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Ethnic identity, perceptions of disadvantage, and psychosis: findings from the ÆSOP study.
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
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
Advisors
Editors
Other Contributors
Date
2010-12
Date Submitted
Keywords
Other Subjects
Subject 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
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
Planned Date
Start Date
Collaborators
Principal Investigators
Alternative Titles
Publisher
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.
Language
en
ISSN
1573-2509
eISSN
ISBN
DOI
10.1016/j.schres.2010.08.038
PMID
20855184