Discrimination and delusional ideation
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Background: In the UK and The Netherlands, people with high rates of psychosis are chronically exposed to discrimination. Aims: To test whether perceived discrimination is associated longitudinally with onset of psychosis. Method: A 3-year prospective study of cohorts with no history of psychosis and differential rates of reported discrimination on the basis of age, gender, disability, appearance, skin colour or ethnicity and sexual orientation was conducted in the Dutch general population (n=4076). The main outcome was onset of psychotic symptoms (delusions and hallucinations). Results: The rate of delusional ideation was 0.5% (n=19) in those who did not report discrimination, 0.9% (n=4) in those who reported discrimination in one domain, and 2.7% (n=3) in those who reported discrimination in more than one domain (exact P=0.027). This association remained after adjustment for possible confounders. No association was found between baseline discrimination and onset of hallucinatory experiences. Conclusions: Perceived discrimination may induce delusional ideation and thus contribute to the high observed rates of psychotic disorder in exposed minority populations.
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Childhood adversity, and interpersonal trauma specifically, have been linked to the development of PEs, and there is evidence linking current adverse environments - characterized by racial discrimination, migrant status and low social capital - with psychosis.
“Childhood adversity 25,26 , and interpersonal trauma specifically 27 , have been linked to the development of PEs, and there is evidence linking current adverse environments -characterized by racial discrimination 28 , migrant status 29 and low social capital 30 -with psychosis.”
From Clinical, socio‐demographic and psychological characteristics in individuals with persistent psychotic experiences with and without a “need for care” (2016) · cites this paper as [28]
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- Authors
- Janssen, I., Hanssen, M., Bak, M., Bijl, R. V., De Graaf, R., Vollebergh, W., McKenzie, K., & Van Os, J.
- Affiliations
- Maastricht University (NL)
- Trimbos Institute (NL)
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2003-01-02
- Volume
- 182
- Issue
- 1
- Pages
- 71-76
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W1543677032
- Cited by
- 2
- References
- 22
- Citations by year
- 2023: 1 · 2013: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Ethnicity and Health
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- perceived discrimination, delusional ideation, transition to psychosis, psychotic symptoms, hallucinations, minority groups, ethnic discrimination, sexual orientation discrimination, disability, appearance-based discrimination, skin colour, longitudinal cohort
- MeSH terms
- Adolescent, Adult, Delusions, Female, Hallucinations, Humans, Male, Middle Aged, Minority Groups, Netherlands, Prejudice, Prospective Studies, Psychotic Disorders, Risk Factors, Cohort Studies
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