Ethnicity,social disadvantage and psychotic‐like experiences in a healthy population based sample |
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| Authors: | C Morgan H Fisher G Hutchinson J Kirkbride T K Craig K Morgan P Dazzan J Boydell G A Doody P B Jones R M Murray J Leff P Fearon |
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| Institution: | 1. NIHR Biomedical Research Centre, and Centre for Public Mental Health, Health Service and Population Research Department;2. NIHR Biomedical Research Centre, and Division of Psychological Medicine, Institute of Psychiatry, King’s College, London, UK;3. Psychiatry Unit, University of the West Indies, Trinidad;4. Department of Psychiatry, University of Cambridge, Cambridge;5. Department of Psychology, Westminster University, London;6. Division of Psychiatry, University of Nottingham, Nottingham, UK |
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| Abstract: | Objective: We sought to investigate the prevalence and social correlates of psychotic‐like experiences in a general population sample of Black and White British subjects. Method: Data were collected from randomly selected community control subjects, recruited as part of the ÆSOP study, a three‐centre population based study of first‐episode psychosis. Results: The proportion of subjects reporting one or more psychotic‐like experience was 19% (n = 72/372). These were more common in Black Caribbean (OR 2.08) and Black African subjects (OR 4.59), compared with White British. In addition, a number of indicators of childhood and adult disadvantage were associated with psychotic‐like experiences. When these variables were simultaneously entered into a regression model, Black African ethnicity, concentrated adult disadvantage, and separation from parents retained a significant effect. Conclusion: The higher prevalence of psychotic‐like experiences in the Black Caribbean, but not Black African, group was explained by high levels of social disadvantage over the life course. |
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| Keywords: | Psychosis social isolation ethnic groups |
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