estimates did not show differences across groups. Additional data from this update allowed for disaggregated analyses, finding that Black-African groups have a shorter DUP, whereas Black-Caribbean groups have longer DUP, relative to White groups.
Conclusions
These findings highlight the importance of in-depth research on disaggregated ethnic groups to inform targeted early intervention strategies for minority populations.
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ESM_1: Flow chart of the search strategy and exclusion process for the systematic review (PDF 15 kb)
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ESM_3: Findings on duration of untreated psychosis and ethnic/racial group for studies included in the systematic review (n = 17) (XLSX 17 kb)
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ESM_5: Meta-analysis of the log-transformed standardized mean difference (SMD) in duration of untreated psychosis for Black and Asian groups relative to White (PNG 50 kb)
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Schoer, N., Huang, C.W. & Anderson, K.K. Differences in duration of untreated psychosis for racial and ethnic minority groups with first-episode psychosis: an updated systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol 54, 1295–1298 (2019). https://doi.org/10.1007/s00127-019-01737-3
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DOI: https://doi.org/10.1007/s00127-019-01737-3