An Integrated Model Of A Largely Socio Developmental Pathway

1022 Words Mar 15th, 2016 5 Pages
There is consistent evidence that the incidence of psychosis is elevated among ethnic minorities in the UK (Fearon et al, 2006). These higher rates cannot be attributed to diagnostic bias, selective migration or a greater genetic predisposition.
Recently, more social and environmental factors have been proposed to account for this phenomena. This review will discuss these explanations and propose an integrated model of a largely socio-developmental pathway.

The association of psychosis with unemployment, poverty and lower social class is well documented (Boardman et al, 1997). Compared to the White British, ethnic minorities in the UK experience higher levels of unemployment and are more likely to live in deprived neighbourhoods (2011 Census). However, lower SES can not fully account for this phenomena.

While the relative risk for ethnic minorities decreases after adjusting for current SES, the higher rates still persist. (Kirkbride et al, 2008). The association between current SES and psychosis is also argued to be more related to social selection than social causation (Dohrenwend et al, 1992). Finally, while data on parental SES may be limited for studies based in the UK, Hjern et al’s (2004) Swedish study found that despite controlling for parental SES, elevated risk remained for ethnic minorities.

The higher rates of psychosis among Black Caribbean communities may be explained by increased risk of childhood adversity, specifically parental loss or…

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