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Race and Tardive Dyskinesia Among Outpatients at a CMHC
William M. Glazer; John Doucette; Hal Morgenstern
Psychiatric Services 1994; doi:
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This study was supported by grant MH39665 from the National Institute of Mental Health. The authors thank Kathleen Morrissey, project director, and Ann Armas, senior administrative assistant, for their valuable contributions to the project.

Yale University School of Medicine; 22 Linden Point Road, Branford, Connecticut 06405

University of California, Los Angeles

1994 by the American Psychiatric Association

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Abstract

Objective: In a previous study of outpatients with chronic mental illness who were treated with neuroleptic medication, the authors found a higher incidence of tardive dyskinesia among blacks than among whites. in this study the authors examined psychosocial, clinical, treatment, and medical correlates of race that might explain this finding. Methods: Extensive baseline data were obtained for 398 outpatients at risk for tardive dyskinesia. Pearson and Mantel-Haenszel chi square analyses were used to determine significant associations between a large number of variables and race. Results and discussion: Compared with whites, nonwhites were more likely to be younger, less skilled, and unmarried; to report contacts with relatives outside the home; to have a diagnosis of schizopbrenia; and to receive higher doses of neuroleptic drugs primarily through depot medications. Non-whites were less likely to receive nonneuroleptic psychotropics, to wear dentures, and to report social contact with fathers. None of these racial differences explained more than a trivial portion of the association between race and the incidence of tardive dyskinesia. Conclusions: These results suggest the need for studies of differences in diagnostic and prescribing practices for black and white patients and of differences in the action and side effects of neuroleptics.

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Race and tardive dyskinesia among outpatients at a CMHC. Hosp Community Psychiatry 1994;45(1):38-42.