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Lazaridou FB, Schubert SJ, Ringeisen T, Kaminski J, Heinz A, Kluge U. Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism. Eur Arch Psychiatry Clin Neurosci 2022:10.1007/s00406-022-01468-8. [PMID: 36001139 PMCID: PMC9400567 DOI: 10.1007/s00406-022-01468-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 08/02/2022] [Indexed: 11/30/2022]
Abstract
Black people and People of Color are disproportionately affected by racism and show increased rates of psychosis. To examine whether racialized migrant groups are particularly exposed to racism and therefore have higher risks for psychosis, this paper (1) systematically assesses rates of psychosis among racialized migrant groups concerning the country of origin, and (2) analyzes interviews regarding the association of racism experiences with psychosis-related symptoms in racialized Black people and People of Color populations in Germany. We present an umbrella review of meta-analyses that report the incidence of positive symptoms (e.g., hallucinations and delusions) and negative symptoms (e.g., apathy and incoherent speech) of diagnosed schizophrenia, other non-affective psychotic disorders (e.g., schizoaffective disorder) or first-episode psychosis among migrants by country of origin. We also report 20 interviews with first- and second-generation migrants racialized as Black and of Color in Germany to capture and classify their experiences of racism as well as racism-associated mental health challenges. In the umbrella review, psychosis risk was greatest when migration occurred from developing countries. Effect size estimates were even larger among Caribbean and African migrants. In the qualitative study, the application of the constant comparative method yielded four subordinate themes that form a subclinical psychosis symptomatology profile related to experiences of racism: (1) a sense of differentness, (2) negative self-awareness, (3) paranoid ideation regarding general persecution, and (4) self-questioning and self-esteem instability. We here provide converging evidence from a quantitative and qualitative analysis that the risk of poor mental health and psychotic experiences is related to racism associated with minority status and migration.
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Affiliation(s)
- Felicia Boma Lazaridou
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany. .,National Discrimination and Racism Monitor, German Institute for Integration and Migration Research - DeZIM, Berlin, Germany. .,Department of Migration, Mental and Physical Health and Health Promotion, Berlin Institute of Integration and Migration Research (BIM), Humboldt University, Berlin, Germany.
| | | | | | - Jakob Kaminski
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany
| | - Andreas Heinz
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany ,Department of Migration, Mental and Physical Health and Health Promotion, Berlin Institute of Integration and Migration Research (BIM), Humboldt University, Berlin, Germany ,Department of Psychiatry and Psychotherapy, Charité University Medicine, Alexianer St. Hedwig-Hospital, Berlin, Germany
| | - Ulrike Kluge
- Department of Psychiatry and Psychotherapy, Charité University Medicine, Campus Mitte, Berlin, Germany ,Department of Migration, Mental and Physical Health and Health Promotion, Berlin Institute of Integration and Migration Research (BIM), Humboldt University, Berlin, Germany
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Affiliation(s)
- Amy Price
- The BMJ
- Stanford University School of Medicine
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Lee DS, Stahl JL, Bayer JB. Social Resources as Cognitive Structures: Thinking about a Dense Support Network Increases Perceived Support. SOCIAL PSYCHOLOGY QUARTERLY 2020. [DOI: 10.1177/0190272520939506] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Two experiments examined how the ways in which people mentally represent their personal networks affect perceptions of social support. Social support research often uses “name generators” in which individuals are asked to choose how many people they receive support from, resulting in cognitive networks that confound size and density. Taking a fixed size approach, Study 1 showed that the density of chronically activated networks predicted perceived support in both emotional and informational domains. Study 2 assigned participants to think of a dense or sparse personal network of equal size to test whether experimentally manipulated density can influence perceived support. Results indicated that thinking of a dense (vs. sparse) network led to higher perceived support, which in turn promoted more confidence in coping with life stressors. Collectively, these studies highlight how moment-to-moment changes in cognitive networks can influence social resources and explicate key psychological mechanisms tied to cognitive social structures.
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Affiliation(s)
- David S. Lee
- Univeristy at Buffalo, State University of New York, Buffalo, NY, USA
- The Ohio State University, Columbus, OH, USA
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Cataldo I, Lepri B, Neoh MJY, Esposito G. Social Media Usage and Development of Psychiatric Disorders in Childhood and Adolescence: A Review. Front Psychiatry 2020; 11:508595. [PMID: 33519535 PMCID: PMC7838524 DOI: 10.3389/fpsyt.2020.508595] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Accepted: 11/02/2020] [Indexed: 12/15/2022] Open
Abstract
Social media platforms, such as Facebook, Twitter, and Instagram, are now part of almost everyone's social life, especially for the newer generations. Children and teenagers grew up together with these Internet-based services, which have become an integral part of their personal and social life. However, as reported in various studies, psychological and psychiatric problems are sometimes associated with problematic usage of social media. The primary purpose of this review is to provide an overview of the cognitive, psychological, and social outcomes correlated with a problematic use of social media sites during the developmental stages, from age 10 to 19 years. With a specific focus on depression, anxiety, eating, and neurodevelopmental disorders, the review also discusses evidence related to genetic and neurobiological issues, together with the implications in clinical work and future directions under a multidisciplinary perspective. While the scientific community has made significant progress in enhancing our understanding of the impact of social media on teenagers' lives, more research integrating biological and environmental factors is required to fully elucidate the development of these disorders.
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Affiliation(s)
- Ilaria Cataldo
- Affiliative Behavior and Physiology Lab, Department of Psychology and Cognitive Science, University of Trento, Trento, Italy.,Mobile and Social Computing Lab, Bruno Kessler Foundation, Trento, Italy
| | - Bruno Lepri
- Mobile and Social Computing Lab, Bruno Kessler Foundation, Trento, Italy
| | - Michelle Jin Yee Neoh
- Social and Affective Neuroscience Lab, Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Gianluca Esposito
- Affiliative Behavior and Physiology Lab, Department of Psychology and Cognitive Science, University of Trento, Trento, Italy.,Social and Affective Neuroscience Lab, Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore.,Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
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Bayer JB, Hauser DJ, Shah KM, O'Donnell MB, Falk EB. Social Exclusion Shifts Personal Network Scope. Front Psychol 2019; 10:1619. [PMID: 31396126 PMCID: PMC6667635 DOI: 10.3389/fpsyg.2019.01619] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Accepted: 06/27/2019] [Indexed: 01/03/2023] Open
Abstract
Social exclusion has the potential to alter subsequent social interactions with the members of personal networks, especially given their online availability in contemporary life. Nonetheless, there is minimal research examining how social challenges such as exclusion alter ensuing interactions with personal ties. Here, we tested whether being excluded during a social interaction changed which relationships are most salient in an ostensibly unrelated, online news sharing task. Across three operationalizations of tie strength, exclusion (vs. inclusion) increased sharing to close friends, but (unexpectedly) decreased sharing to close family members. The findings provide preliminary evidence that negative encounters may shift attention toward certain types of network ties and away from others. Future work is needed to examine how social experiences influence personal network scope – i.e., who comes to mind – in the background of daily life.
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Affiliation(s)
- Joseph B Bayer
- School of Communication, The Ohio State University, Columbus, OH, United States.,Communication Studies, University of Michigan, Ann Arbor, MI, United States
| | - David J Hauser
- Department of Psychology, Queen's University, Kingston, ON, Canada.,Department of Psychology, University of Michigan, Ann Arbor, MI, United States
| | - Kinari M Shah
- Department of Psychology, University of Michigan, Ann Arbor, MI, United States
| | - Matthew Brook O'Donnell
- Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, United States
| | - Emily B Falk
- Annenberg School for Communication, University of Pennsylvania, Philadelphia, PA, United States
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