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Obsessive–compulsive disorder (OCD) has similar prevalence rates across
ethnic groups. However, ethnic minorities are underrepresented in
clinical trials of OCD. It is unclear whether this is also the case in
To explore whether ethnic minorities with OCD are underrepresented in
secondary and tertiary mental health services in the South London and
Maudsley (SLaM) NHS Foundation Trust.
The ethnic distribution of patients with OCD seen between 1999 and 2013
in SLaM (n = 1528) was compared with that of the general
population in the catchment area using census data. A cohort of patients
with depression (n = 22 716) was used for comparative
Ethnic minorities with OCD were severely underrepresented across services
(–57%, 95% CI –62% to –52%). The magnitude of the observed inequalities
was significantly more pronounced than in depression (–29%, 95% CI–31%
There is a clear need to understand the reasons behind such ethnic
inequalities and implement measures to reduce them.
There is little research on children's positive attributes and their
association with psychiatric outcomes.
To examine the hypothesis that children's positive attributes are
associated with a reduced risk of developing psychopathology in
Positive attributes, measured with the Youth Strengths Inventory (YSI)
and psychiatric outcomes were assessed on two occasions over 3 years in a
large epidemiological sample of British children and adolescents
(n = 5325).
The YSI showed high to moderate cross-informant correlations and
longitudinal stability. Children scoring high on positive attributes at
baseline had fewer psychiatric symptoms and disorders at follow-up,
adjusting for symptoms at baseline, disorder at baseline and child and
family factors. Analyses with propensity score matching also suggested
that positive attributes decrease the likelihood of psychiatric
Children's positive attributes are associated with significantly less
psychopathology across time and may be a target for intervention.
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