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

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    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
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    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
    Issue Date
    2010-12
    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
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    Citation
    Ethnic identity, perceptions of disadvantage, and psychosis: findings from the ÆSOP study. 2010, 124 (1-3):43-8 Schizophr. Res.
    Journal
    Schizophrenia research
    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
    ISSN
    1573-2509
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.schres.2010.08.038
    Scopus Count
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    St. Patrick's University Hospital

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