Ethnic identity, perceptions of disadvantage, and psychosis: findings from the ÆSOP study.

Hdl Handle:
http://hdl.handle.net/10147/128740
Title:
Ethnic identity, perceptions of disadvantage, and psychosis: findings from the ÆSOP study.
Authors:
Reininghaus, Ulrich; Craig, Thomas K J; Fisher, Helen L; Hutchinson, Gerard; Fearon, Paul; Morgan, Kevin; Dazzan, Paola; Doody, Gillian A; Jones, Peter B; Murray, Robin M; Morgan, Craig
Affiliation:
Unit for Social and Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, UK. u.reininghaus@qmul.ac.uk
Citation:
Ethnic identity, perceptions of disadvantage, and psychosis: findings from the ÆSOP study. 2010, 124 (1-3):43-8 Schizophr. Res.
Journal:
Schizophrenia research
Issue Date:
Dec-2010
URI:
http://hdl.handle.net/10147/128740
DOI:
10.1016/j.schres.2010.08.038
PubMed ID:
20855184
Additional Links:
doi:10.1016/j.schres.2010.08.038
Abstract:
Many studies have shown that rates of psychosis are elevated in the Black and minority ethnic (BME) population in the UK. One important, but relatively less researched explanation of these high rates may be social adversity associated with acculturation processes. Strong identification with an ethnic minority group subjected to social disadvantage may exert adverse effects on individuals from BME groups. Using data from a large epidemiological case-control study of first-episode psychosis, we aimed to investigate whether strong ethnic identification is a factor contributing to the excess of psychosis in BME groups compared with the White British, after adjustment for perceptions of disadvantage. All cases with a first episode of psychosis presenting to specialist mental health services within tightly defined catchment areas in London and Nottingham, UK, and geographically matched community controls were included in the study. Data were collected on socio-demographic and clinical characteristics, perceptions of disadvantage, and identification with one's own ethnic group. Analysis was performed on data from 139 cases and 234 controls. There was evidence that, as levels of ethnic identification increased, the odds of psychosis increased in the BME but not in the White British group, independent of potential confounders. However, the association between strong ethnic identity and psychosis in BME individuals was attenuated and non-significant when controlled for perceived disadvantage. Strong identification with an ethnic minority group may be a potential contributory factor of the high rates of psychosis in the BME population, the effects of which may be explained by perceptions of disadvantage.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; African Continental Ancestry Group; Case-Control Studies; Ethnic Groups; European Continental Ancestry Group; Female; Great Britain; Humans; London; Male; Mental Health Services; Middle Aged; Minority Groups; Psychotic Disorders; Questionnaires; Risk Factors; Social Environment; Social Perception; Young Adult
ISSN:
1573-2509

Full metadata record

DC FieldValue Language
dc.contributor.authorReininghaus, Ulrichen
dc.contributor.authorCraig, Thomas K Jen
dc.contributor.authorFisher, Helen Len
dc.contributor.authorHutchinson, Gerarden
dc.contributor.authorFearon, Paulen
dc.contributor.authorMorgan, Kevinen
dc.contributor.authorDazzan, Paolaen
dc.contributor.authorDoody, Gillian Aen
dc.contributor.authorJones, Peter Ben
dc.contributor.authorMurray, Robin Men
dc.contributor.authorMorgan, Craigen
dc.date.accessioned2011-04-27T10:31:14Z-
dc.date.available2011-04-27T10:31:14Z-
dc.date.issued2010-12-
dc.identifier.citationEthnic identity, perceptions of disadvantage, and psychosis: findings from the ÆSOP study. 2010, 124 (1-3):43-8 Schizophr. Res.en
dc.identifier.issn1573-2509-
dc.identifier.pmid20855184-
dc.identifier.doi10.1016/j.schres.2010.08.038-
dc.identifier.urihttp://hdl.handle.net/10147/128740-
dc.description.abstractMany studies have shown that rates of psychosis are elevated in the Black and minority ethnic (BME) population in the UK. One important, but relatively less researched explanation of these high rates may be social adversity associated with acculturation processes. Strong identification with an ethnic minority group subjected to social disadvantage may exert adverse effects on individuals from BME groups. Using data from a large epidemiological case-control study of first-episode psychosis, we aimed to investigate whether strong ethnic identification is a factor contributing to the excess of psychosis in BME groups compared with the White British, after adjustment for perceptions of disadvantage. All cases with a first episode of psychosis presenting to specialist mental health services within tightly defined catchment areas in London and Nottingham, UK, and geographically matched community controls were included in the study. Data were collected on socio-demographic and clinical characteristics, perceptions of disadvantage, and identification with one's own ethnic group. Analysis was performed on data from 139 cases and 234 controls. There was evidence that, as levels of ethnic identification increased, the odds of psychosis increased in the BME but not in the White British group, independent of potential confounders. However, the association between strong ethnic identity and psychosis in BME individuals was attenuated and non-significant when controlled for perceived disadvantage. Strong identification with an ethnic minority group may be a potential contributory factor of the high rates of psychosis in the BME population, the effects of which may be explained by perceptions of disadvantage.-
dc.language.isoenen
dc.relation.urldoi:10.1016/j.schres.2010.08.038en
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAfrican Continental Ancestry Group-
dc.subject.meshCase-Control Studies-
dc.subject.meshEthnic Groups-
dc.subject.meshEuropean Continental Ancestry Group-
dc.subject.meshFemale-
dc.subject.meshGreat Britain-
dc.subject.meshHumans-
dc.subject.meshLondon-
dc.subject.meshMale-
dc.subject.meshMental Health Services-
dc.subject.meshMiddle Aged-
dc.subject.meshMinority Groups-
dc.subject.meshPsychotic Disorders-
dc.subject.meshQuestionnaires-
dc.subject.meshRisk Factors-
dc.subject.meshSocial Environment-
dc.subject.meshSocial Perception-
dc.subject.meshYoung Adult-
dc.titleEthnic identity, perceptions of disadvantage, and psychosis: findings from the ÆSOP study.en
dc.typeArticleen
dc.contributor.departmentUnit for Social and Community Psychiatry, Barts and the London School of Medicine, Queen Mary University of London, UK. u.reininghaus@qmul.ac.uken
dc.identifier.journalSchizophrenia researchen
dc.description.provinceLeinster-
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