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Cited by 80Migration, Health and TraumaRacial and Ethnic Identity ResearchMental Health Treatment and Access

Perceived discrimination is associated with severity of positive and depression/anxiety symptoms in immigrants with psychosis: a cross-sectional study

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Berg, Akiah O, Melle, Ingrid, Rossberg, Jan Ivar, Romm, Kristin Lie, Larsson, Sara, Lagerberg, Trine V, Andreassen, Ole A, Hauff, Edvard·2011·BMC Psychiatry
DOI 10.1186/1471-244x-11-77PMC PMC3115847
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Abstract

BACKGROUND: Immigration status is a significant risk factor for psychotic disorders, and a number of studies have reported more severe positive and affective symptoms among immigrant and ethnic minority groups. We investigated if perceived discrimination was associated with the severity of these symptoms among immigrants in Norway with psychotic disorders. METHODS: Cross-sectional analyses of 90 immigrant patients (66% first-generation, 68% from Asia/Africa) in treatment for psychotic disorders were assessed for DSM-IV diagnoses with the Structured Clinical Interview for DSM Disorders (SCID-I, sections A-E) and for present symptom severity by The Structured Positive and Negative Syndrome Scale (SCI-PANSS). Perceived discrimination was assessed by a self-report questionnaire developed for the Immigrant Youth in Cultural Transition Study. RESULTS: Perceived discrimination correlated with positive psychotic (r=0.264, p<0.05) and depression/anxiety symptoms (r=0.282, p<0.01), but not negative, cognitive, or excitement symptoms. Perceived discrimination also functioned as a partial mediator for symptom severity in African immigrants. Multiple linear regression analyses controlling for possible confounders revealed that perceived discrimination explained approximately 10% of the variance in positive and depression/anxiety symptoms in the statistical model. CONCLUSIONS: Among immigrants with psychotic disorders, visible minority status was associated with perceived discrimination and with more severe positive and depression/anxiety symptoms. These results suggest that context-specific stressful environmental factors influence specific symptom patterns and severity. This has important implications for preventive strategies and treatment of this vulnerable patient group.

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  • Perceptions of overt discrimination were associated with lower positive affect experienced by Korean immigrants in Toronto, whereas perceptions of subtle discrimination were associated with depressive symptoms.

    “The results show that perceptions of overt discrimination were associated with lower positive affect experienced by the immigrants, whereas perceptions of subtle discrimination were associated with depressive symptoms (see also Berg et al. 2011).”

    From Prejudice and Discrimination Toward Immigrants (2021) · cites this paper as Berg et al. 2011

    The Discussion (page not available) reports an association between perceived discrimination and more severe depression/anxiety symptoms among immigrants with psychosis. The study concerns immigrants in Norway, not Korean immigrants in Toronto, and does not distinguish overt from subtle discrimination or report lower positive affect; its “positive symptoms” are psychotic symptoms. (LLM, conf=0.86)

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Authors
Berg, A. O., Melle, I., Rossberg, J. I., Romm, K. L., Larsson, S., Lagerberg, T. V., Andreassen, O. A., & Hauff, E.
Affiliations
  • Oslo University Hospital (NO)
  • University of Oslo (NO)
Corresponding author
Berg, Akiah O
ORCID
Venue
BMC Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2011-05-06
Volume
11
Issue
1
Pages
77-77
ISSN
1471-244X (ISSN-L)
DOI
10.1186/1471-244x-11-77
PMC
PMC3115847
OpenAlex
W2053226768
Cited by
80
References
51
Citations by year
2026: 2 · 2025: 6 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 5 · 2015: 3 · 2014: 8 · 2013: 8 · 2012: 4
FWCI
6.91
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
Funders
  • Universitetet i Oslo
  • Norges Forskningsråd (167153)
  • Diakonhjemmet
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
perceived discrimination, psychosis, immigrants, ethnic minorities, positive psychotic symptoms, depression, anxiety, symptom severity, visible minority status, African immigrants, Asian immigrants, immigrant youth
MeSH terms
Adolescent, Adult, Aged, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Norway, Prejudice, Psychiatric Status Rating Scales, Psychotic Disorders, Social Perception, Emigrants and Immigrants, Self Report

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