Skip to main content Accessibility help
×
Hostname: page-component-76dd75c94c-lpd2x Total loading time: 0 Render date: 2024-04-30T09:04:36.956Z Has data issue: false hasContentIssue false

15 - Research directions in ethno-psychopharmacology

Published online by Cambridge University Press:  22 August 2009

Chee H. Ng
Affiliation:
Department of Psychiatry, The University of Melbourne, St Vincent Hospital & The Melbourne Clinic, Victoria, Australia
Chee H. Ng
Affiliation:
University of Melbourne
Keh-Ming Lin
Affiliation:
National Health Research Institutes, Taiwan
Bruce S. Singh
Affiliation:
University of Melbourne
Edmond Y. K. Chiu
Affiliation:
University of Melbourne
Get access

Summary

Inter-individual and inter-ethnic differences in drug response have been regularly found in clinical practice. This is not surprising given the remarkable diversity in genetic polymorphisms, environmental factors, cultural contexts, and treatment settings. Although some of the key research reports and pertinent data have been summarized in previous chapters, systematically conducted studies in this field remain scarce, sporadic, and lacking in consistency (Lin et al., 1999). Ethnic and sociocultural variables are rarely analyzed or controlled in published studies on drug effects. Such paucity of cross-ethnic data exists even though there is widespread use of psychotropics to treat people with mental disorders globally. There are compelling reasons why research in this area is very much needed to understand cross-cultural differences in psychopharmacology better. There is significant demographic shift with increasing multicultural populations in both Western and non-Western societies. As a consequence, there has been a significant growth of cultural psychiatry internationally. For instance, Asians represent more than half of the global population, and all the major psychotropics are widely prescribed in Asia. With increasing pressure on the health dollar, there is a need to improve the cost-effectiveness of pharmacotherapeutic agents by reducing the morbidity and mortality of medication side effects occurring in drug-sensitive individuals and populations (e.g., in many parts of Asia). Given that factors involved in determining inter-ethnic differences in drug response are often similar to those responsible for inter-individual variations, advances in cross-ethnic psychopharmacology can contribute to greater understanding of individual differences as well (Lin et al., 1993).

Type
Chapter
Information
Ethno-psychopharmacology
Advances in Current Practice
, pp. 169 - 176
Publisher: Cambridge University Press
Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Lesko, L. & Woodcock, J. (2002). Pharmacogenetic-guided drug development: regulatory perspective. Pharmacogenomics J., 2, 20–4.Google Scholar
Lin, K. M. & Smith, M. W. (2000). Psychopharmacotherapy in the context of culture and ethnicity. In Ruiz, P ed., Ethnicity and Psychopharmacology. Washington, DC: American Psychiatric Press, pp. 1–36.
Lin, K. M., Poland, R. E. & Silver, B. (1993). Overview: the interface between psychobiology and ethnicity. In Lin, K. M., Poland, R. E.G, Nakasaki, eds., Psychopharmacology and Psychobiology of Ethnicity. Washington DC: American Psychiatric Press, pp. 11–35.
Lin, K. M., Smith, M. W. & Mendoza, R. P. (1999). Psychopharmacology in cross-cultural psychiatry. In Herrera, J. M., W. B., Lawson & Sramek, J. J., eds., Cross-Cultural Psychiatry. New York: Wiley, pp. 45–52.
C. H., Ng, Schweitzer, I., Norman, T. & Easteal, S. (2004). The emerging role of pharmacogenetics: implications for clinical psychiatry. Aust. N. Z. J. Psychiatry, 38, 483–9.Google Scholar
C. H., Ng, S. A., Chong, Lambert, T.et al. (2005). An interethnic comparison study of clozapine dosage, clinical response and plasma levels. Int. Clin. Psychopharmacol., 20, 163–8.Google Scholar
C. H., Ng, T. R., Norman, K. O., Nainget al. (2006a). A comparison study of sertraline dosages and response in Chinese versus Caucasian patients. J. Int. Clin. Psychopharmacol., 21, 87–92.Google Scholar
Ng, C. H., Easteal, S., Tan, S.et al. (2006b). Serotonin transporter polymorphisms and clinical response to sertraline across ethnicities. Prog. Neuropsychopharmacol. Biol. Psychiatry, 30, 953–7.Google Scholar
Pi, E. H. (1998). Transcultural psychopharmacology: present and future. Psychiatry Clin. Neurosci., 52, S185–S187.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×