Psychotic experiences among ethnic majority and minority adolescents and the role of discrimination and ethnic identity
Purpose Research shows that the prevalence of psychiatric problems is higher in ethnic minority youth compared to native youth. This school-based screening study of early adolescents’ mental health in the Netherlands examined differences in prevalence of psychotic experiences in ethnic minority yout...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2019-03, Vol.54 (3), p.343-353 |
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| creator | el Bouhaddani, Saliha van Domburgh, Lieke Schaefer, Barbara Doreleijers, Theo A. H. Veling, Wim |
| description | Purpose
Research shows that the prevalence of psychiatric problems is higher in ethnic minority youth compared to native youth. This school-based screening study of early adolescents’ mental health in the Netherlands examined differences in prevalence of psychotic experiences in ethnic minority youth compared to their Dutch peers. Moreover, we investigated the association between psychotic experiences, ethnic identity, and perceived discrimination.
Methods
A cohort of 1194 ethnic majority and minority adolescents (mean age 13.72, SD 0.63) filled-out questionnaires on psychotic experiences (including delusional and hallucinatory experiences), perceived group and personal discrimination, and ethnic identity.
Results
Apart from lower levels of hallucinatory experiences in Turkish–Dutch adolescents, prevalence of psychotic experiences did not differ between ethnic minority and majority adolescents. Perceived personal discrimination was associated with the presence of psychotic experiences (including delusional and hallucinatory experiences) (OR 2.30, 95% CI 1.22–4.34). This association was stronger for delusional experiences (OR 2.94, 95% CI 1.43–6.06) than for hallucinatory experiences (OR 1.65, 95% CI 0.73–3.72). No significant associations were found between perceived group discrimination and psychotic experiences. A weak ethnic identity was associated with higher risk for reporting psychotic experiences (OR 2.04, 95% CI 1.14–3.66), particularly hallucinatory experiences (OR 3.15, 95% CI 1.54–6.44). When looking at specific ethnic identity categories, marginalization, compared to separation, was associated with a threefold risk for reporting psychotic experiences (OR 3.26, 95% CI 1.33–8.03). Both marginalisation (OR 3.17, 95% CI 1.04–9.63) and assimilation (OR 3.25, 95% CI 1.30–8.13) were associated with a higher risk for hallucinatory experiences.
Conclusions
These results underline the protective effect of ethnic identity against mental health problems. Future research should focus on interventions that focus on strengthen social identity. |
| doi_str_mv | 10.1007/s00127-019-01658-1 |
| format | Article |
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Research shows that the prevalence of psychiatric problems is higher in ethnic minority youth compared to native youth. This school-based screening study of early adolescents’ mental health in the Netherlands examined differences in prevalence of psychotic experiences in ethnic minority youth compared to their Dutch peers. Moreover, we investigated the association between psychotic experiences, ethnic identity, and perceived discrimination.
Methods
A cohort of 1194 ethnic majority and minority adolescents (mean age 13.72, SD 0.63) filled-out questionnaires on psychotic experiences (including delusional and hallucinatory experiences), perceived group and personal discrimination, and ethnic identity.
Results
Apart from lower levels of hallucinatory experiences in Turkish–Dutch adolescents, prevalence of psychotic experiences did not differ between ethnic minority and majority adolescents. Perceived personal discrimination was associated with the presence of psychotic experiences (including delusional and hallucinatory experiences) (OR 2.30, 95% CI 1.22–4.34). This association was stronger for delusional experiences (OR 2.94, 95% CI 1.43–6.06) than for hallucinatory experiences (OR 1.65, 95% CI 0.73–3.72). No significant associations were found between perceived group discrimination and psychotic experiences. A weak ethnic identity was associated with higher risk for reporting psychotic experiences (OR 2.04, 95% CI 1.14–3.66), particularly hallucinatory experiences (OR 3.15, 95% CI 1.54–6.44). When looking at specific ethnic identity categories, marginalization, compared to separation, was associated with a threefold risk for reporting psychotic experiences (OR 3.26, 95% CI 1.33–8.03). Both marginalisation (OR 3.17, 95% CI 1.04–9.63) and assimilation (OR 3.25, 95% CI 1.30–8.13) were associated with a higher risk for hallucinatory experiences.
Conclusions
These results underline the protective effect of ethnic identity against mental health problems. Future research should focus on interventions that focus on strengthen social identity.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-019-01658-1</identifier><identifier>PMID: 30643926</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescents ; Assimilation ; Comparative analysis ; Cultural identity ; Discrimination ; Epidemiology ; Ethnic identity ; Ethnicity ; Health problems ; Health research ; Marginality ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental health ; Mental illness ; Methodological problems ; Minorities ; Minority & ethnic groups ; Minority groups ; Original Paper ; Peers ; Psychiatry ; Psychosis ; Racial differences ; Risk ; Social aspects ; Social exclusion ; Social identity ; Social problems ; Teenagers ; Tests ; Youth</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2019-03, Vol.54 (3), p.343-353</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Social Psychiatry and Psychiatric Epidemiology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-9c44024c61086ca509bcdf042c60a986e731e2c24188f04783028c8fc2d55df03</citedby><cites>FETCH-LOGICAL-c442t-9c44024c61086ca509bcdf042c60a986e731e2c24188f04783028c8fc2d55df03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-019-01658-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-019-01658-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30643926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>el Bouhaddani, Saliha</creatorcontrib><creatorcontrib>van Domburgh, Lieke</creatorcontrib><creatorcontrib>Schaefer, Barbara</creatorcontrib><creatorcontrib>Doreleijers, Theo A. H.</creatorcontrib><creatorcontrib>Veling, Wim</creatorcontrib><title>Psychotic experiences among ethnic majority and minority adolescents and the role of discrimination and ethnic identity</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose
Research shows that the prevalence of psychiatric problems is higher in ethnic minority youth compared to native youth. This school-based screening study of early adolescents’ mental health in the Netherlands examined differences in prevalence of psychotic experiences in ethnic minority youth compared to their Dutch peers. Moreover, we investigated the association between psychotic experiences, ethnic identity, and perceived discrimination.
Methods
A cohort of 1194 ethnic majority and minority adolescents (mean age 13.72, SD 0.63) filled-out questionnaires on psychotic experiences (including delusional and hallucinatory experiences), perceived group and personal discrimination, and ethnic identity.
Results
Apart from lower levels of hallucinatory experiences in Turkish–Dutch adolescents, prevalence of psychotic experiences did not differ between ethnic minority and majority adolescents. Perceived personal discrimination was associated with the presence of psychotic experiences (including delusional and hallucinatory experiences) (OR 2.30, 95% CI 1.22–4.34). This association was stronger for delusional experiences (OR 2.94, 95% CI 1.43–6.06) than for hallucinatory experiences (OR 1.65, 95% CI 0.73–3.72). No significant associations were found between perceived group discrimination and psychotic experiences. A weak ethnic identity was associated with higher risk for reporting psychotic experiences (OR 2.04, 95% CI 1.14–3.66), particularly hallucinatory experiences (OR 3.15, 95% CI 1.54–6.44). When looking at specific ethnic identity categories, marginalization, compared to separation, was associated with a threefold risk for reporting psychotic experiences (OR 3.26, 95% CI 1.33–8.03). Both marginalisation (OR 3.17, 95% CI 1.04–9.63) and assimilation (OR 3.25, 95% CI 1.30–8.13) were associated with a higher risk for hallucinatory experiences.
Conclusions
These results underline the protective effect of ethnic identity against mental health problems. Future research should focus on interventions that focus on strengthen social identity.</description><subject>Adolescents</subject><subject>Assimilation</subject><subject>Comparative analysis</subject><subject>Cultural identity</subject><subject>Discrimination</subject><subject>Epidemiology</subject><subject>Ethnic identity</subject><subject>Ethnicity</subject><subject>Health problems</subject><subject>Health research</subject><subject>Marginality</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental illness</subject><subject>Methodological problems</subject><subject>Minorities</subject><subject>Minority & ethnic groups</subject><subject>Minority groups</subject><subject>Original Paper</subject><subject>Peers</subject><subject>Psychiatry</subject><subject>Psychosis</subject><subject>Racial differences</subject><subject>Risk</subject><subject>Social aspects</subject><subject>Social exclusion</subject><subject>Social identity</subject><subject>Social problems</subject><subject>Teenagers</subject><subject>Tests</subject><subject>Youth</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUuPFCEQx4nRuOPqF_BgOvHipdfi0TQcNxtfySZ60DNh6eoZJtMwQk_c-fbWPHzGGEKAqt-_KPgz9pzDFQfoX1cALvoWuKWpO9PyB2zBlZStFaZ7yBZgad_bTl2wJ7WuAUDaXj5mFxK0klboBfv2qe7DKs8xNHi_xRIxBayNn3JaNjivEiUmv84lzvvGp6GZYjofhrzBGjDN9ZiYV9gUCjV5bIZYQ4mE-jnmdEyfa8WBBCR_yh6NflPx2Xm9ZF_evvl88769_fjuw831bRuUEnNraQGhguZgdPAd2LswjKBE0OCt0dhLjiIIxY2hcG8kCBPMGMTQdQTKS_bqVHdb8tcd1tlN1BtuNj5h3lUneE-fpCxoQl_-ha7zriTqjiitjems_Y1a-g26mMY8Fx8ORd11z7VSnHeHa6_-QdEYcIohJxwjxf8QiJMglFxrwdFt6QN92TsO7uC2O7ntyG13dNtxEr04d7y7m3D4KflhLwHyBFRKpSWWX0_6T9nvqNW0KQ</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>el Bouhaddani, Saliha</creator><creator>van Domburgh, Lieke</creator><creator>Schaefer, Barbara</creator><creator>Doreleijers, Theo A. H.</creator><creator>Veling, Wim</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7U4</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20190301</creationdate><title>Psychotic experiences among ethnic majority and minority adolescents and the role of discrimination and ethnic identity</title><author>el Bouhaddani, Saliha ; van Domburgh, Lieke ; Schaefer, Barbara ; Doreleijers, Theo A. H. ; Veling, Wim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-9c44024c61086ca509bcdf042c60a986e731e2c24188f04783028c8fc2d55df03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescents</topic><topic>Assimilation</topic><topic>Comparative analysis</topic><topic>Cultural identity</topic><topic>Discrimination</topic><topic>Epidemiology</topic><topic>Ethnic identity</topic><topic>Ethnicity</topic><topic>Health problems</topic><topic>Health research</topic><topic>Marginality</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental illness</topic><topic>Methodological problems</topic><topic>Minorities</topic><topic>Minority & ethnic groups</topic><topic>Minority groups</topic><topic>Original Paper</topic><topic>Peers</topic><topic>Psychiatry</topic><topic>Psychosis</topic><topic>Racial differences</topic><topic>Risk</topic><topic>Social aspects</topic><topic>Social exclusion</topic><topic>Social identity</topic><topic>Social problems</topic><topic>Teenagers</topic><topic>Tests</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>el Bouhaddani, Saliha</creatorcontrib><creatorcontrib>van Domburgh, Lieke</creatorcontrib><creatorcontrib>Schaefer, Barbara</creatorcontrib><creatorcontrib>Doreleijers, Theo A. H.</creatorcontrib><creatorcontrib>Veling, Wim</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>Sociological Abstracts</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>el Bouhaddani, Saliha</au><au>van Domburgh, Lieke</au><au>Schaefer, Barbara</au><au>Doreleijers, Theo A. H.</au><au>Veling, Wim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychotic experiences among ethnic majority and minority adolescents and the role of discrimination and ethnic identity</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>54</volume><issue>3</issue><spage>343</spage><epage>353</epage><pages>343-353</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><abstract>Purpose
Research shows that the prevalence of psychiatric problems is higher in ethnic minority youth compared to native youth. This school-based screening study of early adolescents’ mental health in the Netherlands examined differences in prevalence of psychotic experiences in ethnic minority youth compared to their Dutch peers. Moreover, we investigated the association between psychotic experiences, ethnic identity, and perceived discrimination.
Methods
A cohort of 1194 ethnic majority and minority adolescents (mean age 13.72, SD 0.63) filled-out questionnaires on psychotic experiences (including delusional and hallucinatory experiences), perceived group and personal discrimination, and ethnic identity.
Results
Apart from lower levels of hallucinatory experiences in Turkish–Dutch adolescents, prevalence of psychotic experiences did not differ between ethnic minority and majority adolescents. Perceived personal discrimination was associated with the presence of psychotic experiences (including delusional and hallucinatory experiences) (OR 2.30, 95% CI 1.22–4.34). This association was stronger for delusional experiences (OR 2.94, 95% CI 1.43–6.06) than for hallucinatory experiences (OR 1.65, 95% CI 0.73–3.72). No significant associations were found between perceived group discrimination and psychotic experiences. A weak ethnic identity was associated with higher risk for reporting psychotic experiences (OR 2.04, 95% CI 1.14–3.66), particularly hallucinatory experiences (OR 3.15, 95% CI 1.54–6.44). When looking at specific ethnic identity categories, marginalization, compared to separation, was associated with a threefold risk for reporting psychotic experiences (OR 3.26, 95% CI 1.33–8.03). Both marginalisation (OR 3.17, 95% CI 1.04–9.63) and assimilation (OR 3.25, 95% CI 1.30–8.13) were associated with a higher risk for hallucinatory experiences.
Conclusions
These results underline the protective effect of ethnic identity against mental health problems. Future research should focus on interventions that focus on strengthen social identity.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30643926</pmid><doi>10.1007/s00127-019-01658-1</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| source | Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Adolescents Assimilation Comparative analysis Cultural identity Discrimination Epidemiology Ethnic identity Ethnicity Health problems Health research Marginality Medicine Medicine & Public Health Mental disorders Mental health Mental illness Methodological problems Minorities Minority & ethnic groups Minority groups Original Paper Peers Psychiatry Psychosis Racial differences Risk Social aspects Social exclusion Social identity Social problems Teenagers Tests Youth |
| title | Psychotic experiences among ethnic majority and minority adolescents and the role of discrimination and ethnic identity |
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